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Packagehl7.fhir.uv.xver-r5.r4.r4
Resource TypeValueSet
IdValueSet-R5-security-label-examples-for-R4.json
FHIR VersionR4
Sourcehttp://hl7.org/fhir/uv/xver-r5.r4/0.0.1-snapshot-2/ValueSet-R5-security-label-examples-for-R4.html
URLhttp://hl7.org/fhir/5.0/ValueSet/R5-security-label-examples-for-R4
Version0.0.1-snapshot-2
Statusactive
Date2025-09-01T22:37:03.134444+10:00
NameR5_security_label_examples_for_R4
TitleCross-version VS for R5.SecurityLabelExamples for use in FHIR R4
Realmuv
Authorityhl7
DescriptionThis cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/security-label-examples|5.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.

Resources that use this resource

No resources found


Resources that this resource uses

CodeSystem
v3-ActCodeActCode
v3-ActReasonActReason
v3-ConfidentialityConfidentiality

Narrative

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

Generated Narrative: ValueSet R5-security-label-examples-for-R4

This value set expansion contains 11 concepts.

CodeSystemDisplayDefinition
  Nhttp://terminology.hl7.org/CodeSystem/v3-Confidentialitynormal

Privacy metadata indicating the level of protection required to safeguard personal and healthcare information, which if disclosed without authorization, would present a considerable risk of harm to an individual's reputation and sense of privacy.

Usage Note: The level of protection afforded normatively confidential information is dictated by the prevailing normative privacy policies, which are intended to engender patient trust in their healthcare providers.

Privacy policies mandating normative levels of protection, which preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).

Confidentiality code total order hierarchy: Normal (N) is less protective than V and R, and subsumes all other protection levels (i.e., M, L, and U).

**Map:**Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care when purpose of use is treatment: Default for normal clinical care access (i.e., most clinical staff directly caring for the patient should be able to access nearly all of the EHR). Maps to normal confidentiality for treatment information but not to ancillary care, payment and operations.

Examples:

n the US, this includes what HIPAA identifies as protected health information (PHI) under 45 CFR Section 160.103.

  Rhttp://terminology.hl7.org/CodeSystem/v3-Confidentialityrestricted

Privacy metadata indicating the level of protection required to safeguard potentially stigmatizing information, which if disclosed without authorization, would present a high risk of harm to an individual's reputation and sense of privacy.

Usage Note: The level of protection afforded restricted confidential information is dictated by specially protective organizational or jurisdictional privacy policies, including at an authorized individual's request, intended to engender patient trust in providers of sensitive services.

Privacy policies mandating additional levels of protection by restricting information access preempt less protective privacy policies when the information is used in the delivery and management of healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment).

Confidentiality code total order hierarchy: Restricted (R) is less protective than V, and subsumes all other protection levels (i.e., N, M, L, and U).

Examples:

Includes information that is additionally protected such as sensitive conditions mental health, HIV, substance abuse, domestic violence, child abuse, genetic disease, and reproductive health; or sensitive demographic information such as a patient's standing as an employee or a celebrity. May be used to indicate proprietary or classified information that is not related to an individual (e.g., secret ingredients in a therapeutic substance; or the name of a manufacturer).

  ETHhttp://terminology.hl7.org/CodeSystem/v3-ActCodesubstance abuse information sensitivity

Policy for handling alcohol or drug-abuse information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to alcohol or drug-abuse information that is deemed sensitive.

Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

  PSYhttp://terminology.hl7.org/CodeSystem/v3-ActCodepsychiatry disorder information sensitivity

Policy for handling psychiatry psychiatric disorder information, which is afforded heightened confidentiality.

Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

  STDhttp://terminology.hl7.org/CodeSystem/v3-ActCodesexually transmitted disease information sensitivity

Policy for handling sexually transmitted disease information, which will be afforded heightened confidentiality. Information handling protocols based on organizational policies related to sexually transmitted disease information that is deemed sensitive.

Usage Note: If there is a jurisdictional mandate, then use the applicable ActPrivacyLaw code system, and specify the law rather than or in addition to this more generic code.

