This page is part of the FHIR Specification (v0.0.82: DSTU 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

V3-x_BasicConfidentialityKind.xml

Description: Used to enumerate the typical confidentiality constraints placed upon a clinical document. Usage Note: x_BasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata indicating the receiver responsibility to comply with normally applicable jurisdictional privacy law or disclosure authorization; that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject; or that the receiver may not disclose this information except as directed by the information custodian, who may be the information subject. (OID = 2.16.840.1.113883.1.11.16926)

Raw XML

<ValueSet xmlns="http://hl7.org/fhir">
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <h2>x_BasicConfidentialityKind</h2>
      <p>  Description:
        <br/>Used to enumerate the typical confidentiality constraints placed upon a clinical document.
             Usage Note:
        <br/>x_BasicConfidentialityKind is a subset of Confidentiality codes that are used as metadata
            indicating the receiver responsibility to comply with normally applicable jurisdictional
            privacy law or disclosure authorization; that the receiver may not disclose this information
            except as directed by the information custodian, who may be the information subject; or
            that the receiver may not disclose this information except as directed by the information
            custodian, who may be the information subject. (OID = 2.16.840.1.113883.1.11.16926)
      </p>
      <p>This value set includes codes defined in other code systems, using the following rules:</p>
      <ul>
        <li>Include these codes as defined in 
          <a href="../../../v3/Confidentiality/index.html">http://hl7.org/fhir/v3/Confidentiality</a>
          <table>
            <tr>
              <td>
                <b>Code</b>
              </td>
              <td>
                <b>Display</b>
              </td>
              <td>
                <b>Definition</b>
              </td>
            </tr>
            <tr>
              <td>N</td>
              <td>normal</td>
              <td>Definition: Privacy metadata indicating that the information is typical, non-stigmatizing
                    health information, which presents typical risk of harm if disclosed without authorization.
                <br/>
                        
                           Examples: In the US, this includes what HIPAA identifies as
                    the minimum necessary protected health information (PHI) given a covered purpose of use
                    (treatment, payment, or operations).  Includes typical, non-stigmatizing health information
                    disclosed in an application for health, workers compensation, disability, or life insurance.
                <br/>
                        
                           Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical
                    Care:   Default for normal clinical care access (i.e. most clinical staff directly caring
                    for the patient should be able to access nearly all of the EHR).   Maps to normal confidentiality
                    for treatment information but not to ancillary care, payment and operations.
                <br/>
                        
                           Usage Note: This metadata indicates that the receiver may be
                    obligated to comply with applicable jurisdictional privacy law or disclosure authorization.
              </td>
            </tr>
            <tr>
              <td>R</td>
              <td>restricted</td>
              <td>Privacy metadata indicating highly sensitive, potentially stigmatizing information, which
                    presents a high risk to the information subject if disclosed without authorization.  May
                    be preempted by jurisdictional law, e.g., for public health reporting or emergency treatment.
                <br/>&gt;
                           Examples: In the US, this includes what HIPAA identifies as
                    the minimum necessary protected health information (PHI) given a covered purpose of use
                    (treatment, payment, or operations).  Includes typical, non-stigmatizing health information
                    disclosed in an application for health, workers compensation, disability, or life insurance.
                <br/>
                        
                           Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical
                    Care:   Default for normal clinical care access (i.e. most clinical staff directly caring
                    for the patient should be able to access nearly all of the EHR).   Maps to normal confidentiality
                    for treatment information but not to ancillary care, payment and operations.
                <br/>
                        
                           Usage Note: This metadata indicates that the receiver may be
                    obligated to comply with applicable, prevailing (default)  jurisdictional privacy law
                    or disclosure authorization.
              </td>
            </tr>
            <tr>
              <td>V</td>
              <td>very restricted</td>
              <td>. Privacy metadata indicating that the information is extremely sensitive and likely stigmatizing
                    health information that presents a very high risk if disclosed without authorization.
                     This information must be kept in the highest confidence.  
                <br/>
                        
                           Examples:  Includes information about a victim of abuse, patient
                    requested information sensitivity, and taboo subjects relating to health status that must
                    be discussed with the patient by an attending provider before sharing with the patient.
                     May also include information held under “legal lock� or attorney-client privilege
                <br/>
                        
                           Map:  This metadata indicates that the receiver may not disclose
                    this information except as directed by the information custodian, who may be the information
                    subject.
                <br/>
                        
                           Usage Note:  This metadata indicates that the receiver may
                    not disclose this information except as directed by the information custodian, who may
                    be the information subject.
              </td>
            </tr>
          </table>
        </li>
      </ul>
    </div>
  </text>
  <identifier value="http://hl7.org/fhir/v3/vs/x_BasicConfidentialityKind"/>
  <version value="2014-08-07"/>
  <name value="x_BasicConfidentialityKind"/>
  <publisher value="HL7 v3"/>
  <telecom>
    <system value="url"/>
    <value value="http://www.hl7.org"/>
  </telecom>
  <description value="  Description: Used to enumerate the typical confidentiality constraints placed upon a
      clinical document.  Usage Note: x_BasicConfidentialityKind is a subset of Confidentiality
      codes that are used as metadata indicating the receiver responsibility to comply with
      normally applicable jurisdictional privacy law or disclosure authorization; that the receiver
      may not disclose this information except as directed by the information custodian, who
      may be the information subject; or that the receiver may not disclose this information
      except as directed by the information custodian, who may be the information subject. (OID
      = 2.16.840.1.113883.1.11.16926)"/>
  <status value="active"/>
  <compose>
    <include>
      <system value="http://hl7.org/fhir/v3/Confidentiality"/>
      <code value="N"/>
      <code value="R"/>
      <code value="V"/>
    </include>
  </compose>
</ValueSet>