HL7 Terminology
1.0.0 - Publication

This page is part of the HL7 Terminology (v1.0.0: Release) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

SecurityControlObservationValue

Summary

Defining URL:http://terminology.hl7.org/ValueSet/v3-SecurityControlObservationValue
Version:2.0.0
Name:SecurityControlObservationValue
Status:Active
Title:SecurityControlObservationValue
Definition:

Security observation values used to indicate security control metadata. V:SecurityControl is the union of V:SecurityPolicy, V:ObligationPolicy, V:RefrainPolicy, V:PurposeOfUse, and V:GeneralPurpose of Use, V:PrivacyMark, V:SecurityLabelMark, and V:ControlledUnclassifiedInformation used to populate the SecurityControlObservationValue attribute in order to convey one or more nonhierarchical security control metadata dictating handling caveats including, purpose of use, obligation policy, refrain policy, dissemination controls and privacy marks to which a custodian or receiver is required to comply.

OID:2.16.840.1.113883.1.11.20471 (for OID based terminology systems)
Source Resource:XML / JSON / Turtle

References

Content Logical Definition

Logical Definition (CLD)

This value set includes codes based on the following rules:

 

Expansion

This value set contains 333 concepts

CodeSystemDisplayDefinition
SecurityPolicyhttp://terminology.hl7.org/CodeSystem/v3-ActCodesecurity policyTypes of security policies that further specify the ActClassPolicy value set. **Examples:** * obligation to encrypt * refrain from redisclosure without consent
AUTHPOLhttp://terminology.hl7.org/CodeSystem/v3-ActCodeauthorization policyAuthorisation policies are essentially security policies related to access-control and specify what activities a subject is permitted or forbidden to do, to a set of target objects. They are designed to protect target objects so are interpreted by access control agents or the run-time systems at the target system. A positive authorisation policy defines the actions that a subject is permitted to perform on a target. A negative authorisation policy specifies the actions that a subject is forbidden to perform on a target. Positive authorisation policies may also include filters to transform the parameters associated with their actions. (Based on PONDERS)
ACCESSCONSCHEMEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeaccess control schemeAn access control policy specific to the type of access control scheme, which is used to enforce one or more authorization policies. *Usage Note:* Access control schemes are the type of access control policy, which is comprised of access control policy rules concerning the provision of the access control service. There are two categories of access control policies, rule-based and identity-based, which are identified in CCITT Rec. X.800 aka ISO 7498-2. Rule-based access control policies are intended to apply to all access requests by any initiator on any target in a security domain. Identity-based access control policies are based on rules specific to an individual initiator, a group of initiators, entities acting on behalf of initiators, or originators acting in a specific role. Context can modify rule-based or identity-based access control policies. Context rules may define the entire policy in effect. Real systems will usually employ a combination of these policy types; if a rule-based policy is used, then an identity-based policy is usually in effect also. An access control scheme may be based on access control lists, capabilities, labels, and context or a combination of these. An access control scheme is a component of an access control mechanism or "service") along with the supporting mechanisms required by that scheme to provide access control decision information (ADI) supplied by the scheme to the access decision facility (ADF also known as a PDP). (Based on ISO/IEC 10181-3:1996) **Examples:** * Attribute Based Access Control (ABAC) * Discretionary Access Control (DAC) * History Based Access Control (HBAC) * Identity Based Access Control (IBAC) * Mandatory Access Control (MAC) * Organization Based Access Control (OrBAC) * Relationship Based Access Control (RelBac) * Responsibility Based Access Control (RespBAC) * Risk Adaptable Access Control (RAdAC) >
DELEPOLhttp://terminology.hl7.org/CodeSystem/v3-ActCodedelegation policyDelegation policies specify which actions subjects are allowed to delegate to others. A delegation policy thus specifies an authorisation to delegate. Subjects must already possess the access rights to be delegated. Delegation policies are aimed at subjects delegating rights to servers or third parties to perform actions on their behalf and are not meant to be the means by which security administrators would assign rights to subjects. A negative delegation policy identifies what delegations are forbidden. A Delegation policy specifies the authorisation policy from which delegated rights are derived, the grantors, which are the entities which can delegate these access rights, and the grantees, which are the entities to which the access rights can be delegated. There are two types of delegation policy, positive and negative. (Based on PONDERS)
ObligationPolicyhttp://terminology.hl7.org/CodeSystem/v3-ActCodeobligation policyConveys the mandated workflow action that an information custodian, receiver, or user must perform. *Usage Notes:* Per ISO 22600-2, ObligationPolicy instances 'are event-triggered and define actions to be performed by manager agent'. Per HL7 Composite Security and Privacy Domain Analysis Model: This value set refers to the action required to receive the permission specified in the privacy rule. Per OASIS XACML, an obligation is an operation specified in a policy or policy that is performed in conjunction with the enforcement of an access control decision.
ANONYhttp://terminology.hl7.org/CodeSystem/v3-ActCodeanonymizeCustodian system must remove any information that could result in identifying the information subject.
AODhttp://terminology.hl7.org/CodeSystem/v3-ActCodeaccounting of disclosureCustodian system must make available to an information subject upon request an accounting of certain disclosures of the individual’s protected health information over a period of time. Policy may dictate that the accounting include information about the information disclosed, the date of disclosure, the identification of the receiver, the purpose of the disclosure, the time in which the disclosing entity must provide a response and the time period for which accountings of disclosure can be requested.
AUDIThttp://terminology.hl7.org/CodeSystem/v3-ActCodeauditCustodian system must monitor systems to ensure that all users are authorized to operate on information objects.
AUDTRhttp://terminology.hl7.org/CodeSystem/v3-ActCodeaudit trailCustodian system must monitor and maintain retrievable log for each user and operation on information.
CPLYCChttp://terminology.hl7.org/CodeSystem/v3-ActCodecomply with confidentiality codeCustodian security system must retrieve, evaluate, and comply with the information handling directions of the Confidentiality Code associated with an information target.
CPLYCDhttp://terminology.hl7.org/CodeSystem/v3-ActCodecomply with consent directiveCustodian security system must retrieve, evaluate, and comply with applicable information subject consent directives.
CPLYJPPhttp://terminology.hl7.org/CodeSystem/v3-ActCodecomply with jurisdictional privacy policyCustodian security system must retrieve, evaluate, and comply with applicable jurisdictional privacy policies associated with the target information.
CPLYOPPhttp://terminology.hl7.org/CodeSystem/v3-ActCodecomply with organizational privacy policyCustodian security system must retrieve, evaluate, and comply with applicable organizational privacy policies associated with the target information.
CPLYOSPhttp://terminology.hl7.org/CodeSystem/v3-ActCodecomply with organizational security policyCustodian security system must retrieve, evaluate, and comply with the organizational security policies associated with the target information.
CPLYPOLhttp://terminology.hl7.org/CodeSystem/v3-ActCodecomply with policyCustodian security system must retrieve, evaluate, and comply with applicable policies associated with the target information.
DECLASSIFYLABELhttp://terminology.hl7.org/CodeSystem/v3-ActCodedeclassify security labelCustodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as unclassified in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
DEIDhttp://terminology.hl7.org/CodeSystem/v3-ActCodedeidentifyCustodian system must strip information of data that would allow the identification of the source of the information or the information subject.
DELAUhttp://terminology.hl7.org/CodeSystem/v3-ActCodedelete after useCustodian system must remove target information from access after use.
DOWNGRDLABELhttp://terminology.hl7.org/CodeSystem/v3-ActCodedowngrade security labelCustodian security system must downgrade information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a less protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
DRIVLABELhttp://terminology.hl7.org/CodeSystem/v3-ActCodederive security labelCustodian security system must assign and bind security labels derived from compilations of information by aggregation or disaggregation in order to classify information compiled in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
ENCRYPThttp://terminology.hl7.org/CodeSystem/v3-ActCodeencryptCustodian system must render information unreadable by algorithmically transforming plaintext into ciphertext. *Usage Notes:* A mathematical transposition of a file or data stream so that it cannot be deciphered at the receiving end without the proper key. Encryption is a security feature that assures that only the parties who are supposed to be participating in a videoconference or data transfer are able to do so. It can include a password, public and private keys, or a complex combination of all. (Per Infoway.)
ENCRYPTRhttp://terminology.hl7.org/CodeSystem/v3-ActCodeencrypt at restCustodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext when "at rest" or in storage.
ENCRYPTThttp://terminology.hl7.org/CodeSystem/v3-ActCodeencrypt in transitCustodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while "in transit" or being transported by any means.
ENCRYPTUhttp://terminology.hl7.org/CodeSystem/v3-ActCodeencrypt in useCustodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext while in use such that operations permitted on the target information are limited by the license granted to the end user.
HUAPRVhttp://terminology.hl7.org/CodeSystem/v3-ActCodehuman approvalCustodian system must require human review and approval for permission requested.
LABELhttp://terminology.hl7.org/CodeSystem/v3-ActCodeassign security labelCustodian security system must assign and bind security labels in order to classify information created in the information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding. *Usage Note:* In security systems, security policy label assignments do not change, they may supersede prior assignments, and such reassignments are always tracked for auditing and other purposes.
MASKhttp://terminology.hl7.org/CodeSystem/v3-ActCodemaskCustodian system must render information unreadable and unusable by algorithmically transforming plaintext into ciphertext. User may be provided a key to decrypt per license or "shared secret".
MINEChttp://terminology.hl7.org/CodeSystem/v3-ActCodeminimum necessaryCustodian must limit access and disclosure to the minimum information required to support an authorized user's purpose of use. *Usage Note:* Limiting the information available for access and disclosure to that an authorized user or receiver "needs to know" in order to perform permitted workflow or purpose of use.
PERSISTLABELhttp://terminology.hl7.org/CodeSystem/v3-ActCodepersist security labelCustodian security system must persist the binding of security labels to classify information received or imported by information systems under its control for collection, access, use and disclosure in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the assignment and binding.
PRIVMARKhttp://terminology.hl7.org/CodeSystem/v3-ActCodeprivacy markCustodian must create and/or maintain human readable security label tags as required by policy. Map: Aligns with ISO 22600-3 Section A.3.4.3 description of privacy mark: "If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label."
PSEUDhttp://terminology.hl7.org/CodeSystem/v3-ActCodepseudonymizeCustodian system must strip information of data that would allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject.
REDACThttp://terminology.hl7.org/CodeSystem/v3-ActCoderedactCustodian system must remove information, which is not authorized to be access, used, or disclosed from records made available to otherwise authorized users.
UPGRDLABELhttp://terminology.hl7.org/CodeSystem/v3-ActCodeupgrade security labelCustodian security system must declassify information assigned security labels by instantiating a new version of the classified information so as to break the binding of the classifying security label when assigning a new security label that marks the information as classified at a more protected level in accordance with applicable jurisdictional privacy policies associated with the target information. The system must retain an immutable record of the previous assignment and binding.
