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Packagehl7.fhir.uv.xver-r3.r4b
Resource TypeValueSet
IdValueSet-R3-v3-RefrainPolicy-for-R4B.json
FHIR VersionR4B
Sourcehttp://hl7.org/fhir/uv/xver-r3.r4b/0.1.0/ValueSet-R3-v3-RefrainPolicy-for-R4B.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R3-v3-RefrainPolicy-for-R4B
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR3V3RefrainPolicyForR4B
TitleCross-version ValueSet STU3.RefrainPolicy for use in FHIR R4B
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26` for use in FHIR R4B.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26` as defined in FHIR STU3 in FHIR R4B. The source value set is bound to the following FHIR STU3 elements: * Across FHIR versions, the value set has been mapped as: * `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26` * `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2014-03-26` Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: All concepts in the comparison are listed as identical. The source value set has more active concepts (18) than the target (1), so the source is broader than the target. FHIR ValueSet `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26`, defined in FHIR STU3 does not have any mapping to FHIR R4B

Resources that use this resource

No resources found

Resources that this resource uses

CodeSystem
hl7.fhir.uv.xver-r2.r4b#0.1.0ActCodev3-ActCode

Narrative

Note: links and images are rebased to the (stated) source

Generated Narrative: ValueSet R3-v3-RefrainPolicy-for-R4B

This value set expansion contains 18 concepts.

SystemVersionCodeDisplayDefinition
http://hl7.org/fhir/v3/ActCode2016-11-11  NOAUTHno disclosure without subject authorization

Prohibition on disclosure without information subject's authorization.

http://hl7.org/fhir/v3/ActCode2016-11-11  NOCOLLECTno collection

Prohibition on collection or storage of the information.

http://hl7.org/fhir/v3/ActCode2016-11-11  NODSCLCDno disclosure without consent directive

Prohibition on disclosure without organizational approved patient restriction.

http://hl7.org/fhir/v3/ActCode2016-11-11  NODSCLCDSno disclosure without information subject's consent directive

Prohibition on disclosure without a consent directive from the information subject.

http://hl7.org/fhir/v3/ActCode2016-11-11  NOINTEGRATEno integration

Prohibition on Integration into other records.

http://hl7.org/fhir/v3/ActCode2016-11-11  NOLISTno unlisted entity disclosure

Prohibition on disclosure except to entities on specific access list.

http://hl7.org/fhir/v3/ActCode2016-11-11  NOMOUno disclosure without MOU

Prohibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).

http://hl7.org/fhir/v3/ActCode2016-11-11  NOORGPOLno disclosure without organizational authorization

Prohibition on disclosure without organizational authorization.

http://hl7.org/fhir/v3/ActCode2016-11-11  NOPATno disclosure to patient, family or caregivers without attending provider's authorization

Prohibition on disclosing information to patient, family or caregivers without attending provider's authorization.

                       Usage Note: The information may be labeled with the ActInformationSensitivity TBOO code, triggering application of this RefrainPolicy code as a handling caveat controlling access.

                    Maps to FHIR NOPAT: Typically, this is used on an Alert resource, when the alert records information on patient abuse or non-compliance.

                    FHIR print name is "keep information from patient". Maps to the French realm - code: INVISIBLE_PATIENT.

                    
                       displayName: Document non visible par le patient
                       codingScheme: 1.2.250.1.213.1.1.4.13
                    
                    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).
http://hl7.org/fhir/v3/ActCode2016-11-11  NOPERSISTPno collection beyond purpose of use

Prohibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.

http://hl7.org/fhir/v3/ActCode2016-11-11  NORDSCLCDno redisclosure without consent directive

Prohibition on redisclosure without patient consent directive.

http://hl7.org/fhir/v3/ActCode2016-11-11  NORDSCLCDSno redisclosure without information subject's consent directive

Prohibition on redisclosure without a consent directive from the information subject.

http://hl7.org/fhir/v3/ActCode2016-11-11  NORDSCLWno disclosure without jurisdictional authorization

Prohibition on disclosure without authorization under jurisdictional law.

http://hl7.org/fhir/v3/ActCode2016-11-11  NORELINKno relinking

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.

http://hl7.org/fhir/v3/ActCode2016-11-11  NOREUSEno reuse beyond purpose of use

Prohibition on use of the information beyond the purpose of use initially authorized.

http://hl7.org/fhir/v3/ActCode2016-11-11  NOVIPno unauthorized VIP disclosure

Prohibition on disclosure except to principals with access permission to specific VIP information.

http://hl7.org/fhir/v3/ActCode2016-11-11  ORCONno disclosure without originator authorization

Prohibition on disclosure except as permitted by the information originator.

http://hl7.org/fhir/v3/ActCode2016-11-11  RefrainPolicyrefrain policy

Conveys prohibited actions which an information custodian, receiver, or user is not permitted to perform unless otherwise authorized or permitted under specified circumstances.

                       Usage Notes: 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.

Source1

{
  "resourceType": "ValueSet",
  "id": "R3-v3-RefrainPolicy-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-RefrainPolicy-for-R4B",
  "version": "0.1.0",
  "name": "R3V3RefrainPolicyForR4B",
  "title": "Cross-version ValueSet STU3.RefrainPolicy 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-RefrainPolicy|2014-03-26` 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-RefrainPolicy|2014-03-26` 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-RefrainPolicy|2014-03-26`\n* `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2014-03-26`\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\nAll concepts in the comparison are listed as identical.\nThe source value set has more active concepts (18) than the target (1), so the source is broader than the target.\nFHIR ValueSet `http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26`, defined in FHIR STU3 does not have any mapping to FHIR R4B",
  "compose": {
    "include": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "concept": [
          {
            "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": "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"
          },
          {
            "code": "RefrainPolicy",
            "display": "refrain policy"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2026-03-17T21:02:03.8104715+00:00",
    "contains": [
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOAUTH",
        "display": "no disclosure without subject authorization"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOCOLLECT",
        "display": "no collection"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NODSCLCD",
        "display": "no disclosure without consent directive"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NODSCLCDS",
        "display": "no disclosure without information subject's consent directive"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOINTEGRATE",
        "display": "no integration"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOLIST",
        "display": "no unlisted entity disclosure"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOMOU",
        "display": "no disclosure without MOU"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOORGPOL",
        "display": "no disclosure without organizational authorization"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOPAT",
        "display": "no disclosure to patient, family or caregivers without attending provider's authorization"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOPERSISTP",
        "display": "no collection beyond purpose of use"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NORDSCLCD",
        "display": "no redisclosure without consent directive"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NORDSCLCDS",
        "display": "no redisclosure without information subject's consent directive"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NORDSCLW",
        "display": "no disclosure without jurisdictional authorization"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NORELINK",
        "display": "no relinking"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOREUSE",
        "display": "no reuse beyond purpose of use"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "NOVIP",
        "display": "no unauthorized VIP disclosure"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "ORCON",
        "display": "no disclosure without originator authorization"
      },
      {
        "system": "http://hl7.org/fhir/v3/ActCode",
        "version": "2016-11-11",
        "code": "RefrainPolicy",
        "display": "refrain policy"
      }
    ]
  }
}