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Packagehl7.fhir.uv.xver-r5.r4
Resource TypeValueSet
IdValueSet-R5-v3-RefrainPolicy-for-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.1.0/ValueSet-R5-v3-RefrainPolicy-for-R4.html
URLhttp://hl7.org/fhir/uv/xver/ValueSet/R5-v3-RefrainPolicy-for-R4
Version0.1.0
Statusactive
Date2026-03-17T21:02:03.8104715+00:00
NameR5V3RefrainPolicyForR4
TitleCross-version ValueSet R5.RefrainPolicy for use in FHIR R4
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents content from `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0` for use in FHIR R4.
PurposeThis value set is part of the cross-version definitions generated to enable use of the value set `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0` as defined in FHIR R5 in FHIR R4. The source value set is bound to the following FHIR R5 elements: * Note that all concepts are included in this cross-version definition because no concepts have compatible representations Following are the generation technical comments: FHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
hl7.terminology#currentv3-ActCodeActCode

Narrative

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

Generated Narrative: ValueSet R5-v3-RefrainPolicy-for-R4

This value set expansion contains 19 concepts.

SystemVersionCodeDisplayDefinition
http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOAUTHno disclosure without subject authorization

Prohibition on disclosure without information subject's authorization.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOCOLLECTno collection

Prohibition on collection or storage of the information.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NODSCLCDno disclosure without consent directive

Prohibition on disclosure without organizational approved patient restriction.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NODSCLCDSno disclosure without information subject's consent directive

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

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOINTEGRATEno integration

Prohibition on Integration into other records.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOLISTno unlisted entity disclosure

Prohibition on disclosure except to entities on specific access list.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOMOUno disclosure without MOU

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

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOORGPOLno disclosure without organizational authorization

Prohibition on disclosure without organizational authorization.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  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://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOPERSISTPno collection beyond purpose of use

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

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NORDSCLCDno redisclosure without consent directive

Prohibition on redisclosure without patient consent directive.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NORDSCLCDSno redisclosure without information subject's consent directive

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

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NORDSCLWno disclosure without jurisdictional authorization

Prohibition on disclosure without authorization under jurisdictional law.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NORDSLCDno redisclosure without consent directive

Prohibition on redisclosure without patient consent directive.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  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://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOREUSEno reuse beyond purpose of use

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

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  NOVIPno unauthorized VIP disclosure

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

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  ORCONno disclosure without originator authorization

Prohibition on disclosure except as permitted by the information originator.

http://terminology.hl7.org/CodeSystem/v3-ActCode8.0.0  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": "R5-v3-RefrainPolicy-for-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "fhir"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r4"
        },
        {
          "url": "version",
          "valueString": "0.1.0"
        },
        {
          "url": "uri",
          "valueUri": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
        }
      ],
      "url": "http://hl7.org/fhir/StructureDefinition/package-source"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 0,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/uv/xver/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    },
    {
      "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-r5.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/uv/xver/ValueSet/R5-v3-RefrainPolicy-for-R4",
  "version": "0.1.0",
  "name": "R5V3RefrainPolicyForR4",
  "title": "Cross-version ValueSet R5.RefrainPolicy for use in FHIR R4",
  "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://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0` for use in FHIR R4.",
  "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://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0` as defined in FHIR R5\r\nin FHIR R4.\r\n\r\nThe source value set is bound to the following FHIR R5 elements:\r\n* \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\n\nFHIR ValueSet `http://terminology.hl7.org/ValueSet/v3-RefrainPolicy|2.0.0`, defined in FHIR R5 does not have any mapping to FHIR R4",
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "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": "NORDSLCD",
            "display": "no redisclosure without consent directive"
          },
          {
            "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://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOAUTH",
        "display": "no disclosure without subject authorization"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOCOLLECT",
        "display": "no collection"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NODSCLCD",
        "display": "no disclosure without consent directive"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NODSCLCDS",
        "display": "no disclosure without information subject's consent directive"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOINTEGRATE",
        "display": "no integration"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOLIST",
        "display": "no unlisted entity disclosure"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOMOU",
        "display": "no disclosure without MOU"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOORGPOL",
        "display": "no disclosure without organizational authorization"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOPAT",
        "display": "no disclosure to patient, family or caregivers without attending provider's authorization"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOPERSISTP",
        "display": "no collection beyond purpose of use"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NORDSCLCD",
        "display": "no redisclosure without consent directive"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NORDSCLCDS",
        "display": "no redisclosure without information subject's consent directive"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NORDSCLW",
        "display": "no disclosure without jurisdictional authorization"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NORDSLCD",
        "display": "no redisclosure without consent directive"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NORELINK",
        "display": "no relinking"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOREUSE",
        "display": "no reuse beyond purpose of use"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NOVIP",
        "display": "no unauthorized VIP disclosure"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "ORCON",
        "display": "no disclosure without originator authorization"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "RefrainPolicy",
        "display": "refrain policy"
      }
    ]
  }
}