PrivacyMarkhttp://terminology.hl7.org/CodeSystem/v3-ActCodeprivacy markAn abstract code for human readable marks indicating, e.g., the level of confidentiality protection, an authorized compartment, the integrity, or the handling instruction required by applicable policy. Such markings must be displayed as directed by applicable policy on electronically rendered information content and any electronic transmittal envelope or container; or on hardcopy information and any physical transmittal envelope or container. Examples of protocols for marking displays on electronic or hardcopy rendered content: Across the top or "banner" of each page ; as a watermark placed diagonally cross each page; at the bottom or "footer" of each page; and may be displayed at the beginning of any portion within the content that required markings different than other portions of the content. The banner or top of page marking typically acts as a "high watermark" by including all of the markings made on any marked portions within the entirety of the information content. *Usage Note:* A "Privacy Mark" is a Security Control Observation (SECCONOBS) named tag set as specified by the HL7 Privacy and Security Classification System (HCS). A Privacy Mark Named Tag Set is valued with a Privacy Mark leaf code "tag", which is a member of the Security Control Observation Value (\_SecurityObservationValue) tag set. Related Security Control Observation named tag sets are Purpose of Use, Obligation Policy, and Refrain Policy, each with their own Security Control Observation Value tag sets. Foundational standard definitions: ISO 22600-3 Section A.3.4.3 - If present, the privacy-mark is not used for access control. The content of the privacy-mark may be defined by the security policy in force (identified by the security-policy-identifier) which may define a list of values to be used. Alternately, the value may be determined by the originator of the security-label. IEEE Security Glossary Compendium 93- CESG Memorandum No.1 Issue 1.2 Oct 1992 - Human readable word or phrase acting as an indicator of all or part of the security constraints that apply to a document so marked. NOTE: A machine readable representation of a marking. *Comment:* While policies requiring creators, processors, custodians, senders or recipients apply, enforce, and persist applicable Privacy Marks may be dictated by a jurisdiction, organization or personal privacy, security, or integrity policy, those required to comply may be governed under different policies, so compliance may need to be enforced through trust contracts. For example, information content marked with GDPR related policies may require adherence by processors or recipients outside of the European Union. For this reason, this code system is likely to evolve with the inclusion of multiple policy domains needing to communicate encoded policies in a standard, interoperable manner.
ControlledUnclassifiedInformationhttp://terminology.hl7.org/CodeSystem/v3-ActCodeControlledUnclassifiedInformationInformation the US Government creates or possesses, or that an entity creates or possesses for or on behalf of the Government, that a law, regulation, or Government-wide policy requires or permits an agency to handle using safeguarding or dissemination controls. However, CUI does not include classified information (see definition above) or information a non-executive branch entity possesses and maintains in its own systems that did not come from, or was not created or possessed by or for, an executive branch agency or an entity acting for an agency. Law, regulation, or Government-wide policy may require or permit safeguarding or dissemination controls in three ways: Requiring or permitting agencies to control or protect the information but providing no specific controls, which makes the information CUI Basic; requiring or permitting agencies to control or protect the information and providing specific controls for doing so, which makes the information CUI Specified; or requiring or permitting agencies to control the information and specifying only some of those controls, which makes the information CUI Specified, but with CUI Basic controls where the authority does not specify. Based on CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html . *Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf. For definitions of key terms see CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html.
CONTROLLEDhttp://terminology.hl7.org/CodeSystem/v3-ActCode(CONTROLLED)A displayed mark, required to be rendered as "CONTROLLED", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.
CUIhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCUIA displayed mark, required to be rendered as "CUI", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Mandatory control marking, which must be displayed on the top portion of each rendered or printed page containing controlled information. Should be displayed at the bottom of each rendered or printed page containing controlled information. Must be displayed on each portion of controlled information at the portion level if portions are uncontrolled unclassified information. Based on CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf.
CUIHLTHhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCUI//HLTHA displayed mark, required to be rendered as "CUI//HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf
CUIHLTHPhttp://terminology.hl7.org/CodeSystem/v3-ActCode(CUI//HLTH)A displayed mark, required to be rendered as "(CUI//HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf
CUIPhttp://terminology.hl7.org/CodeSystem/v3-ActCode(CUI)A displayed mark, required to be rendered as "(CUI)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of healthcare regulation governing CUI Basic marking include HIPAA Unique Identifier provisions 42 USC 1320d-2 note(b) https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf; Title 38 Section 7332 https://www.govinfo.gov/content/pkg/USCODE-2016-title38/pdf/USCODE-2016-title38-partV-chap73-subchapIII-sec7332.pdf; and several sections of 42 CFR Part 2.related to consent and confidentiality, e.g., https://www.govinfo.gov/content/pkg/CFR-2017-title42-vol1/pdf/CFR-2017-title42-vol1-sec2-12.pdf
CUIPRVCYhttp://terminology.hl7.org/CodeSystem/v3-ActCode(CUIPRVCY)A displayed mark, required to be rendered as "CUI//PRVCY", indicating that the electronic or hardcopy controlled unclassified basic privacy information is private and must be protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.
CUIPRVCYPhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCUI//PRVCYPA displayed mark, required to be rendered as "(CUI//PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of privacy regulation governing CUI Basic marking include 20 CFR 401.100 related to SSA disclosure of personal, program, and non-program information. https://www.govinfo.gov/content/pkg/CFR-2017-title20-vol2/pdf/CFR-2017-title20-vol2-sec401-100.pdf.
CUISP-HLTHhttp://terminology.hl7.org/CodeSystem/v3-ActCode(CUI//SP-HLTH)A displayed mark, required to be rendered as "CUI//SP-HLTH", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI in which the authorizing law, regulation, or Government-wide policy contains specific handling controls that it requires or permits agencies to use that differ from those for CUI Basic. The CUI Registry indicates which laws, regulations, and Government-wide policies include such specific requirements. CUI Specified controls may be more stringent than, or may simply differ from, those required by CUI Basic; the distinction is that the underlying authority spells out the controls for CUI Specified information and does not for CUI Basic information. CUI Basic controls apply to those aspects of CUI Specified where the authorizing laws, regulations, and Government-wide policies do not provide specific guidance. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf.
CUISP-HLTHPhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCUI//SP-HLTHPA displayed mark, required to be rendered as "(CUI//SP-HLTH)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of healthcare regulation governing CUI Specified marking include HIPAA Transaction and Code Sets and references the Congressional requirement that HHS promulgate Privacy, and Security rules https://www.govinfo.gov/content/pkg/USCODE-2016-title42/pdf/USCODE-2016-title42-chap7-subchapXI-partC-sec1320d-2.pdf
CUISP-PRVCYhttp://terminology.hl7.org/CodeSystem/v3-ActCodeCUI//SP-PRVCYA displayed mark, required to be rendered as "CUI//SP-PRVCY", indicating that the electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of privacy regulation governing CUI Specified marking is OMB M-17-12� This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\_0.pdf.
CUISP-PRVCYPhttp://terminology.hl7.org/CodeSystem/v3-ActCode(CUI//SP-PRVCY)A displayed mark, required to be rendered as "(CUI//SP-PRVCY)", indicating that a portion of an electronic or hardcopy information is protected at the level of the subset of CUI for which the authorizing law, regulation, or Government-wide policy does not set out specific handling or dissemination controls. Agencies handle CUI Basic according to the uniform set of controls set forth in this part and the CUI Registry. CUI Basic differs from CUI Specified (see definition for CUI Specified), and CUI Basic controls apply whenever CUI Specified ones do not cover the involved CUI. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html. *Usage Note:* Examples of privacy regulation governing CUI Specified marking is OMB M-17-12� This Memorandum sets forth the policy for Federal agencies to prepare for and respond to a breach of personally identifiable information (PII). It includes a framework for assessing and mitigating the risk of harm to individuals potentially affected by a breach, as well as guidance on whether and how to provide notification and services to those individuals. https://www.whitehouse.gov/sites/whitehouse.gov/files/omb/memoranda/2017/m-17-12\_0.pdf.
UUIhttp://terminology.hl7.org/CodeSystem/v3-ActCode(U)A displayed mark, required to be rendered as "(U)", indicating that a portion of an electronic or hardcopy information is neither Executive Order 13556 nor classified information authorities cover as protected. Although this information is not controlled or classified, agencies must still handle it in accordance with Federal Information Security Modernization Act (FISMA) requirements. From CUI Glossary https://www.archives.gov/cui/registry/cui-glossary.html *Usage Note:* Regulatory Source: 32 CFR § 2002.20 Marking. Federal Register Page 63344 63344 (ii) Authorized holders permitted to designate CUI must portion mark both CUI and uncontrolled unclassified portions. CUI Marking Handbook https://www.archives.gov/files/cui/20161206-cui-marking-handbook-v1-1.pdf CUI Portion Marking: Portion marking of CUI is optional in a fully unclassified document, but is permitted and encouraged to facilitate information sharing and proper handling of the information. Agency heads may approve the required use of CUI Portion marking on all CUI generated within their agency. As such, users should consult their agency CUI policy when creating CUI documents. When CUI Portion Markings are used and a portion does not contain CUI a “U� is placed in parentheses to indicate that the portion contains Uncontrolled Unclassified Information. (Page 14) CUI Portion Markings are placed at the beginning of the portion to which they apply and must be used throughout the entire document. They are presented in all capital letters and separated as indicated in this handbook and the CUI Registry. The presence of EVEN ONE item of CUI in a document requires CUI marking of that document. Because of this, CUI Portion Markings can be of great assistance in determining if a document contains CUI and therefore must be marked as such. Remember: When portion markings are used and any portion does not contain CUI, a “(U)� is placed in front of that portion to indicate that it contains Uncontrolled - or non-CUI - Unclassified Information. (Page 15)
SecurityLabelMarkhttp://terminology.hl7.org/CodeSystem/v3-ActCodeSecurity Label MarkAn abstract code for displayed Security Label tags. *Usage Note:* These marks may be based on any of the HL7 Security Labeling related codes from various code systems and values sets, which are organized according to the HL7 Privacy and Security Classification System into HL7 Security Observation Type Named Tag Sets and valued with codes associated with the HL7 Security Observation Value Tag Set Names.
ConfidentialMarkhttp://terminology.hl7.org/CodeSystem/v3-ActCodeconfidential markA displayed mark rendered as "Confidential", which indicates to end users that the electronic or hardcopy information they are viewing must be protected at a level of protection as dictated by applicable policy. May be used to indicate proprietary or classified information that is, for example, business, intelligence, or project related, e.g., secret ingredients in a therapeutic substance; location of disaster health facilities and providers, or the name of a manufacturer or project contractor. Example use cases include a display to alert authorized business system users that they are viewing additionally protected proprietary and business confidential information deemed proprietary under an applicable jurisdictional or organizational policy. *Usage Note:* The ConfidentialMark (confidential mark) description is based on the HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes. *Usage Note:* Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources. Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes.
