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 |
<ValueSet xmlns="http://hl7.org/fhir">
<id value="R5-v3-RefrainPolicy-for-R4"/>
<text>
<status value="generated"/>
<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> <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>
<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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
<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>
<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>
<p>FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT.</p>
<ul>
<li>displayName: Document non visible par le patient</li>
<li>codingScheme: 1.2.250.1.213.1.1.4.13</li>
</ul>
<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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</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> <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>
</div></td></tr></table></div>
</text>
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url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
<valueCode value="fhir"/>
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<extension url="http://hl7.org/fhir/StructureDefinition/package-source">
<extension url="packageId">
<valueId value="hl7.fhir.uv.xver-r5.r4"/>
</extension>
<extension url="version">
<valueString value="0.0.1-snapshot-2"/>
</extension>
</extension>
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
<valueInteger value="0">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
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<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
<valueCode value="informative">
<extension
url="http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom">
<valueCanonical
value="http://hl7.org/fhir/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"/>
</extension>
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</extension>
<url value="http://hl7.org/fhir/5.0/ValueSet/R5-v3-RefrainPolicy-for-R4"/>
<version value="0.0.1-snapshot-2"/>
<name value="R5_v3_RefrainPolicy_for_R4"/>
<title value="Cross-version VS for R5.RefrainPolicy for use in FHIR R4"/>
<status value="active"/>
<experimental value="false"/>
<date value="2025-09-01T22:37:05.359013+10:00"/>
<publisher value="FHIR Infrastructure"/>
<contact>
<name value="FHIR Infrastructure"/>
<telecom>
<system value="url"/>
<value value="http://www.hl7.org/Special/committees/fiwg"/>
</telecom>
</contact>
<description
value="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 value="http://unstats.un.org/unsd/methods/m49/m49.htm"/>
<code value="001"/>
<display value="World"/>
</coding>
</jurisdiction>
<compose>
<include>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<concept>
<code value="RefrainPolicy"/>
<display value="refrain policy"/>
</concept>
<concept>
<code value="NOAUTH"/>
<display value="no disclosure without subject authorization"/>
</concept>
<concept>
<code value="NOCOLLECT"/>
<display value="no collection"/>
</concept>
<concept>
<code value="NODSCLCD"/>
<display value="no disclosure without consent directive"/>
</concept>
<concept>
<code value="NODSCLCDS"/>
<display
value="no disclosure without information subject's consent directive"/>
</concept>
<concept>
<code value="NOINTEGRATE"/>
<display value="no integration"/>
</concept>
<concept>
<code value="NOLIST"/>
<display value="no unlisted entity disclosure"/>
</concept>
<concept>
<code value="NOMOU"/>
<display value="no disclosure without MOU"/>
</concept>
<concept>
<code value="NOORGPOL"/>
<display value="no disclosure without organizational authorization"/>
</concept>
<concept>
<code value="NOPAT"/>
<display
value="no disclosure to patient, family or caregivers without attending provider's authorization"/>
</concept>
<concept>
<code value="NOPERSISTP"/>
<display value="no collection beyond purpose of use"/>
</concept>
<concept>
<code value="NORDSCLCD"/>
<display value="no redisclosure without consent directive"/>
</concept>
<concept>
<code value="NORDSLCD"/>
<display value="no redisclosure without consent directive"/>
</concept>
<concept>
<code value="NORDSCLCDS"/>
<display
value="no redisclosure without information subject's consent directive"/>
</concept>
<concept>
<code value="NORDSCLW"/>
<display value="no disclosure without jurisdictional authorization"/>
</concept>
<concept>
<code value="NORELINK"/>
<display value="no relinking"/>
</concept>
<concept>
<code value="NOREUSE"/>
<display value="no reuse beyond purpose of use"/>
</concept>
<concept>
<code value="NOVIP"/>
<display value="no unauthorized VIP disclosure"/>
</concept>
<concept>
<code value="ORCON"/>
<display value="no disclosure without originator authorization"/>
</concept>
</include>
</compose>
<expansion>
<timestamp value="2025-09-01T22:37:05.359005+10:00"/>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="RefrainPolicy"/>
<display value="refrain policy"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOAUTH"/>
<display value="no disclosure without subject authorization"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOCOLLECT"/>
<display value="no collection"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NODSCLCD"/>
<display value="no disclosure without consent directive"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NODSCLCDS"/>
<display
value="no disclosure without information subject's consent directive"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOINTEGRATE"/>
<display value="no integration"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOLIST"/>
<display value="no unlisted entity disclosure"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOMOU"/>
<display value="no disclosure without MOU"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOORGPOL"/>
<display value="no disclosure without organizational authorization"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOPAT"/>
<display
value="no disclosure to patient, family or caregivers without attending provider's authorization"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOPERSISTP"/>
<display value="no collection beyond purpose of use"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NORDSCLCD"/>
<display value="no redisclosure without consent directive"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NORDSLCD"/>
<display value="no redisclosure without consent directive"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NORDSCLCDS"/>
<display
value="no redisclosure without information subject's consent directive"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NORDSCLW"/>
<display value="no disclosure without jurisdictional authorization"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NORELINK"/>
<display value="no relinking"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOREUSE"/>
<display value="no reuse beyond purpose of use"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="NOVIP"/>
<display value="no unauthorized VIP disclosure"/>
</contains>
<contains>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<version value="8.0.0"/>
<code value="ORCON"/>
<display value="no disclosure without originator authorization"/>
</contains>
</expansion>
</ValueSet>