FHIR Cross-Version Extensions package for FHIR R4 from FHIR R5 - Version 0.0.1-snapshot-2. See the Directory of published versions
| Page standards status: Informative | Maturity Level: 0 |
{
"resourceType" : "ValueSet",
"id" : "R5-v3-RefrainPolicy-for-R4",
"text" : {
"status" : "generated",
"div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: ValueSet R5-v3-RefrainPolicy-for-R4</b></p><a name=\"R5-v3-RefrainPolicy-for-R4\"> </a><a name=\"hcR5-v3-RefrainPolicy-for-R4\"> </a><p>This value set expansion contains 19 concepts.</p><table class=\"codes\"><tr><td style=\"white-space:nowrap\"><b>Code</b></td><td><b>System</b></td><td><b>Display</b></td><td><b>Definition</b></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-RefrainPolicy\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-RefrainPolicy\">RefrainPolicy</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>refrain policy</td><td><div><p>Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.</p>\n<p><em>Usage Notes:</em> ISO 22600-2 species that a Refrain Policy "defines actions the subjects must refrain from performing". Per HL7 Composite Security and Privacy Domain Analysis Model: May be used to indicate that a specific action is prohibited based on specific access control attributes e.g., purpose of use, information type, user role, etc.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOAUTH\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOAUTH\">NOAUTH</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no disclosure without subject authorization</td><td><div><p>Prohibition on disclosure without information subject's authorization.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOCOLLECT\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOCOLLECT\">NOCOLLECT</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no collection</td><td><div><p>Prohibition on collection or storage of the information.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NODSCLCD\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NODSCLCD\">NODSCLCD</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no disclosure without consent directive</td><td><div><p>Prohibition on disclosure without organizational approved patient restriction.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NODSCLCDS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NODSCLCDS\">NODSCLCDS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no disclosure without information subject's consent directive</td><td><div><p>Prohibition on disclosure without a consent directive from the information subject.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOINTEGRATE\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOINTEGRATE\">NOINTEGRATE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no integration</td><td><div><p>Prohibition on Integration into other records.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOLIST\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOLIST\">NOLIST</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no unlisted entity disclosure</td><td><div><p>Prohibition on disclosure except to entities on specific access list.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOMOU\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOMOU\">NOMOU</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no disclosure without MOU</td><td><div><p>Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOORGPOL\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOORGPOL\">NOORGPOL</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no disclosure without organizational authorization</td><td><div><p>Prohibition on disclosure without organizational authorization.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOPAT\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOPAT\">NOPAT</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no disclosure to patient, family or caregivers without attending provider's authorization</td><td><div><p>Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.</p>\n<p><em>Usage Note:</em> The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access.</p>\n<p>Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance.</p>\n<p>FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT.</p>\n<ul>\n<li>displayName: Document non visible par le patient</li>\n<li>codingScheme: 1.2.250.1.213.1.1.4.13</li>\n</ul>\n<p>French use case: A label for documents that the author chose to hide from the patient until the content can be disclose to the patient in a face to face meeting between a healthcare professional and the patient (in French law some results like cancer diagnosis or AIDS diagnosis must be announced to the patient by a healthcare professional and should not be find out by the patient alone).</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOPERSISTP\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOPERSISTP\">NOPERSISTP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no collection beyond purpose of use</td><td><div><p>Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NORDSCLCD\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NORDSCLCD\">NORDSCLCD</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no redisclosure without consent directive</td><td><div><p>Prohibition on redisclosure without patient consent directive.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NORDSLCD\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NORDSLCD\">NORDSLCD</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no redisclosure without consent directive</td><td><div><p>Prohibition on redisclosure without patient consent directive.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NORDSCLCDS\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NORDSCLCDS\">NORDSCLCDS</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no redisclosure without information subject's consent directive</td><td><div><p>Prohibition on redisclosure without a consent directive from the information subject.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NORDSCLW\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NORDSCLW\">NORDSCLW</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no disclosure without jurisdictional authorization</td><td><div><p>Prohibition on disclosure without authorization under jurisdictional law.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NORELINK\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NORELINK\">NORELINK</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no relinking</td><td><div><p>Prohibition on associating de-identified or pseudonymized information with other information in a manner that could or does result in disclosing information intended to be masked.