COPYMarkhttp://terminology.hl7.org/CodeSystem/v3-ActCodecopy of original markA displayed mark indicating that the electronic or hardcopy information is a copy of an authoritative source for the information. The copy is not considered authoritative but is a duplicate of the authoritative content. *Usage Note:* Applicable policy will dictate how the COPY mark will be displayed. Typical renderings include the marking appearing at the top or "banner" of electronic or hardcopy pages, or as watermarks set diagonally across each page.
DeliverToAddresseeOnlyMarkhttp://terminology.hl7.org/CodeSystem/v3-ActCodedeliver only to addressee markA displayed mark on an electronic transmission or physical container such as an electronic transmittal wrapper, batch file, message header, or a physical envelop or package indicating that the contents, whether electronic or hardcopy information, must only be delivered to the authorized recipient(s) named in the address. *Usage Note:* Required by US 32 CRF Part 2002 for container storing or transmitting CUI.
RedisclosureProhibitionMarkhttp://terminology.hl7.org/CodeSystem/v3-ActCodeprohibition against redisclosure markA displayed mark rendered to end users as a prescribed text warning that the electronic or hardcopy information shall not be further disclosed without consent of the subject of the information. For example, in order to warn a recipient of 42 CFR Part 2 information of the redisclosure restrictions, the rule mandates that end users receive a written prohibition against redisclosure unless authorized by patient consent or otherwise permitted by Part 2. See 42 CFR § 2.32 Prohibition on re-disclosure. (a)Notice to accompany disclosure. Each disclosure made with the patient's written consent must be accompanied by one of the following written statements: (1) This information has been disclosed to you from records protected by federal confidentiality rules ( 42 CFR part 2). The federal rules prohibit you from making any further disclosure of information in this record that identifies a patient as having or having had a substance use disorder either directly, by reference to publicly available information, or through verification of such identification by another person unless further disclosure is expressly permitted by the written consent of the individual whose information is being disclosed or as otherwise permitted by 42 CFR part 2. A general authorization for the release of medical or other information is NOT sufficient for this purpose (see § 2.31). The federal rules restrict any use of the information to investigate or prosecute with regard to a crime any patient with a substance use disorder, except as provided at §§ 2.12(c)(5) and 2.65; or (2) 42 CFR part 2 prohibits unauthorized disclosure of these records. https://www.law.cornell.edu/cfr/text/42/2.32 *Usage Note:* Example of marking requirement from SAMHSA FAQ Response to question 13: Would a logon or splash page notification on an HIO’s portal that contains the Part 2 notice prohibiting redisclosure be sufficient to meet Part 2’s requirement that disclosures made with patient consent be accompanied by such a statement? No. Part 2 requires each disclosure made with written patient consent to be accompanied by a written statement that the information disclosed is protected by federal law and that the recipient cannot make any further disclosure of it unless permitted by the regulations (42 CFR § 2.32). A logon page is the page where a user logs onto a computer system; a splash page is an introductory page to a web site. A logon or splash page notification on a HIO's portal including the statement as required by § 2.32 would not be sufficient notification regarding prohibitions on redisclosure since it would not accompany a specific disclosure. The notification must be tied to the Part 2 information being disclosed in order to ensure that the recipient of that information knows that specific information is protected by Part 2 and cannot be redisclosed except as authorized by the express written consent of the person to whom it pertains or as otherwise permitted by Part 2. https://www.samhsa.gov/about-us/who-we-are/laws-regulations/confidentiality-regulations-faqs
RestrictedConfidentialityMarkhttp://terminology.hl7.org/CodeSystem/v3-ActCoderestricted confidentiality markA displayed mark rendered to end users as "Restricted Confidentiality", which indicates that the electronic or hardcopy information they are viewing, must be protected at a restricted level of confidentiality protection as defined by HL7 Confidentiality code "R" (restricted). 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. Use cases include a display to alert authorized EHR users that they are viewing additionally protected health information deemed sensitive by an applicable jurisdictional, organizational, or personal privacy policy. *Usage Note:* The definition is based on HL7 Confidentiality code "R" (restricted), which is described as: Privacy metadata indicating highly sensitive, potentially stigmatizing information, which presents a high risk to the information subject if disclosed without authorization. May be pre-empted by jurisdictional law, e.g., for public health reporting or emergency treatment. Foundational definitions of Confidentiality: From HL7 Confidentiality Concept Domain: Types of privacy metadata classifying an IT resource (data, information object, service, or system capability) according to its level of sensitivity, which is based on an analysis of applicable privacy policies and the risk of financial, reputational, or other harm to an individual or entity that could result if made available or disclosed to unauthorized individuals, entities, or processes. Usage Note from HL7 Confidentiality code "R": Confidentiality codes may be used in security labels and privacy markings to classify IT resources based on sensitivity to indicate the obligation of a custodian or receiver to ensure that the protected resource is not made available or disclosed to individuals, entities, or processes (security principals) unless authorized per applicable policies. Confidentiality codes may also be used in the clearances of initiators requesting access to protected resources. This metadata indicates that the receiver may be obligated to comply with applicable, prevailing (default) jurisdictional privacy law or disclosure authorization. Map: Definition aligns with ISO 7498-2:1989 - Confidentiality is the property that information is not made available or disclosed to unauthorized individuals, entities, or processes. Map: Partial Map to ISO 13606-4 Sensitivity Level (3) Clinical Care: 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.
RefrainPolicyhttp://terminology.hl7.org/CodeSystem/v3-ActCoderefrain policyConveys 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.
NOAUTHhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure without subject authorizationProhibition on disclosure without information subject's authorization.
NOCOLLECThttp://terminology.hl7.org/CodeSystem/v3-ActCodeno collectionProhibition on collection or storage of the information.
NODSCLCDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure without consent directiveProhibition on disclosure without organizational approved patient restriction.
NODSCLCDShttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure without information subject's consent directiveProhibition on disclosure without a consent directive from the information subject.
NOINTEGRATEhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno integrationProhibition on Integration into other records.
NOLISThttp://terminology.hl7.org/CodeSystem/v3-ActCodeno unlisted entity disclosureProhibition on disclosure except to entities on specific access list.
NOMOUhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure without MOUProhibition on disclosure without an interagency service agreement or memorandum of understanding (MOU).
NOORGPOLhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure without organizational authorizationProhibition on disclosure without organizational authorization.
NOPAThttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure to patient, family or caregivers without attending provider's authorizationProhibition 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://terminology.hl7.org/CodeSystem/v3-ActCodeno collection beyond purpose of useProhibition on collection of the information beyond time necessary to accomplish authorized purpose of use is prohibited.
NORDSCLCDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno redisclosure without consent directiveProhibition on redisclosure without patient consent directive.
NORDSLCDhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno redisclosure without consent directiveProhibition on redisclosure without patient consent directive.
NORDSCLCDShttp://terminology.hl7.org/CodeSystem/v3-ActCodeno redisclosure without information subject's consent directiveProhibition on redisclosure without a consent directive from the information subject.
NORDSCLWhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure without jurisdictional authorizationProhibition on disclosure without authorization under jurisdictional law.
NORELINKhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno relinkingProhibition 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://terminology.hl7.org/CodeSystem/v3-ActCodeno reuse beyond purpose of useProhibition on use of the information beyond the purpose of use initially authorized.
NOVIPhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno unauthorized VIP disclosureProhibition on disclosure except to principals with access permission to specific VIP information.
ORCONhttp://terminology.hl7.org/CodeSystem/v3-ActCodeno disclosure without originator authorizationProhibition on disclosure except as permitted by the information originator.
HMARKThttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealthcare marketingTo perform one or more operations on information for marketing services and products related to health care.
HOPERAThttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealthcare operationsTo perform one or more operations on information used for conducting administrative and contractual activities related to the provision of health care.
CAREMGThttp://terminology.hl7.org/CodeSystem/v3-ActReasoncare managementTo perform analytics, evaluation and other secondary uses of treatment and healthcare related information to manage the quality, efficacy, patient safety, population health, and cost effectiveness of healthcare delivery. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment. *Usage Note:* The concept of care management is narrower than the list of activities related to more general organizational objectives such as provider profiling, education of healthcare and non-healthcare professionals; insurance underwriting, premium rating, reinsurance; organizational legal, medical review, auditing, compliance and fraud and abuse detection; business planning, development, and restructuring; fund-raising; and customer service. *Map:* Maps to ISO 14265 Classification Term "Health service management and quality assurance" described as "To inform persons or processes responsible for determining the availability, quality, safety, equity and cost-effectiveness of health care services." There is a semantic gap in concepts. This classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity.
DONAThttp://terminology.hl7.org/CodeSystem/v3-ActReasondonationTo perform one or more operations on information used for cadaveric organ, eye or tissue donation.
FRAUDhttp://terminology.hl7.org/CodeSystem/v3-ActReasonfraudTo perform one or more operations on information used for fraud detection and prevention processes.
GOVhttp://terminology.hl7.org/CodeSystem/v3-ActReasongovernmentTo perform one or more operations on information used within government processes.
HACCREDhttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealth accreditationTo perform one or more operations on information for conducting activities related to meeting accreditation criteria.
HCOMPLhttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealth complianceTo perform one or more operations on information used for conducting activities required to meet a mandate.
HDECDhttp://terminology.hl7.org/CodeSystem/v3-ActReasondecedentTo perform one or more operations on information used for handling deceased patient matters.
HDIRECThttp://terminology.hl7.org/CodeSystem/v3-ActReasondirectoryTo perform one or more operation operations on information used to manage a patient directory. **Examples:** * facility * enterprise * payer * health information exchange patient directory
HDMhttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealthcare delivery managementTo perform one or more actions on information used for conducting administrative and contractual activities by or on behalf of organizational entities responsible for delivery of an individual's benefits in a healthcare program, health plan or insurance. Explicitly excludes the use of information to organize the delivery of health care for care coordination and case management, or to provide healthcare treatment. *Usage Note:* Examples of activities conducted under this purpose of use: provider profiling, risk adjustment, underwriting, fraud and abuse, quality improvement population health and care management. Aligns with HIPAA Operation POU minus coordination of care or other treatment related activities. Similar to the description in SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking. *Map:* Maps to ISO 14265 Classification Term "Administration of care for an individual subject of care" described as "To inform persons or processes responsible for enabling the availability of resources or funding or permissions for providing health care services to the subject of care." However, this classification term is described as activities, i.e., "to inform persons" or "to inform processes" rather than the rationale for performing actions/operations on information related to the activity.
