DSTU2

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Valueset-nhin-purposeofuse.json

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NHIN Purpose of Use

{
  "resourceType": "ValueSet",
  "id": "nhin-purposeofuse",
  "text": {
    "status": "generated",
    "div": "<div>\n      <h2>NHIN PurposeOfUse</h2>\n      <p>This value set is suitable for use with the provenance resource. It is derived from, but not compatible with, the HL7 v3 Purpose of use Code system.</p>\n      <p>This value set has an inline code system http://healthit.gov/nhin/purposeofuse, which defines the following codes:</p>\n      <table class=\"codes\">\n        <tr>\n          <td>\n            <b>Code</b>\n          </td>\n          <td>\n            <b>Display</b>\n          </td>\n          <td>\n            <b>Definition</b>\n          </td>\n          <td>\n            <b>\n              <a href=\"v3\\PurposeOfUse\\index.html\">NHIN / V3 Mapping</a>\n            </b>\n          </td>\n        </tr>\n        <tr>\n          <td>TREATMENT\n            <a name=\"TREATMENT\"> </a>\n          </td>\n          <td>Treatment</td>\n          <td>Treatment</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-TREAT\">TREAT</a>\n          </td>\n        </tr>\n        <tr>\n          <td>PAYMENT\n            <a name=\"PAYMENT\"> </a>\n          </td>\n          <td>Payment</td>\n          <td>Payment</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HPAYMT\">HPAYMT</a>\n          </td>\n        </tr>\n        <tr>\n          <td>OPERATIONS\n            <a name=\"OPERATIONS\"> </a>\n          </td>\n          <td>Operations</td>\n          <td>Healthcare Operations</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HOPERAT\">HOPERAT</a>\n          </td>\n        </tr>\n        <tr>\n          <td>SYSADMIN\n            <a name=\"SYSADMIN\"> </a>\n          </td>\n          <td>Sysadmin</td>\n          <td>System Administration</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-SYSADMIN\">SYSADMIN</a>\n          </td>\n        </tr>\n        <tr>\n          <td>FRAUD\n            <a name=\"FRAUD\"> </a>\n          </td>\n          <td>Fraud</td>\n          <td>Fraud detection</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-FRAUD\">FRAUD</a>\n          </td>\n        </tr>\n        <tr>\n          <td>PSYCHOTHERAPY\n            <a name=\"PSYCHOTHERAPY\"> </a>\n          </td>\n          <td>Psychotherapy</td>\n          <td>Use or disclosure of Psychotherapy Notes</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PSYCHOTHERAPY\">PSYCHOTHERAPY</a>\n          </td>\n        </tr>\n        <tr>\n          <td>TRAINING\n            <a name=\"TRAINING\"> </a>\n          </td>\n          <td>Training</td>\n          <td>Use or disclosure by the covered entity for its own training programs</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-TRAINING\">TRAINING</a>\n          </td>\n        </tr>\n        <tr>\n          <td>LEGAL\n            <a name=\"LEGAL\"> </a>\n          </td>\n          <td>Legal</td>\n          <td>Use or disclosure by the covered entity to defend itself in a legal action</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n          </td>\n        </tr>\n        <tr>\n          <td>MARKETING\n            <a name=\"MARKETING\"> </a>\n          </td>\n          <td>Marketing</td>\n          <td>Marketing</td>\n          <td>\n            <span title=\"narrower\">&gt;</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HMARKT\">HMARKT</a>\n            <i>(Not clear how much difference there is between 'marketing' and 'healthcare marketing')</i>\n          </td>\n        </tr>\n        <tr>\n          <td>DIRECTORY\n            <a name=\"DIRECTORY\"> </a>\n          </td>\n          <td>Directory</td>\n          <td>Use and disclosure for facility directories</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HDIRECT\">HDIRECT</a>\n          </td>\n        </tr>\n        <tr>\n          <td>FAMILY\n            <a name=\"FAMILY\"> </a>\n          </td>\n          <td>Family</td>\n          <td>Disclose to a family member, other relative, or a close personal friend of the individual</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>PRESENT\n            <a name=\"PRESENT\"> </a>\n          </td>\n          <td>Present</td>\n          <td>Uses and disclosures with the individual present.</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>EMERGENCY\n            <a name=\"EMERGENCY\"> </a>\n          </td>\n          <td>Emergency</td>\n          <td>Permission cannot practicably be provided because of the individual's incapacity or an emergency.</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>DISASTER\n            <a name=\"DISASTER\"> </a>\n          </td>\n          <td>Disaster</td>\n          <td>Use and disclosures for disaster relief purposes.</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-DISASTER\">DISASTER</a>\n          </td>\n        </tr>\n        <tr>\n          <td>PUBLICHEALTH\n            <a name=\"PUBLICHEALTH\"> </a>\n          </td>\n          <td>Public Health</td>\n          <td>Uses and disclosures for public health activities.</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PUBHLTH\">PUBHLTH</a>\n          </td>\n        </tr>\n        <tr>\n          <td>ABUSE\n            <a name=\"ABUSE\"> </a>\n          </td>\n          <td>Abuse</td>\n          <td>Disclosures about victims of abuse, neglect or domestic violence.</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>OVERSIGHT\n            <a name=\"OVERSIGHT\"> </a>\n          </td>\n          <td>Oversight</td>\n          <td>Uses and disclosures for health oversight activities.</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>JUDICIAL\n            <a name=\"JUDICIAL\"> </a>\n          </td>\n          <td>Judicial</td>\n          <td>Disclosures for judicial and administrative proceedings.