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOREUSE\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOREUSE\">NOREUSE</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no reuse beyond purpose of use</td><td><div><p>Prohibition on use of the information beyond the purpose of use initially authorized.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-NOVIP\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-NOVIP\">NOVIP</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no unauthorized VIP disclosure</td><td><div><p>Prohibition on disclosure except to principals with access permission to specific VIP information.</p>\n</div></td></tr><tr><td style=\"white-space:nowrap\"><a name=\"R5-v3-RefrainPolicy-for-R4-http://terminology.hl7.org/CodeSystem/v3-ActCode-ORCON\"> </a>\u00a0\u00a0<a href=\"http://terminology.hl7.org/6.5.0/CodeSystem-v3-ActCode.html#v3-ActCode-ORCON\">ORCON</a></td><td>http://terminology.hl7.org/CodeSystem/v3-ActCode</td><td>no disclosure without originator authorization</td><td><div><p>Prohibition on disclosure except as permitted by the information originator.</p>\n</div></td></tr></table></div>"
},
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
"valueCode" : "fhir"
},
{
"extension" : [
{
"url" : "packageId",
"valueId" : "hl7.fhir.uv.xver-r5.r4"
},
{
"url" : "version",
"valueString" : "0.0.1-snapshot-2"
}
],
"url" : "http://hl7.org/fhir/StructureDefinition/package-source"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
"valueInteger" : 0,
"_valueInteger" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
"valueCode" : "informative",
"_valueCode" : {
"extension" : [
{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
"valueCanonical" : "http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
}
]
}
}
],
"url" : "http://hl7.org/fhir/5.0/ValueSet/R5-v3-RefrainPolicy-for-R4",
"version" : "0.0.1-snapshot-2",
"name" : "R5_v3_RefrainPolicy_for_R4",
"title" : "Cross-version VS for R5.RefrainPolicy for use in FHIR R4",
"status" : "active",
"experimental" : false,
"date" : "2025-09-01T22:37:05.359013+10:00",
"publisher" : "FHIR Infrastructure",
"contact" : [
{
"name" : "FHIR Infrastructure",
"telecom" : [
{
"system" : "url",
"value" : "http://www.hl7.org/Special/committees/fiwg"
}
]
}
],
"description" : "This cross-version ValueSet represents concepts from http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.",
"jurisdiction" : [
{
"coding" : [
{
"system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
"code" : "001",
"display" : "World"
}
]
}
],
"compose" : {
"include" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"concept" : [
{
"code" : "RefrainPolicy",
"display" : "refrain policy"
},
{
"code" : "NOAUTH",
"display" : "no disclosure without subject authorization"
},
{
"code" : "NOCOLLECT",
"display" : "no collection"
},
{
"code" : "NODSCLCD",
"display" : "no disclosure without consent directive"
},
{
"code" : "NODSCLCDS",
"display" : "no disclosure without information subject's consent directive"
},
{
"code" : "NOINTEGRATE",
"display" : "no integration"
},
{
"code" : "NOLIST",
"display" : "no unlisted entity disclosure"
},
{
"code" : "NOMOU",
"display" : "no disclosure without MOU"
},
{
"code" : "NOORGPOL",
"display" : "no disclosure without organizational authorization"
},
{
"code" : "NOPAT",
"display" : "no disclosure to patient, family or caregivers without attending provider's authorization"
},
{
"code" : "NOPERSISTP",
"display" : "no collection beyond purpose of use"
},
{
"code" : "NORDSCLCD",
"display" : "no redisclosure without consent directive"
},
{
"code" : "NORDSLCD",
"display" : "no redisclosure without consent directive"
},
{
"code" : "NORDSCLCDS",
"display" : "no redisclosure without information subject's consent directive"
},
{
"code" : "NORDSCLW",
"display" : "no disclosure without jurisdictional authorization"
},
{
"code" : "NORELINK",
"display" : "no relinking"
},
{
"code" : "NOREUSE",
"display" : "no reuse beyond purpose of use"
},
{
"code" : "NOVIP",
"display" : "no unauthorized VIP disclosure"
},
{
"code" : "ORCON",
"display" : "no disclosure without originator authorization"
}
]
}
]
},
"expansion" : {
"timestamp" : "2025-09-01T22:37:05.359005+10:00",
"contains" : [
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "RefrainPolicy",
"display" : "refrain policy"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOAUTH",
"display" : "no disclosure without subject authorization"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOCOLLECT",
"display" : "no collection"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NODSCLCD",
"display" : "no disclosure without consent directive"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NODSCLCDS",
"display" : "no disclosure without information subject's consent directive"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOINTEGRATE",
"display" : "no integration"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOLIST",
"display" : "no unlisted entity disclosure"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOMOU",
"display" : "no disclosure without MOU"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOORGPOL",
"display" : "no disclosure without organizational authorization"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOPAT",
"display" : "no disclosure to patient, family or caregivers without attending provider's authorization"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOPERSISTP",
"display" : "no collection beyond purpose of use"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NORDSCLCD",
"display" : "no redisclosure without consent directive"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NORDSLCD",
"display" : "no redisclosure without consent directive"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NORDSCLCDS",
"display" : "no redisclosure without information subject's consent directive"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NORDSCLW",
"display" : "no disclosure without jurisdictional authorization"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NORELINK",
"display" : "no relinking"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOREUSE",
"display" : "no reuse beyond purpose of use"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "NOVIP",
"display" : "no unauthorized VIP disclosure"
},
{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"version" : "8.0.0",
"code" : "ORCON",
"display" : "no disclosure without originator authorization"
}
]
}
}