HLEGALhttp://terminology.hl7.org/CodeSystem/v3-ActReasonlegalTo perform one or more operations on information for conducting activities required by legal proceeding.
HOUTCOMShttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealth outcome measureTo perform one or more operations on information used for assessing results and comparative effectiveness achieved by health care practices and interventions.
HPRGRPhttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealth program reportingTo perform one or more operations on information used for conducting activities to meet program accounting requirements.
HQUALIMPhttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealth quality improvementTo perform one or more operations on information used for conducting administrative activities to improve health care quality.
HSYSADMINhttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealth system administrationTo perform one or more operations on information to administer the electronic systems used for the delivery of health care.
LABELINGhttp://terminology.hl7.org/CodeSystem/v3-ActReasonlabelingTo perform one or more operations on information to assign, persist, and manage labels to healthcare data to characterize various aspects, such as its security classification, sensitivity, compartment, integrity, and provenance; applicable privacy, consent, security, provenance, and trust policies; and handling caveats such as purpose of use, obligations, and refrain policies. Label management includes classification of target data by constructing and binding of a label set per applicable policies, security policy information file semantics, and classification guides. Label management also includes process and procedures for subsequent revision of a label for, e.g., reclassification, downgrading classification, and declassification. Label revisions may be triggered by, e.g., expiry of classification period; changes in applicable policy, e.g., revocation of a consent directive; or changes in the governing policy domain in which the data is relocated or a copy of the data is sent. If a label is revised, an audit log should be kept and the provenance of the label changes should be tracked.
METAMGThttp://terminology.hl7.org/CodeSystem/v3-ActReasonmetadata managementTo perform one or more operations on information to assign, persist, and manage metadata to healthcare data to characterize various aspects used for its indexing, discovery, retrieval, and processing by systems, applications, and end users. For example, master index identifier, media type, and location.
MEMADMINhttp://terminology.hl7.org/CodeSystem/v3-ActReasonmember administrationTo perform one or more operations on information to administer health care coverage to an enrollee under a policy or program.
MILCDMhttp://terminology.hl7.org/CodeSystem/v3-ActReasonmilitary commandTo perform one or more operations on information for conducting activities required by military processes, procedures, policies, or law.
PATADMINhttp://terminology.hl7.org/CodeSystem/v3-ActReasonpatient administrationTo perform one or more operations on information used for operational activities conducted to administer the delivery of health care to a patient.
PATSFTYhttp://terminology.hl7.org/CodeSystem/v3-ActReasonpatient safetyTo perform one or more operations on information in processes related to ensuring the safety of health care.
PERFMSRhttp://terminology.hl7.org/CodeSystem/v3-ActReasonperformance measureTo perform one or more operations on information used for monitoring performance of recommended health care practices and interventions.
RECORDMGThttp://terminology.hl7.org/CodeSystem/v3-ActReasonrecords managementTo perform one or more operations on information used within the health records management process.
SYSDEVhttp://terminology.hl7.org/CodeSystem/v3-ActReasonsystem developmentTo perform one or more operations on information to design, develop, implement, test, or deploy a healthcare system or application.
HTESThttp://terminology.hl7.org/CodeSystem/v3-ActReasontest health dataTo perform one or more operations on information that is simulated or synthetic health data used for testing system capabilities outside of a production or operational system environment. *Usage Note:* Data marked with a HTEST security label enables an access control system to permit interfacing systems or end users provisioned with a clearance, which includes a HTEST purpose of use attribute, to test, verify, or validate that a system or application will operate in production as intended based on design specifications.
TRAINhttp://terminology.hl7.org/CodeSystem/v3-ActReasontrainingTo perform one or more operations on information used in training and education.
HPAYMThttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealthcare paymentTo perform one or more operations on information for conducting financial or contractual activities related to payment for provision of health care.
CLMATTCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonclaim attachmentTo perform one or more operations on information for provision of additional clinical evidence in support of a request for coverage or payment for health services.
COVAUTHhttp://terminology.hl7.org/CodeSystem/v3-ActReasoncoverage authorizationTo perform one or more operations on information for conducting prior authorization or predetermination of coverage for services.
COVERAGEhttp://terminology.hl7.org/CodeSystem/v3-ActReasoncoverage under policy or programTo perform one or more operations on information for conducting activities related to coverage under a program or policy.
ELIGDTRMhttp://terminology.hl7.org/CodeSystem/v3-ActReasoneligibility determinationTo perform one or more operations on information used for conducting eligibility determination for coverage in a program or policy. May entail review of financial status or disability assessment.
ELIGVERhttp://terminology.hl7.org/CodeSystem/v3-ActReasoneligibility verificationTo perform one or more operations on information used for conducting eligibility verification of coverage in a program or policy. May entail provider contacting coverage source (e.g., government health program such as workers compensation or health plan) for confirmation of enrollment, eligibility for specific services, and any applicable copays.
ENROLLMhttp://terminology.hl7.org/CodeSystem/v3-ActReasonenrollmentTo perform one or more operations on information used for enrolling a covered party in a program or policy. May entail recording of covered party's and any dependent's demographic information and benefit choices.
MILDCRGhttp://terminology.hl7.org/CodeSystem/v3-ActReasonmilitary dischargeTo perform one or more operations on information for the process of releasing military personnel from their service obligations, which may include determining service merit, discharge benefits, and disability assessment.
REMITADVhttp://terminology.hl7.org/CodeSystem/v3-ActReasonremittance adviceTo perform one or more operations on information about the amount remitted for a health care claim.
HRESCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonhealthcare researchTo perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data iincludes basic and applied research such as biomedical, population origin or ancestry, translational research, and disease, discipline, specialty specific healthcare research and clinical trial research.
BIORCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonbiomedical researchTo perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified biomedical basic or applied research. For example, research on rare plants to determine whether biologic properties may be useful for pharmaceutical development. May be used in combination with clinical trial and other healthcare research purposes of use.
CLINTRCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonclinical trial researchTo perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge.
CLINTRCHNPChttp://terminology.hl7.org/CodeSystem/v3-ActReasonclinical trial research without patient careTo perform one or more operations on information for conducting scientific investigations in accordance with clinical trial protocols to obtain health care knowledge without provision of patient care. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, a clinical trial conducted on laboratory specimens collected from a specified patient population.
CLINTRCHPChttp://terminology.hl7.org/CodeSystem/v3-ActReasonclinical trial research with patient careTo perform one or more operations on information for conducting scientific investigations with patient care in accordance with clinical trial protocols to obtain health care knowledge. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research. For example, an "off-label" drug used for cancer therapy administer to a specified patient population.
PRECLINTRCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonpreclinical trial researchTo perform one or more operations on information in preparation for conducting scientific investigation to obtain health care knowledge, such as research on animals or review of patient health records, to determine the feasibility of a clinical trial study; assist with protocol design; or in preparation for institutional review board or ethics committee approval process. May be post-coordinated or used with other purposes of use such as disease, discipline, specialty, population origins or ancestry, translational healthcare research.
DSRCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasondisease specific healthcare researchTo perform one or more operations on information for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to specified conditions, diagnosis, or disease healthcare research. For example, conducting cancer research by testing reaction of tumor cells to certain biologics. May be used in combination with clinical trial and other healthcare research purposes of use.
POARCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonpopulation origins or ancestry healthcare researchTo perform one or more operations on information, including genealogical pedigrees, historical records, surveys, family health data, health records, and genetic information, for conducting scientific investigations to obtain health care knowledge. Use of the data must be related to population origins and/or ancestry healthcare research. For example, gathering genetic specimens from a specific population in order to determine the ancestry and population origins of that group. May be used in combination with clinical trial and other healthcare research purposes of use.
TRANSRCHhttp://terminology.hl7.org/CodeSystem/v3-ActReasontranslational healthcare researchTo perform one or more operations on information for conducting scientific investigations to obtain health care knowledge related to evidence based medicine during the course of providing healthcare treatment. Sometimes referred to as "bench to bedside", which is the iterative feedback loop between healthcare research and clinical trials with input from information collected in the course of routine provision of healthcare. For example, by extending a patient encounter to conduct a survey related to a research topic such as attitudes about use of a wellness device that a patient agreed to use. May be used in combination with clinical trial and other healthcare research purposes of use.
PATRQThttp://terminology.hl7.org/CodeSystem/v3-ActReasonpatient requestedTo perform one or more operations on information in response to a patient's request.
FAMRQThttp://terminology.hl7.org/CodeSystem/v3-ActReasonfamily requestedTo perform one or more operations on information in response to a request by a family member authorized by the patient.
PWATRNYhttp://terminology.hl7.org/CodeSystem/v3-ActReasonpower of attorneyTo perform one or more operations on information in response to a request by a person appointed as the patient's legal representative.
SUPNWKhttp://terminology.hl7.org/CodeSystem/v3-ActReasonsupport networkTo perform one or more operations on information in response to a request by a person authorized by the patient.
PUBHLTHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonpublic healthTo perform one or more operations on information for conducting public health activities, such as the reporting of notifiable conditions.
DISASTERhttp://terminology.hl7.org/CodeSystem/v3-ActReasondisasterTo perform one or more operations on information used for provision of immediately needed health care to a population of living subjects located in a disaster zone.
THREAThttp://terminology.hl7.org/CodeSystem/v3-ActReasonthreatTo perform one or more operations on information used to prevent injury or disease to living subjects who may be the target of violence.
TREAThttp://terminology.hl7.org/CodeSystem/v3-ActReasontreatmentTo perform one or more operations on information for provision of health care.
CLINTRLhttp://terminology.hl7.org/CodeSystem/v3-ActReasonclinical trialTo perform health care as part of the clinical trial protocol.
COChttp://terminology.hl7.org/CodeSystem/v3-ActReasoncoordination of careTo perform one or more actions on information in order to organize the provision and case management of an individual’s healthcare, including: Monitoring a person's goals, needs, and preferences; acting as the communication link between two or more participants concerned with a person's health and wellness; organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person; and ensuring safe, appropriate, non-duplicative, and effective integrated care. *Usage Note:* Use when describing these functions: 1. Monitoring a person’s goals, needs, and preferences. 2. Acting as the communication link between two or more participants concerned with a person's health and wellness. 3. Organizing and facilitating care activities and promoting self-management by advocating for, empowering, and educating a person. 4. Ensuring safe, appropriate, non-duplicative, and effective integrated care. The goal is to clearly differentiate this type of coordination of care from HIPAA Operations by specifying that these actions on information are undertaken in the provision of healthcare treatment. For similar uses of this concept, see SAMHSA Confidentiality of Substance Use Disorder Patient Records Supplemental notice of proposed rulemaking, which differentiates concepts of care coordination and case management for the provision of treatment as specifically distinct from activities related to health care delivery management and the operations of organizational entities involved in the delivery of healthcare. *Map:* Maps to ISO 14265 Classification Terms: "Support of care activities within the provider organisation for an individual subject of care" described as "To inform persons or processes enabling others to provide health care services to the subject of care." "Subject of Care Uses" described as "To inform the subject of care in support of his or her own interests."