</td>\n          <td>\n            <span title=\"wider\">&lt;</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n          </td>\n        </tr>\n        <tr>\n          <td>LAW\n            <a name=\"LAW\"> </a>\n          </td>\n          <td>Law Enforcement</td>\n          <td>Disclosures for law enforcement purposes.</td>\n          <td>\n            <span title=\"wider\">&lt;</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL\">HLEGAL</a>\n          </td>\n        </tr>\n        <tr>\n          <td>DECEASED\n            <a name=\"DECEASED\"> </a>\n          </td>\n          <td>Deceased</td>\n          <td>Uses and disclosures about decedents.</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>DONATION\n            <a name=\"DONATION\"> </a>\n          </td>\n          <td>Donation</td>\n          <td>Uses and disclosures for cadaveric organ,  eye or tissue donation purposes</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-DONAT\">DONAT</a>\n          </td>\n        </tr>\n        <tr>\n          <td>RESEARCH\n            <a name=\"RESEARCH\"> </a>\n          </td>\n          <td>Research</td>\n          <td>Uses and disclosures for research purposes.</td>\n          <td>\n            <span title=\"narrower\">&gt;</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-HRESCH\">HRESCH</a>\n            <i>(Not clear how much difference there is between 'research' and 'healthcare research')</i>\n          </td>\n        </tr>\n        <tr>\n          <td>THREAT\n            <a name=\"THREAT\"> </a>\n          </td>\n          <td>Threat</td>\n          <td>Uses and disclosures to avert a serious threat to health or safety.</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-THREAT\">THREAT</a>\n          </td>\n        </tr>\n        <tr>\n          <td>GOVERNMENT\n            <a name=\"GOVERNMENT\"> </a>\n          </td>\n          <td>Government</td>\n          <td>Uses and disclosures for specialized government functions.</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-GOV\">GOV</a>\n          </td>\n        </tr>\n        <tr>\n          <td>WORKERSCOMP\n            <a name=\"WORKERSCOMP\"> </a>\n          </td>\n          <td>Worker's Comp</td>\n          <td>Disclosures for workers' compensation.</td>\n          <td/>\n        </tr>\n        <tr>\n          <td>COVERAGE\n            <a name=\"COVERAGE\"> </a>\n          </td>\n          <td>Coverage</td>\n          <td>Disclosures for insurance or disability coverage determination</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-OVAUTH\">OVAUTH</a>\n          </td>\n        </tr>\n        <tr>\n          <td>REQUEST\n            <a name=\"REQUEST\"> </a>\n          </td>\n          <td>Request</td>\n          <td>Request of the Individual</td>\n          <td>\n            <span title=\"equivalent\">~</span>\n            <a href=\"v3\\PurposeOfUse\\index.html#http---hl7.org-fhir-v3-ActReason-PATRQT\">PATRQT</a>\n          </td>\n        </tr>\n      </table>\n    </div>"
  },
  "contained": [
    {
      "resourceType": "ConceptMap",
      "id": "map",
      "name": "NHIN / V3 Mapping",
      "status": "draft",
      "sourceReference": {
        "reference": "http://hl7.org/fhir/ValueSet/nhin-purposeofuse"
      },
      "targetReference": {
        "reference": "http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"
      },
      "element": [
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "TREATMENT",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "TREAT",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "PAYMENT",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "HPAYMT",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "OPERATIONS",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "HOPERAT",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "SYSADMIN",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "SYSADMIN",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "FRAUD",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "FRAUD",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "PSYCHOTHERAPY",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "PSYCHOTHERAPY",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "TRAINING",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "TRAINING",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "LEGAL",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "HLEGAL",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "MARKETING",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "HMARKT",
              "equivalence": "narrower",
              "comments": "Not clear how much difference there is between 'marketing' and 'healthcare marketing'"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "DIRECTORY",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "HDIRECT",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "DISASTER",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "DISASTER",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "PUBLICHEALTH",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "PUBHLTH",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "JUDICIAL",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "HLEGAL",
              "equivalence": "wider"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "LAW",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "HLEGAL",
              "equivalence": "wider"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "DONATION",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "DONAT",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "RESEARCH",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "HRESCH",
              "equivalence": "narrower",
