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Packagehl7.fhir.uv.xver-r3.r4b.r4
Resource TypeValueSet
IdValueSet-R3-v3-RefrainPolicy-for-R4B.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r3.r4b/0.0.1-snapshot-2/ValueSet-R3-v3-RefrainPolicy-for-R4B.html
URLhttp://hl7.org/fhir/3.0/ValueSet/R3-v3-RefrainPolicy-for-R4B
Version0.0.1-snapshot-2
Statusactive
Date2025-09-01T22:36:01.025645+10:00
NameR3_v3_RefrainPolicy_for_R4B
TitleCross-version VS for R3.RefrainPolicy for use in FHIR R4B
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R3 to R4B.

Resources that use this resource

No resources found

Resources that this resource uses

CodeSystem
ActCodev3-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.

CodeSystemDisplayDefinition
  NOAUTHhttp://hl7.org/fhir/v3/ActCodeno disclosure without subject authorization

Prohibition on disclosure without information subject's authorization.

  NOCOLLECThttp://hl7.org/fhir/v3/ActCodeno collection

Prohibition on collection or storage of the information.

  NODSCLCDhttp://hl7.org/fhir/v3/ActCodeno disclosure without consent directive

Prohibition on disclosure without organizational approved patient restriction.

  NODSCLCDShttp://hl7.org/fhir/v3/ActCodeno disclosure without information subject's consent directive

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

  NOINTEGRATEhttp://hl7.org/fhir/v3/ActCodeno integration

Prohibition on Integration into other records.

  NOLISThttp://hl7.org/fhir/v3/ActCodeno unlisted entity disclosure

Prohibition on disclosure except to entities on specific access list.

  NOMOUhttp://hl7.org/fhir/v3/ActCodeno disclosure without MOU

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

  NOORGPOLhttp://hl7.org/fhir/v3/ActCodeno disclosure without organizational authorization

Prohibition on disclosure without organizational authorization.

  NOPAThttp://hl7.org/fhir/v3/ActCodeno 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).
  NOPERSISTPhttp://hl7.org/fhir/v3/ActCodeno collection beyond purpose of use

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

  NORDSCLCDhttp://hl7.org/fhir/v3/ActCodeno redisclosure without consent directive

Prohibition on redisclosure without patient consent directive.

  NORDSCLCDShttp://hl7.org/fhir/v3/ActCodeno redisclosure without information subject's consent directive

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

  NORDSCLWhttp://hl7.org/fhir/v3/ActCodeno disclosure without jurisdictional authorization

Prohibition on disclosure without authorization under jurisdictional law.

  NORELINKhttp://hl7.org/fhir/v3/ActCodeno 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.

  NOREUSEhttp://hl7.org/fhir/v3/ActCodeno reuse beyond purpose of use

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

  NOVIPhttp://hl7.org/fhir/v3/ActCodeno unauthorized VIP disclosure

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

  ORCONhttp://hl7.org/fhir/v3/ActCodeno disclosure without originator authorization

Prohibition on disclosure except as permitted by the information originator.

  RefrainPolicyhttp://hl7.org/fhir/v3/ActCoderefrain 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": "0.0.1-snapshot-2"
        }
      ],
      "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/3.0/ImplementationGuide/hl7.fhir.uv.xver-r3.r4b"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/3.0/ValueSet/R3-v3-RefrainPolicy-for-R4B",
  "version": "0.0.1-snapshot-2",
  "name": "R3_v3_RefrainPolicy_for_R4B",
  "title": "Cross-version VS for R3.RefrainPolicy for use in FHIR R4B",
  "status": "active",
  "experimental": false,
  "date": "2025-09-01T22:36:01.025645+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://hl7.org/fhir/ValueSet/v3-RefrainPolicy|2014-03-26 for use in FHIR R4B. Concepts not present here have direct `equivalent` mappings crossing all versions from R3 to R4B.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "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": "2025-09-01T22:36:01.025636+10:00",
    "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"
      }
    ]
  }
}