ETREAThttp://terminology.hl7.org/CodeSystem/v3-ActReasonEmergency TreatmentTo perform one or more operations on information for provision of immediately needed health care for an emergent condition.
BTGhttp://terminology.hl7.org/CodeSystem/v3-ActReasonbreak the glassTo perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access. *Map:* Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.
ERTREAThttp://terminology.hl7.org/CodeSystem/v3-ActReasonemergency room treatmentTo perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use. Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure. There is a semantic gap in concepts. This classification term is described as activities “to inform persons� rather than the rationale for performing actions/operations on information related to the activity.
POPHLTHhttp://terminology.hl7.org/CodeSystem/v3-ActReasonpopulation healthTo perform one or more operations on information for provision of health care to a population of living subjects, e.g., needle exchange program.
_ActCoverageAssessmentObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueActCoverageAssessmentObservationValueCodes specify the category of observation, evidence, or document used to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program. The type of evidence is coded as observation values.
_ActFinancialStatusObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueActFinancialStatusObservationValueCode specifying financial indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay stub; tax or income document; asset document; living expenses.
ASSEThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueassetCodes specifying asset indicators used to assess or establish eligibility for coverage under a policy or program.
ANNUITYhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueannuityIndicator of annuity ownership or status as beneficiary.
PROPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuereal propertyIndicator of real property ownership, e.g., deed or real estate contract.
RETACCThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueretirement investment accountIndicator of retirement investment account ownership.
TRUSThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetrustIndicator of status as trust beneficiary.
INCOMEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueincomeCode specifying income indicators used to assess or establish eligibility for coverage under a policy or program; e.g., pay or pension check, child support payments received or provided, and taxes paid.
CHILDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuechild supportIndicator of child support payments received or provided.
DISABLhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedisability payIndicator of disability income replacement payment.
INVESThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueinvestment incomeIndicator of investment income, e.g., dividend check, annuity payment; real estate rent, investment divestiture proceeds; trust or endowment check.
PAYhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepaid employmentIndicator of paid employment, e.g., letter of hire, contract, employer letter; copy of pay check or pay stub.
RETIREhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueretirement payIndicator of retirement payment, e.g., pension check.
SPOUSALhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuespousal or partner supportIndicator of spousal or partner support payments received or provided; e.g., alimony payment; support stipulations in a divorce settlement.
SUPPLEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueincome supplementIndicator of income supplement, e.g., gifting, parental income support; stipend, or grant.
TAXhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetax obligationIndicator of tax obligation or payment, e.g., statement of taxable income.
LIVEXPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueliving expenseCodes specifying living expense indicators used to assess or establish eligibility for coverage under a policy or program.
CLOTHhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueclothing expenseIndicator of clothing expenses.
FOODhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuefood expenseIndicator of transportation expenses.
HEALTHhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuehealth expenseIndicator of health expenses; including medication costs, health service costs, financial participations, and health coverage premiums.
HOUSEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuehousehold expenseIndicator of housing expense, e.g., household appliances, fixtures, furnishings, and maintenance and repairs.
LEGALhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuelegal expenseIndicator of legal expenses.
MORTGhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuemortgageIndicator of mortgage amount, interest, and payments.
RENThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuerentIndicator of rental or lease payments.
SUNDRYhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesundry expenseIndicator of transportation expenses.
TRANShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetransportation expenseIndicator of transportation expenses, e.g., vehicle payments, vehicle insurance, vehicle fuel, and vehicle maintenance and repairs.
UTILhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueutility expenseIndicator of transportation expenses.
ELSTAThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueeligibility indicatorCode specifying eligibility indicators used to assess or establish eligibility for coverage under a policy or program eligibility status, e.g., certificates of creditable coverage; student enrollment; adoption, marriage or birth certificate.
ADOPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueadoption documentIndicator of adoption.
BTHCERThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuebirth certificateIndicator of birth.
CCOChttp://terminology.hl7.org/CodeSystem/v3-ObservationValuecreditable coverage documentIndicator of creditable coverage.
DRLIChttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedriver licenseIndicator of driving status.
FOSTERhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuefoster child documentIndicator of foster child status.
MEMBERhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueprogram or policy memberIndicator of status as covered member under a policy or program, e.g., member id card or coverage document.
MILhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuemilitary identificationIndicator of military status.
MRGCERThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuemarriage certificateIndicator of marriage status.
PASSPORThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepassportIndicator of citizenship.
STUDENRLhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuestudent enrollmentIndicator of student status.
HLSTAThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuehealth statusCode specifying non-clinical indicators related to health status used to assess or establish eligibility for coverage under a policy or program, e.g., pregnancy, disability, drug use, mental health issues.
DISABLEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedisabledIndication of disability.
DRUGhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedrug useIndication of drug use.
IVDRGhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueIV drug useIndication of IV drug use .
PGNThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepregnantNon-clinical report of pregnancy.
LIVDEPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueliving dependencyCode specifying observations related to living dependency, such as dependent upon spouse for activities of daily living.
RELDEPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuerelative dependentContinued living in private residence requires functional and health care assistance from one or more relatives.
SPSDEPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuespouse dependentContinued living in private residence requires functional and health care assistance from spouse or life partner.
URELDEPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueunrelated person dependentContinued living in private residence requires functional and health care assistance from one or more unrelated persons.
LIVSIThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueliving situationCode specifying observations related to living situation for a person in a private residence.
ALONEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuealoneLiving alone. Maps to PD1-2 Living arrangement (IS) 00742 \[A\]
DEPCHDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedependent childrenLiving with one or more dependent children requiring moderate supervision.
DEPSPShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedependent spouseLiving with disabled spouse requiring functional and health care assistance
DEPYGCHDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedependent young childrenLiving with one or more dependent children requiring intensive supervision
FAMhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuelive with familyLiving with family. Maps to PD1-2 Living arrangement (IS) 00742 \[F\]
RELAThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuerelativeLiving with one or more relatives. Maps to PD1-2 Living arrangement (IS) 00742 \[R\]
SPShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuespouse onlyLiving only with spouse or life partner. Maps to PD1-2 Living arrangement (IS) 00742 \[S\]
UNRELhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueunrelated personLiving with one or more unrelated persons.
SOECSTAThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesocio economic statusCode specifying observations or indicators related to socio-economic status used to assess to assess for services, e.g., discharge planning, or to establish eligibility for coverage under a policy or program.
ABUSEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueabuse victimIndication of abuse victim.
HMLESShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuehomelessIndication of status as homeless.
ILGIMhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueillegal immigrantIndication of status as illegal immigrant.
INCARhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueincarceratedIndication of status as incarcerated.
PROBhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueprobationIndication of probation status.
REFUGhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuerefugeeIndication of refugee status.
UNEMPLhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueunemployedIndication of unemployed status.
_AllergyTestValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueAllergyTestValueIndicates the result of a particular allergy test. E.g. Negative, Mild, Moderate, Severe
A0http://terminology.hl7.org/CodeSystem/v3-ObservationValueno reaction**Description:**Patient exhibits no reaction to the challenge agent.
A1http://terminology.hl7.org/CodeSystem/v3-ObservationValueminimal reaction**Description:**Patient exhibits a minimal reaction to the challenge agent.
A2http://terminology.hl7.org/CodeSystem/v3-ObservationValuemild reaction**Description:**Patient exhibits a mild reaction to the challenge agent.
A3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemoderate reaction**Description:**Patient exhibits moderate reaction to the challenge agent.
A4http://terminology.hl7.org/CodeSystem/v3-ObservationValuesevere reaction**Description:**Patient exhibits a severe reaction to the challenge agent.
_CompositeMeasureScoringhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCompositeMeasureScoringObservation values that communicate the method used in a quality measure to combine the component measure results included in an composite measure.
ALLORNONESCRhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueAll-or-nothing ScoringCode specifying that the measure uses all-or-nothing scoring. All-or-nothing scoring places an individual in the numerator of the composite measure if and only if they are in the numerator of all component measures in which they are in the denominator.
LINEARSCRhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueLinear ScoringCode specifying that the measure uses linear scoring. Linear scoring computes the fraction of component measures in which the individual appears in the numerator, giving equal weight to each component measure.
OPPORSCRhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueOpportunity ScoringCode specifying that the measure uses opportunity-based scoring. In opportunity-based scoring the measure score is determined by combining the denominator and numerator of each component measure to determine an overall composite score.
WEIGHTSCRhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueWeighted ScoringCode specifying that the measure uses weighted scoring. Weighted scoring assigns a factor to each component measure to weight that measure's contribution to the overall score.
_CoverageLimitObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCoverageLimitObservationValue**Description:**Coded observation values for coverage limitations, for e.g., types of claims or types of parties covered under a policy or program.
_CoverageLevelObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCoverageLevelObservationValue**Description:**Coded observation values for types of covered parties under a policy or program based on their personal relationships or employment status.
ADChttp://terminology.hl7.org/CodeSystem/v3-ObservationValueadult child**Description:**Child over an age as specified by coverage policy or program, e.g., student, differently abled, and income dependent.
CHDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuechild**Description:**Dependent biological, adopted, foster child as specified by coverage policy or program.
DEPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedependent**Description:**Person requiring functional and/or financial assistance from another person as specified by coverage policy or program.
DPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedomestic partner**Description:**Persons registered as a family unit in a domestic partner registry as specified by law and by coverage policy or program.
ECHhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueemployee**Description:**An individual employed by an employer who receive remuneration in wages, salary, commission, tips, piece-rates, or pay-in-kind through the employeraTMs payment system (i.e., not a contractor) as specified by coverage policy or program.
FLYhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuefamily coverage**Description:**As specified by coverage policy or program.
INDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueindividual**Description:**Person as specified by coverage policy or program.
SSPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesame sex partner**Description:**A pair of people of the same gender who live together as a family as specified by coverage policy or program, e.g., Naomi and Ruth from the Book of Ruth; Socrates and Alcibiades
_CoverageItemLimitObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCoverageItemLimitObservationValue**Description:**Coded observation values for types or instances of items for which coverage is provided under a policy or program, e.g., a type of vehicle or a named work of art.
_CoverageLocationLimitObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCoverageLocationLimitObservationValue**Description:**Coded observation values for types or instances of locations for which coverage is provided under a policy or program, e.g., in the covered party home, in state or in the country.
_CriticalityObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCriticalityObservationValueA clinical judgment as to the worst case result of a future exposure (including substance administration). When the worst case result is assessed to have a life-threatening or organ system threatening potential, it is considered to be of high criticality.
CRITHhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh criticalityWorst case result of a future exposure is assessed to be life-threatening or having high potential for organ system failure.
CRITLhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuelow criticalityWorst case result of a future exposure is not assessed to be life-threatening or having high potential for organ system failure.
CRITUhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueunable to assess criticalityUnable to assess the worst case result of a future exposure.
_EmploymentStatushttp://terminology.hl7.org/CodeSystem/v3-ObservationValue_EmploymentStatusConcepts representing whether a person does or does not currently have a job or is not currently in the labor pool seeking employment.
Employedhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueEmployedIndividuals who, during the last week: a) did any work for at least 1 hour as paid or unpaid employees of a business or government organization; worked in their own businesses, professions, or on their own farms; or b) were not working, but who have a job or business from which the individual was temporarily absent because of vacation, illness, bad weather, childcare problems, maternity or paternity leave, labor-management dispute, job training, or other family or personal reasons, regardless of whether or not they were paid for the time off or were seeking other jobs.
NotInLaborForcehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueNot In Labor ForcePersons not classified as employed or unemployed, meaning those who have no job and are not looking for one.
Unemployedhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueUnemployedPersons who currently have no employment, but are available for work and have made specific efforts to find employment.
_GeneticObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueGeneticObservationValue**Description:** The domain contains genetic analysis specific observation values, e.g. Homozygote, Heterozygote, etc.
Homozygotehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueHOMO**Description:** An individual having different alleles at one or more loci regarding a specific character
_MeasurementImprovementNotationhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueMeasurement Improvement NotationObservation values that indicate what change in a measurement value or score is indicative of an improvement in the measured item or scored issue.
DecrIsImphttp://terminology.hl7.org/CodeSystem/v3-ObservationValueDecreased score indicates improvementImprovement is indicated as a decrease in the score or measurement (e.g. Lower score indicates better quality)
IncrIsImphttp://terminology.hl7.org/CodeSystem/v3-ObservationValueIncreased score indicates improvementImprovement is indicated as an increase in the score or measurement (e.g. Higher score indicates better quality)
_ObservationMeasureScoringhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueObservationMeasureScoringObservation values used to indicate the type of scoring (e.g. proportion, ratio) used by a health quality measure.
COHORThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuecohort measure scoringA measure in which either short-term cross-section or long-term longitudinal analysis is performed over a group of subjects defined by a set of common properties or defining characteristics (e.g., Male smokers between the ages of 40 and 50 years, exposure to treatment, exposure duration).
CONTVARhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuecontinuous variable measure scoringA measure score in which each individual value for the measure can fall anywhere along a continuous scale (e.g., mean time to thrombolytics which aggregates the time in minutes from a case presenting with chest pain to the time of administration of thrombolytics).
PROPORhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueproportion measure scoringA score derived by dividing the number of cases that meet a criterion for quality (the numerator) by the number of eligible cases within a given time frame (the denominator) where the numerator cases are a subset of the denominator cases (e.g., percentage of eligible women with a mammogram performed in the last year).
RATIOhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueratio measure scoringA score that may have a value of zero or greater that is derived by dividing a count of one type of data by a count of another type of data (e.g., the number of patients with central lines who develop infection divided by the number of central line days).
_ObservationMeasureTypehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueObservationMeasureTypeObservation values used to indicate what kind of health quality measure is used.
COMPOSITEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuecomposite measure typeA measure that is composed from one or more other measures and indicates an overall summary of those measures.
EFFICIENCYhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueefficiency measure typeA measure related to the efficiency of medical treatment.
EXPERIENCEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueexperience measure typeA measure related to the level of patient engagement or patient experience of care.
OUTCOMEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueoutcome measure typeA measure that indicates the result of the performance (or non-performance) of a function or process.
INTERM-OMhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueintermediate clinical outcome measureA measure that evaluates the change over time of a physiologic state observable that is associated with a specific long-term health outcome.
PRO-PMhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueintermediate clinical outcome measureA measure that is a comparison of patient reported outcomes for a single or multiple patients collected via an instrument specifically designed to obtain input directly from patients.
PROCESShttp://terminology.hl7.org/CodeSystem/v3-ObservationValueprocess measure typeA measure which focuses on a process which leads to a certain outcome, meaning that a scientific basis exists for believing that the process, when executed well, will increase the probability of achieving a desired outcome.
APPROPRIATEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueappropriate use process measureA measure that assesses the use of one or more processes where the expected health benefit exceeds the expected negative consequences.
RESOURCEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueresource use measure typeA measure related to the extent of use of clinical resources or cost of care.
STRUCTUREhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuestructure measure typeA measure related to the structure of patient care.
_PartialCompletionScalehttp://terminology.hl7.org/CodeSystem/v3-ObservationValuePartialCompletionScale
Ghttp://terminology.hl7.org/CodeSystem/v3-ObservationValueGreat extentValue for Act.partialCompletionCode attribute that implies 81-99% completion
LEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueLarge extentValue for Act.partialCompletionCode attribute that implies 61-80% completion
MEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueMedium extentValue for Act.partialCompletionCode attribute that implies 41-60% completion
MIhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueMinimal extentValue for Act.partialCompletionCode attribute that implies 1-20% completion
Nhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueNoneValue for Act.partialCompletionCode attribute that implies 0% completion
Shttp://terminology.hl7.org/CodeSystem/v3-ObservationValueSome extentValue for Act.partialCompletionCode attribute that implies 21-40% completion
_SecurityObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueSecurityObservationValueObservation values used to indicate security observation metadata.
_SECCATOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesecurity categoryAbstract security observation values used to indicate security category metadata. **Examples:** Codes conveying: * privacy law * information sensitivity * consent directive types
_SECCLASSOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesecurity classificationAbstract security observation values used to indicate security classification metadata. **Examples:** Confidentiality Codes
_SECCONOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesecurity controlAbstract security observation values used to indicate security control metadata. **Examples:** Codes conveying dissemination controls, information handling caveats, purpose of use, refrain policies, and obligations to which custodians and information receivers must comply.
_SECINTOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesecurity integrityAbstract security observation values used to indicate security integrity metadata. **Examples:** Codes conveying integrity status, integrity confidence, and provenance.
_SECALTINTOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuealteration integrityAbstract security metadata observation values used to indicate mechanism used for authorized alteration of an IT resource (data, information object, service, or system capability)
ABSTREDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueabstractedSecurity metadata observation values used to indicate the use of a more abstract version of the content, e.g., replacing exact value of an age or date field with a range, or remove the left digits of a credit card number or SSN.
AGGREDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueaggregatedSecurity metadata observation values used to indicate the use of an algorithmic combination of actual values with the result of an aggregate function, e.g., average, sum, or count in order to limit disclosure of an IT resource (data, information object, service, or system capability) to the minimum necessary.
ANONYEDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueanonymizedSecurity metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by used to indicate the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. No key to relink the data is retained.
MAPPEDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuemappedSecurity metadata observation value used to indicate that the IT resource semantic content has been transformed from one encoding to another. *Usage Note:* "MAP" code does not indicate the semantic fidelity of the transformed content. To indicate semantic fidelity for maps of HL7 to other code systems, this security alteration integrity observation may be further specified using an Act valued with Value Set: MapRelationship (2.16.840.1.113883.1.11.11052). Semantic fidelity of the mapped IT Resource may also be indicated using a SecurityIntegrityConfidenceObservation.
MASKEDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuemaskedSecurity metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) by indicating the mechanism by which software systems can make data unintelligible (that is, as unreadable and unusable by algorithmically transforming plaintext into ciphertext) such that it can only be accessed or used by authorized users. An authorized user may be provided a key to decrypt per license or "shared secret". *Usage Note:* "MASKED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has been further encrypted, and may be accessed only by an authorized user or receiver to which a decryption key is provided.
PSEUDEDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepseudonymizedSecurity metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability), by indicating the mechanism by which software systems can strip portions of the resource that could allow the identification of the source of the information or the information subject. Custodian may retain a key to relink data necessary to reidentify the information subject. *Rationale:* Personal data which has been processed to make it impossible to know whose data it is. Used particularly for secondary use of health data. In some cases, it may be possible for authorized individuals to restore the identity of the individual, e.g.,for public health case management. Based on ISO/TS 25237:2008 Health informatics—Pseudonymization
REDACTEDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueredactedSecurity metadata observation value used to indicate the mechanism by which software systems can filter an IT resource (data, information object, service, or system capability) to remove any portion of the resource that is not authorized to be access, used, or disclosed. *Usage Note:* "REDACTED" may be used, per applicable policy, as a flag to indicate to a user or receiver that some portion of an IT resource has filtered and not included in the content accessed or received.
SUBSETTEDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesubsettedMetadata observation used to indicate that some information has been removed from the source object when the view this object contains was constructed because of configuration options when the view was created. The content may not be suitable for use as the basis of a record update *Usage Note:* This is not suitable to be used when information is removed for security reasons - see the code REDACTED for this use.
SYNTAChttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesyntactic transformSecurity metadata observation value used to indicate that the IT resource syntax has been transformed from one syntactical representation to another. *Usage Note:* "SYNTAC" code does not indicate the syntactical correctness of the syntactically transformed IT resource.
TRSLThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetranslatedSecurity metadata observation value used to indicate that the IT resource has been translated from one human language to another. *Usage Note:* "TRSLT" does not indicate the fidelity of the translation or the languages translated. The fidelity of the IT Resource translation may be indicated using a SecurityIntegrityConfidenceObservation. To indicate languages, use the Value Set:HumanLanguage (2.16.840.1.113883.1.11.11526)
VERSIONEDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueversionedSecurity metadata observation value conveying the alteration integrity of an IT resource (data, information object, service, or system capability) which indicates that the resource only retains versions of an IT resource for access and use per applicable policy *Usage Note:* When this code is used, expectation is that the system has removed historical versions of the data that falls outside the time period deemed to be the effective time of the applicable version.
_SECDATINTOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedata integrityAbstract security observation values used to indicate data integrity metadata. **Examples:** Codes conveying the mechanism used to preserve the accuracy and consistency of an IT resource such as a digital signature and a cryptographic hash function.
CRYTOHASHhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuecryptographic hash functionSecurity metadata observation value used to indicate the mechanism by which software systems can establish that data was not modified in transit. *Rationale:* This definition is intended to align with the ISO 22600-2 3.3.19 definition of cryptographic checkvalue: Information which is derived by performing a cryptographic transformation (see cryptography) on the data unit. The derivation of the checkvalue may be performed in one or more steps and is a result of a mathematical function of the key and a data unit. It is usually used to check the integrity of a data unit. **Examples:** * SHA-1 * SHA-2 (Secure Hash Algorithm)
DIGSIGhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedigital signatureSecurity metadata observation value used to indicate the mechanism by which software systems use digital signature to establish that data has not been modified. *Rationale:* This definition is intended to align with the ISO 22600-2 3.3.26 definition of digital signature: Data appended to, or a cryptographic transformation (see cryptography) of, a data unit that allows a recipient of the data unit to prove the source and integrity of the data unit and protect against forgery e.g., by the recipient.
_SECINTCONOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueintegrity confidenceAbstract security observation value used to indicate integrity confidence metadata. **Examples:** Codes conveying the level of reliability and trustworthiness of an IT resource.
HRELIABLEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuehighly reliableSecurity metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be very high.
RELIABLEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuereliableSecurity metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be adequate.
UNCERTRELhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueuncertain reliabilitySecurity metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be uncertain.
UNRELIABLEhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueunreliableSecurity metadata observation value used to indicate that the veracity or trustworthiness of an IT resource (data, information object, service, or system capability) for a specified purpose of use is perceived to be or deemed by policy to be inadequate.
_SECINTPRVOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueprovenanceAbstract security metadata observation value used to indicate the provenance of an IT resource (data, information object, service, or system capability). **Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.
_SECINTPRVABOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueprovenance asserted byAbstract security provenance metadata observation value used to indicate the entity that asserted an IT resource (data, information object, service, or system capability). **Examples:** Codes conveying the provenance metadata about the entity asserting the resource.
CLINASThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueclinician assertedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a clinician.
DEVASThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedevice assertedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a device.
HCPASThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuehealthcare professional assertedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a healthcare professional.
PACQASThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepatient acquaintance assertedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient acquaintance.
PATASThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepatient assertedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a patient.
PAYASThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepayer assertedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a payer.
PROASThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueprofessional assertedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a professional.
SDMASThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesubstitute decision maker assertedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was asserted by a substitute decision maker.
_SECINTPRVRBOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueprovenance reported byAbstract security provenance metadata observation value used to indicate the entity that reported the resource (data, information object, service, or system capability). **Examples:** Codes conveying the provenance metadata about the entity reporting an IT resource.
CLINRPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueclinician reportedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a clinician.
DEVRPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedevice reportedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a device.
HCPRPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuehealthcare professional reportedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a healthcare professional.
PACQRPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepatient acquaintance reportedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient acquaintance.
PATRPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepatient reportedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a patient.
PAYRPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuepayer reportedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a payer.
PRORPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueprofessional reportedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a professional.
SDMRPThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesubstitute decision maker reportedSecurity provenance metadata observation value used to indicate that an IT resource (data, information object, service, or system capability) was reported by a substitute decision maker.
_SECINTSTOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueintegrity statusAbstract security observation values used to indicate integrity status metadata. **Examples:** Codes, such as those in the HL7 DocumentClassification code system conveying the workflow status of resource as authenticated, legally authenticated, and in progress.
SECTRSTOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesecurity trust observationObservation value used to indicate aspects of trust applicable to an IT resource (data, information object, service, or system capability).
TRSTACCRDOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetrust accreditation observationValues for security trust accreditation metadata observation made about the formal declaration by an authority or neutral third party that validates the technical, security, trust, and business practice conformance of Trust Agents to facilitate security, interoperability, and trust among participants within a security domain or trust framework.
TRSTAGREOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetrust agreement observationValues for security trust agreement metadata observation made about privacy and security requirements with which a security domain must comply. \[ISO IEC 10181-1\] \[ISO IEC 10181-1\]
TRSTCERTOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetrust certificate observationValues for security trust certificate metadata observation made about a set of security-relevant data issued by a security authority or trusted third party, together with security information which is used to provide the integrity and data origin authentication services for an IT resource (data, information object, service, or system capability). \[Based on ISO IEC 10181-1\] For example, a Certificate Policy (CP), which is a named set of rules that indicates the applicability of a certificate to a particular community and/or class of application with common security requirements. A particular Certificate Policy might indicate the applicability of a type of certificate to the authentication of electronic data interchange transactions for the trading of goods within a given price range. Another example is Cross Certification with Federal Bridge.
TRSTFWKOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuenone supplied 5Values for security trust framework metadata observation made about a complete set of contracts, regulations or commitments that enable participating actors to rely on certain assertions by other actors to fulfill their information security requirements. \[Kantara Initiative\]
TRSTLOAOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetrust assurance observationValues for security trust assurance metadata observation made about the digital quality or reliability of a trust assertion, activity, capability, information exchange, mechanism, process, or protocol.
LOAANhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueauthentication level of assurance valueThe value assigned as the indicator of the digital quality or reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] For example, the degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\]
LOAAN1http://terminology.hl7.org/CodeSystem/v3-ObservationValuelow authentication level of assuranceIndicator of low digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\] Low authentication level of assurance indicates that the relying party may have little or no confidence in the asserted identity's validity. Level 1 requires little or no confidence in the asserted identity. No identity proofing is required at this level, but the authentication mechanism should provide some assurance that the same claimant is accessing the protected transaction or data. A wide range of available authentication technologies can be employed and any of the token methods of Levels 2, 3, or 4, including Personal Identification Numbers (PINs), may be used. To be authenticated, the claimant must prove control of the token through a secure authentication protocol. At Level 1, long-term shared authentication secrets may be revealed to verifiers. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAN2http://terminology.hl7.org/CodeSystem/v3-ObservationValuebasic authentication level of assuranceIndicator of basic digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\] Basic authentication level of assurance indicates that the relying party may have some confidence in the asserted identity's validity. Level 2 requires confidence that the asserted identity is accurate. Level 2 provides for single-factor remote network authentication, including identity-proofing requirements for presentation of identifying materials or information. A wide range of available authentication technologies can be employed, including any of the token methods of Levels 3 or 4, as well as passwords. Successful authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, and online guessing attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are required. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAN3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemedium authentication level of assuranceIndicator of medium digital quality or reliability of the digital reliability of verification and validation of the process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\] Medium authentication level of assurance indicates that the relying party may have high confidence in the asserted identity's validity. Level 3 is appropriate for transactions that need high confidence in the accuracy of the asserted identity. Level 3 provides multifactor remote network authentication. At this level, identity-proofing procedures require verification of identifying materials and information. Authentication is based on proof of possession of a key or password through a cryptographic protocol. Cryptographic strength mechanisms should protect the primary authentication token (a cryptographic key) against compromise by the protocol threats, including eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks. A minimum of two authentication factors is required. Three kinds of tokens may be used: * "soft" cryptographic token, which has the key stored on a general-purpose computer, * "hard" cryptographic token, which has the key stored on a special hardware device, and * "one-time password" device token, which has symmetric key stored on a personal hardware device that is a cryptographic module validated at FIPS 140-2 Level 1 or higher. Validation testing of cryptographic modules and algorithms for conformance to Federal Information Processing Standard (FIPS) 140-2, Security Requirements for Cryptographic Modules, is managed by NIST. Authentication requires that the claimant prove control of the token through a secure authentication protocol. The token must be unlocked with a password or biometric representation, or a password must be used in a secure authentication protocol, to establish two-factor authentication. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Approved cryptographic techniques are used for all operations. Assertions issued about claimants as a result of a successful authentication are either cryptographically authenticated by relying parties (using approved methods) or are obtained directly from a trusted party via a secure authentication protocol. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAN4http://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh authentication level of assuranceIndicator of high digital quality or reliability of the digital reliability of the verification and validation process used to verify the claimed identity of an entity by securely associating an identifier and its authenticator. \[Based on ISO 7498-2\] The degree of confidence in the vetting process used to establish the identity of the individual to whom the credential was issued, and 2) the degree of confidence that the individual who uses the credential is the individual to whom the credential was issued. \[OMB M-04-04 E-Authentication Guidance for Federal Agencies\] High authentication level of assurance indicates that the relying party may have very high confidence in the asserted identity's validity. Level 4 is for transactions that need very high confidence in the accuracy of the asserted identity. Level 4 provides the highest practical assurance of remote network authentication. Authentication is based on proof of possession of a key through a cryptographic protocol. This level is similar to Level 3 except that only “hard� cryptographic tokens are allowed, cryptographic module validation requirements are strengthened, and subsequent critical data transfers must be authenticated via a key that is bound to the authentication process. The token should be a hardware cryptographic module validated at FIPS 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. This level requires a physical token, which cannot readily be copied, and operator authentication at Level 2 and higher, and ensures good, two-factor remote authentication. Level 4 requires strong cryptographic authentication of all parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the claimant prove through a secure authentication protocol that the claimant controls the token. Eavesdropper, replay, online guessing, verifier impersonation, and man-in-the-middle attacks are prevented. Long-term shared authentication secrets, if used, are never revealed to any party except the claimant and verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent verifiers by the CSP. Strong approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueauthentication process level of assurance valueThe value assigned as the indicator of the digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\]
LOAAP1http://terminology.hl7.org/CodeSystem/v3-ObservationValuelow authentication process level of assuranceIndicator of the low digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\] Low authentication process level of assurance indicates that (1) long-term shared authentication secrets may be revealed to verifiers; and (2) assertions and assertion references require protection from manufacture/modification and reuse attacks. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAP2http://terminology.hl7.org/CodeSystem/v3-ObservationValuebasic authentication process level of assuranceIndicator of the basic digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\] Basic authentication process level of assurance indicates that long-term shared authentication secrets are never revealed to any other party except Credential Service Provider (CSP). Sessions (temporary) shared secrets may be provided to independent verifiers by CSP. Long-term shared authentication secrets, if used, are never revealed to any other party except Verifiers operated by the Credential Service Provider (CSP); however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 1 requirements, assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAP3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemedium authentication process level of assuranceIndicator of the medium digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\] Medium authentication process level of assurance indicates that the token can be unlocked with password, biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication. Long-term shared authentication secrets are never revealed to any party except the Claimant and Credential Service Provider (CSP). Authentication requires that the Claimant prove, through a secure authentication protocol, that he or she controls the token. The Claimant unlocks the token with a password or biometric, or uses a secure multi-token authentication protocol to establish two-factor authentication (through proof of possession of a physical or software token in combination with some memorized secret knowledge). Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. In addition to Level 2 requirements, assertions are protected against repudiation by the Verifier.