              "comments": "Not clear how much difference there is between 'research' and 'healthcare research'"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "THREAT",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "THREAT",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "GOVERNMENT",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "GOV",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "COVERAGE",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "OVAUTH",
              "equivalence": "equivalent"
            }
          ]
        },
        {
          "codeSystem": "http://healthit.gov/nhin/purposeofuse",
          "code": "REQUEST",
          "target": [
            {
              "codeSystem": "http://hl7.org/fhir/v3/ActReason",
              "code": "PATRQT",
              "equivalence": "equivalent"
            }
          ]
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/valueset-map",
      "valueReference": {
        "reference": "#map"
      }
    }
  ],
  "url": "http://hl7.org/fhir/ValueSet/nhin-purposeofuse",
  "_url": {
    "fhir_comments": [
      "      set of loinc codes for cholesterol for LONC 2.36      "
    ]
  },
  "version": "2.0",
  "name": "NHIN PurposeOfUse",
  "status": "active",
  "experimental": false,
  "publisher": "Nationwide Health Information Network (NHIN)",
  "contact": [
    {
      "telecom": [
        {
          "system": "other",
          "value": "https://www.healthit.gov/sites/default/files/nhin-authorization-framework-production-specification-v2.0-1.pdf"
        }
      ]
    }
  ],
  "date": "2010-01-29",
  "description": "This value set is suitable for use with the provenance resource. It is derived from, but not compatible with, the HL7 v3 Purpose of use Code system.",
  "codeSystem": {
    "system": "http://healthit.gov/nhin/purposeofuse",
    "version": "2.0",
    "caseSensitive": true,
    "concept": [
      {
        "code": "TREATMENT",
        "display": "Treatment",
        "definition": "Treatment"
      },
      {
        "code": "PAYMENT",
        "display": "Payment",
        "definition": "Payment"
      },
      {
        "code": "OPERATIONS",
        "display": "Operations",
        "definition": "Healthcare Operations"
      },
      {
        "code": "SYSADMIN",
        "display": "Sysadmin",
        "definition": "System Administration"
      },
      {
        "code": "FRAUD",
        "display": "Fraud",
        "definition": "Fraud detection"
      },
      {
        "code": "PSYCHOTHERAPY",
        "display": "Psychotherapy",
        "definition": "Use or disclosure of Psychotherapy Notes"
      },
      {
        "code": "TRAINING",
        "display": "Training",
        "definition": "Use or disclosure by the covered entity for its own training programs"
      },
      {
        "code": "LEGAL",
        "display": "Legal",
        "definition": "Use or disclosure by the covered entity to defend itself in a legal action"
      },
      {
        "code": "MARKETING",
        "display": "Marketing",
        "definition": "Marketing"
      },
      {
        "code": "DIRECTORY",
        "display": "Directory",
        "definition": "Use and disclosure for facility directories"
      },
      {
        "code": "FAMILY",
        "display": "Family",
        "definition": "Disclose to a family member, other relative, or a close personal friend of the individual"
      },
      {
        "code": "PRESENT",
        "display": "Present",
        "definition": "Uses and disclosures with the individual present."
      },
      {
        "code": "EMERGENCY",
        "display": "Emergency",
        "definition": "Permission cannot practicably be provided because of the individual's incapacity or an emergency."
      },
      {
        "code": "DISASTER",
        "display": "Disaster",
        "definition": "Use and disclosures for disaster relief purposes."
      },
      {
        "code": "PUBLICHEALTH",
        "display": "Public Health",
        "definition": "Uses and disclosures for public health activities."
      },
      {
        "code": "ABUSE",
        "display": "Abuse",
        "definition": "Disclosures about victims of abuse, neglect or domestic violence."
      },
      {
        "code": "OVERSIGHT",
        "display": "Oversight",
        "definition": "Uses and disclosures for health oversight activities."
      },
      {
        "code": "JUDICIAL",
        "display": "Judicial",
        "definition": "Disclosures for judicial and administrative proceedings."
      },
      {
        "code": "LAW",
        "display": "Law Enforcement",
        "definition": "Disclosures for law enforcement purposes."
      },
      {
        "code": "DECEASED",
        "display": "Deceased",
        "definition": "Uses and disclosures about decedents."
      },
      {
        "code": "DONATION",
        "display": "Donation",
        "definition": "Uses and disclosures for cadaveric organ,  eye or tissue donation purposes"
      },
      {
        "code": "RESEARCH",
        "display": "Research",
        "definition": "Uses and disclosures for research purposes."
      },
      {
        "code": "THREAT",
        "display": "Threat",
        "definition": "Uses and disclosures to avert a serious threat to health or safety."
      },
      {
        "code": "GOVERNMENT",
        "display": "Government",
        "definition": "Uses and disclosures for specialized government functions."
      },
      {
        "code": "WORKERSCOMP",
        "display": "Worker's Comp",
        "definition": "Disclosures for workers' compensation."
      },
      {
        "code": "COVERAGE",
        "display": "Coverage",
        "definition": "Disclosures for insurance or disability coverage determination"
      },
      {
        "code": "REQUEST",
        "display": "Request",
        "definition": "Request of the Individual"
      }
    ]
  }
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.