  TREAThttp://terminology.hl7.org/CodeSystem/v3-ActReasontreatment

To perform one or more operations on information for provision of health care.

  HPAYMThttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealthcare payment

To perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.

  ETREAThttp://terminology.hl7.org/CodeSystem/v3-ActReasonEmergency Treatment

To perform one or more operations on information for provision of immediately needed health care for an emergent condition.

  NOAUTHhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure without subject authorization

Prohibition on disclosure without information subject's authorization.

  DELAUhttp://terminology.hl7.org/CodeSystem/v3-ActCodedelete after use

Custodian system must remove target information from access after use.

  NORDSCLCDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno redisclosure without consent directive

Prohibition on redisclosure without patient consent directive.


Source1

{
  "resourceType": "ValueSet",
  "id": "R5-security-label-examples-for-R4",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "sec"
    },
    {
      "extension": [
        {
          "url": "packageId",
          "valueId": "hl7.fhir.uv.xver-r5.r4"
        },
        {
          "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/5.0/ImplementationGuide/hl7.fhir.uv.xver-r5.r4"
          }
        ]
      }
    }
  ],
  "url": "http://hl7.org/fhir/5.0/ValueSet/R5-security-label-examples-for-R4",
  "version": "0.0.1-snapshot-2",
  "name": "R5_security_label_examples_for_R4",
  "title": "Cross-version VS for R5.SecurityLabelExamples for use in FHIR R4",
  "status": "active",
  "experimental": false,
  "date": "2025-09-01T22:37:03.134444+10:00",
  "publisher": "Security",
  "contact": [
    {
      "name": "Security",
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/secure"
        }
      ]
    }
  ],
  "description": "This cross-version ValueSet represents concepts from http://hl7.org/fhir/ValueSet/security-label-examples|5.0.0 for use in FHIR R4. Concepts not present here have direct `equivalent` mappings crossing all versions from R5 to R4.",
  "jurisdiction": [
    {
      "coding": [
        {
          "system": "http://unstats.un.org/unsd/methods/m49/m49.htm",
          "code": "001",
          "display": "World"
        }
      ]
    }
  ],
  "compose": {
    "include": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "version": "2.2.0",
        "concept": [
          {
            "code": "N",
            "display": "normal"
          },
          {
            "code": "R",
            "display": "restricted"
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "concept": [
          {
            "code": "ETH",
            "display": "substance abuse information sensitivity"
          },
          {
            "code": "PSY",
            "display": "psychiatry disorder information sensitivity"
          },
          {
            "code": "STD",
            "display": "sexually transmitted disease information sensitivity"
          },
          {
            "code": "NOAUTH",
            "display": "no disclosure without subject authorization"
          },
          {
            "code": "DELAU",
            "display": "delete after use"
          },
          {
            "code": "NORDSCLCD",
            "display": "no redisclosure without consent directive"
          }
        ]
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "version": "2.1.0",
        "concept": [
          {
            "code": "TREAT",
            "display": "treatment"
          },
          {
            "code": "HPAYMT",
            "display": "healthcare payment"
          },
          {
            "code": "ETREAT",
            "display": "Emergency Treatment"
          }
        ]
      }
    ]
  },
  "expansion": {
    "timestamp": "2025-09-01T22:37:03.13444+10:00",
    "contains": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "version": "2.2.0",
        "code": "N",
        "display": "normal"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "version": "2.2.0",
        "code": "R",
        "display": "restricted"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "ETH",
        "display": "substance abuse information sensitivity"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "PSY",
        "display": "psychiatry disorder information sensitivity"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "STD",
        "display": "sexually transmitted disease information sensitivity"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "version": "2.1.0",
        "code": "TREAT",
        "display": "treatment"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "version": "2.1.0",
        "code": "HPAYMT",
        "display": "healthcare payment"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "version": "2.1.0",
        "code": "ETREAT",
        "display": "Emergency Treatment"
      },
      {
        "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": "DELAU",
        "display": "delete after use"
      },
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "version": "8.0.0",
        "code": "NORDSCLCD",
        "display": "no redisclosure without consent directive"
      }
    ]
  }
}