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                    Note: using this null flavor does provide information that may be a breach of confidentiality, even though no detail data is provided.  Its primary purpose is for those circumstances where it is necessary to inform the receiver that the information does exist without providing any detail.

                       Usage Notes: This flavor and its specializations are most commonly used with the CD datatype and its flavors.  However, it may apply to *any* datatype where the constraints of the type are tighter than can be conveyed.  For example, a PQ that is for a true measured amount whose units are not supported in UCUM, a need to convey a REAL when the type has been constrained to INT, etc.

                    With coded datatypes, this null flavor may only be used if the vocabulary binding has a coding strength of CNE.  By definition, all local codes and original text are part of the value set if the coding strength is CWE.

                       Example: Original text or a local code has been specified but translation or encoding to the approved value set has not yet occurred due to limitations of the sending system.  Original text has been captured for a PQ, but not attempt has been made to split the value and unit or to encode the unit in UCUM.

                    
                       Usage Notes: If it is known that it is not possible to encode the concept, OTH should be used instead.  However, use of UNC does not necessarily guarantee the concept will be encodable, only that encoding has not been attempted.

                    Data type properties such as original text and translations may be present when this null flavor is included.

                       Usage Notes: This means the actual value is not known.  If the only thing that is unknown is how to properly express the value in the necessary constraints (value set, datatype, etc.), then the OTH or UNC flavor should be used.  No properties should be included for a datatype with this property unless:

                    
                       Those properties themselves directly translate to a semantic of "unknown".  (E.g. a local code sent as a translation that conveys 'unknown')
                       Those properties further qualify the nature of what is unknown.  (E.g. specifying a use code of "H" and a URL prefix of "tel:" to convey that it is the home phone number that is unknown.)

Source1

{
  "resourceType": "ValueSet",
  "id": "R3-v3-NullFlavor-for-R4B",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r3.r4b"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R3-v3-NullFlavor-for-R4B",
  "version": "0.1.0",
  "name": "R3V3NullFlavorForR4B",
  "title": "Cross-version ValueSet STU3.v3 Code System NullFlavor for use in FHIR R4B",
  "status": "active",
  "experimental": false,
  "date": "2026-03-17T21:02:03.8104715+00:00",
  "publisher": "FHIR Infrastructure",
  "contact": [
    {
      "name": "FHIR Infrastructure",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/fiwg"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v3-NullFlavor|2016-11-11` for use in FHIR R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "purpose": "This value set is part of the cross-version definitions generated to enable use of the\r\nvalue set `http://hl7.org/fhir/ValueSet/v3-NullFlavor|2016-11-11` as defined in FHIR STU3\r\nin FHIR R4B.\r\n\r\nThe source value set is bound to the following FHIR STU3 elements:\r\n* \r\n\r\nAcross FHIR versions, the value set has been mapped as:\r\n* `http://hl7.org/fhir/ValueSet/v3-NullFlavor|2016-11-11`\n* `http://terminology.hl7.org/ValueSet/v3-NullFlavor|2018-08-12`\r\n\r\nNote that all concepts are included in this cross-version definition because no concepts have compatible representations\r\n\r\nFollowing are the generation technical comments:\r\nOne or more source concepts are either not mapped or broader than their targets, so the value set relationship is broadened.\nAll concepts in the comparison are listed as identical.\nThe source value set has fewer active concepts (16) than the target (17), so the source is narrower than the target.\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/v3-NullFlavor|2016-11-11`, defined in FHIR STU3 does not have any mapping to FHIR R4B",
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "concept": [
          {
            "code": "ASKU",
            "display": "asked but unknown"
          },
          {
            "code": "DER",
            "display": "derived"
          },
          {
            "code": "INV",
            "display": "invalid"
          },
          {
            "code": "MSK",
            "display": "masked"
          },
          {
            "code": "NA",
            "display": "not applicable"
          },
          {
            "code": "NASK",
            "display": "not asked"
          },
          {
            "code": "NAV",
            "display": "temporarily unavailable"
          },
          {
            "code": "NAVU",
            "display": "Not available"
          },
          {
            "code": "NI",
            "display": "NoInformation"
          },
          {
            "code": "NINF",
            "display": "negative infinity"
          },
          {
            "code": "NP",
            "display": "not present"
          },
          {
            "code": "OTH",
            "display": "other"
          },
          {
            "code": "PINF",
            "display": "positive infinity"
          },
          {
            "code": "QS",
            "display": "Sufficient Quantity"
          },
          {
            "code": "TRC",
            "display": "trace"
          },
          {
            "code": "UNC",
            "display": "un-encoded"
          },
          {
            "code": "UNK",
            "display": "unknown"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "ASKU",
        "display": "asked but unknown"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "DER",
        "display": "derived"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "INV",
        "display": "invalid"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "MSK",
        "display": "masked"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "NA",
        "display": "not applicable"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "NASK",
        "display": "not asked"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "NAV",
        "display": "temporarily unavailable"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "NAVU",
        "display": "Not available"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "NI",
        "display": "NoInformation"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "NINF",
        "display": "negative infinity"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "NP",
        "display": "not present"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "OTH",
        "display": "other"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "PINF",
        "display": "positive infinity"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "QS",
        "display": "Sufficient Quantity"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "TRC",
        "display": "trace"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "UNC",
        "display": "un-encoded"
      },
      {
        "system": "http://hl7.org/fhir/v3/NullFlavor",
        "version": "2016-11-11",
        "code": "UNK",
        "display": "unknown"
      }
    ]
  }
}