LOAAP4http://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh authentication process level of assuranceIndicator of the high digital quality or reliability of a defined sequence of messages between a Claimant and a Verifier that demonstrates that the Claimant has possession and control of a valid token to establish his/her identity, and optionally, demonstrates to the Claimant that he or she is communicating with the intended Verifier. \[Based on NIST SP 800-63-2\] High authentication process level of assurance indicates all sensitive data transfer are cryptographically authenticated using keys bound to the authentication process. Level 4 requires strong cryptographic authentication of all communicating parties and all sensitive data transfers between the parties. Either public key or symmetric key technology may be used. Authentication requires that the Claimant prove through a secure authentication protocol that he or she controls the token. All protocol threats at Level 3 are required to be prevented at Level 4. Protocols shall also be strongly resistant to man-in-the-middle attacks. Long-term shared authentication secrets, if used, are never revealed to any party except the Claimant and Verifiers operated directly by the CSP; however, session (temporary) shared secrets may be provided to independent Verifiers by the CSP. Approved cryptographic techniques are used for all operations. All sensitive data transfers are cryptographically authenticated using keys bound to the authentication process. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAShttp://terminology.hl7.org/CodeSystem/v3-ObservationValueassertion level of assurance valueThe value assigned as the indicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes.
LOAAS1http://terminology.hl7.org/CodeSystem/v3-ObservationValuelow assertion level of assuranceIndicator of the low quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions and assertion references require protection from modification and reuse attacks. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAS2http://terminology.hl7.org/CodeSystem/v3-ObservationValuebasic assertion level of assuranceIndicator of the basic quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions are resistant to disclosure, redirection, capture and substitution attacks. Approved cryptographic techniques are required for all assertion protocols. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAS3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemedium assertion level of assuranceIndicator of the medium quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Assertions are protected against repudiation by the verifier. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOAAS4http://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh assertion level of assuranceIndicator of the high quality or reliability of the statement from a Verifier to a Relying Party (RP) that contains identity information about a Subscriber. Assertions may also contain verified attributes. Strongly resistant to man-in-the-middle attacks. "Bearer" assertions are not used. "Holder-of-key" assertions may be used. RP maintains records of the assertions. \[Summary of the technical requirements specified in NIST SP 800-63 for the four levels of assurance defined by the December 2003, the Office of Management and Budget (OMB) issued Memorandum M-04-04, E-Authentication Guidance for Federal Agencies.\]
LOACMhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetoken and credential management level of assurance value)Indicator of the digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOACM1http://terminology.hl7.org/CodeSystem/v3-ObservationValuelow token and credential management level of assuranceIndicator of the low digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Little or no confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include weak identity binding to tokens and plaintext passwords or secrets not transmitted across a network. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOACM2http://terminology.hl7.org/CodeSystem/v3-ObservationValuebasic token and credential management level of assuranceIndicator of the basic digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and its binding to an identity. Some confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verification must prove claimant controls the token; token resists online guessing, replay, session hijacking, and eavesdropping attacks; and token is at least weakly resistant to man-in-the middle attacks. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOACM3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemedium token and credential management level of assuranceIndicator of the medium digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity. High confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Ownership of token verifiable through security authentication protocol and credential management protects against verifier impersonation attacks. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOACM4http://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh token and credential management level of assuranceIndicator of the high digital quality or reliability of the activities performed by the Credential Service Provider (CSP) subsequent to electronic authentication registration, identity proofing and issuance activities to manage and safeguard the integrity of an issued credential and it’s binding to an identity. Very high confidence that an individual has maintained control over a token that has been entrusted to him or her and that that token has not been compromised. Characteristics include: Verifier can prove control of token through a secure protocol; credential management supports strong cryptographic authentication of all communication parties. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOAIDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueidentity proofing level of assuranceIndicator of the quality or reliability in the process of ascertaining that an individual is who he or she claims to be.
LOAID1http://terminology.hl7.org/CodeSystem/v3-ObservationValuelow identity proofing level of assuranceIndicator of low digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires that a continuity of identity be maintained but does not require identity proofing. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOAID2http://terminology.hl7.org/CodeSystem/v3-ObservationValuebasic identity proofing level of assuranceIndicator of some digital quality or reliability in the process of ascertaining that that an individual is who he or she claims to be. Requires identity proofing via presentation of identifying material or information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOAID3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemedium identity proofing level of assuranceIndicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOAID4http://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh identity proofing level of assuranceIndicator of high digital quality or reliability in the process of ascertaining that an individual is who he or she claims to be. Requires identity proofing procedures for verification of identifying materials and information. \[Based on Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOANRhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuenon-repudiation level of assurance valueIndicator of the digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
LOANR1http://terminology.hl7.org/CodeSystem/v3-ObservationValuelow non-repudiation level of assuranceIndicator of low digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
LOANR2http://terminology.hl7.org/CodeSystem/v3-ObservationValuebasic non-repudiation level of assuranceIndicator of basic digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
LOANR3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemedium non-repudiation level of assuranceIndicator of medium digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
LOANR4http://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh non-repudiation level of assuranceIndicator of high digital quality or reliability in the process of establishing proof of delivery and proof of origin. \[Based on ISO 7498-2\]
LOARAhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueremote access level of assurance valueIndicator of the digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. \[Based on NIST SP 800-63-2\]
LOARA1http://terminology.hl7.org/CodeSystem/v3-ObservationValuelow remote access level of assuranceIndicator of low digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. \[Based on NIST SP 800-63-2\]
LOARA2http://terminology.hl7.org/CodeSystem/v3-ObservationValuebasic remote access level of assuranceIndicator of basic digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. \[Based on NIST SP 800-63-2\]
LOARA3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemedium remote access level of assuranceIndicator of medium digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization’s security controls. \[Based on NIST SP 800-63-2\]
LOARA4http://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh remote access level of assuranceIndicator of high digital quality or reliability of the information exchange between network-connected devices where the information cannot be reliably protected end-to-end by a single organization's security controls. \[Based on NIST SP 800-63-2\]
LOATKhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetoken level of assurance valueIndicator of the digital quality or reliability of single and multi-token authentication. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOATK1http://terminology.hl7.org/CodeSystem/v3-ObservationValuelow token level of assuranceIndicator of the low digital quality or reliability of single and multi-token authentication. Permits the use of any of the token methods of Levels 2, 3, or 4. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOATK2http://terminology.hl7.org/CodeSystem/v3-ObservationValuebasic token level of assuranceIndicator of the basic digital quality or reliability of single and multi-token authentication. Requires single factor authentication using memorized secret tokens, pre-registered knowledge tokens, look-up secret tokens, out of band tokens, or single factor one-time password devices. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOATK3http://terminology.hl7.org/CodeSystem/v3-ObservationValuemedium token level of assuranceIndicator of the medium digital quality or reliability of single and multi-token authentication. Requires two authentication factors. Provides multi-factor remote network authentication. Permits multi-factor software cryptographic token. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
LOATK4http://terminology.hl7.org/CodeSystem/v3-ObservationValuehigh token level of assuranceIndicator of the high digital quality or reliability of single and multi-token authentication. Requires token that is a hardware cryptographic module validated at validated at Federal Information Processing Standard (FIPS) 140-2 Level 2 or higher overall with at least FIPS 140-2 Level 3 physical security. Level 4 token requirements can be met by using the PIV authentication key of a FIPS 201 compliant Personal Identity Verification (PIV) Card. \[Electronic Authentication Guideline - Recommendations of the National Institute of Standards and Technology, NIST Special Publication 800-63-1, Dec 2011\]
TRSTMECOBVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuenone supplied 6Values for security trust mechanism metadata observation made about a security architecture system component that supports enforcement of security policies.
_SeverityObservationhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueSeverityObservationPotential values for observations of severity.
Hhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueHighIndicates the condition may be life-threatening or has the potential to cause permanent injury.
Lhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueLowIndicates the condition may result in some adverse consequences but is unlikely to substantially affect the situation of the subject.
Mhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueModerateIndicates the condition may result in noticable adverse adverse consequences but is unlikely to be life-threatening or cause permanent injury.
_SubjectBodyPositionhttp://terminology.hl7.org/CodeSystem/v3-ObservationValue_SubjectBodyPositionContains codes for defining the observed, physical position of a subject, such as during an observation, assessment, collection of a specimen, etc. ECG waveforms and vital signs, such as blood pressure, are two examples where a general, observed position typically needs to be noted.
LLDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueleft lateral decubitusLying on the left side.
PRNhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueproneLying with the front or ventral surface downward; lying face down.
RLDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueright lateral decubitusLying on the right side.
SFWLhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueSemi-Fowler'sA semi-sitting position in bed with the head of the bed elevated approximately 45 degrees.
SIThttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesittingResting the body on the buttocks, typically with upper torso erect or semi erect.
STNhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuestandingTo be stationary, upright, vertical, on one's legs.
SUPhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesupine
RTRDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuereverse trendelenburgLying on the back, on an inclined plane, typically about 30-45 degrees with head raised and feet lowered.
TRDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuetrendelenburgLying on the back, on an inclined plane, typically about 30-45 degrees, with head lowered and feet raised.
_VerificationOutcomeValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueverification outcomeValues for observations of verification act results **Examples:** Verified, not verified, verified with warning.
ACThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueactive coverage**Definition:** Coverage is in effect for healthcare service(s) and/or product(s).
ACTPENDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueactive - pending investigation**Definition:** Coverage is in effect for healthcare service(s) and/or product(s) - Pending Investigation
ELGhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueeligible**Definition:** Coverage is in effect for healthcare service(s) and/or product(s).
INACThttp://terminology.hl7.org/CodeSystem/v3-ObservationValueinactive**Definition:** Coverage is not in effect for healthcare service(s) and/or product(s).
INPNDINVhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueinactive - pending investigation**Definition:** Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Investigation.
INPNDUPDhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueinactive - pending eligibility update**Definition:** Coverage is not in effect for healthcare service(s) and/or product(s) - Pending Eligibility Update.
NELGhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuenot eligible**Definition:** Coverage is not in effect for healthcare service(s) and/or product(s). May optionally include reasons for the ineligibility.
_WorkSchedulehttp://terminology.hl7.org/CodeSystem/v3-ObservationValue_WorkScheduleConcepts that describe an individual's typical arrangement of working hours for an occupation.
DShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuedaytime shiftA person who is scheduled for work during daytime hours (for example between 6am and 6pm) on a regular basis.
EMShttp://terminology.hl7.org/CodeSystem/v3-ObservationValueearly morning shiftConsistent Early morning schedule of 13 hours or less per shift (between 2 am and 2 pm)
EShttp://terminology.hl7.org/CodeSystem/v3-ObservationValueevening shiftA person who is scheduled for work during evening hours (for example between 2pm and midnight) on a regular basis.
NShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuenight shiftScheduled for work during nighttime hours (for example between 9pm and 8am) on a regular basis.
RSWNhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuerotating shift with nightsScheduled for work times that change periodically between days, and/or evenings, and includes some night shifts.
RSWONhttp://terminology.hl7.org/CodeSystem/v3-ObservationValuerotating shift without nightsScheduled for work days/times that change periodically between days, but does not include night or evening work.
SShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuesplit shiftShift consisting of two distinct work periods each day that are separated by a break of a few hours (for example 2 to 4 hours)
VLShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuevery long shiftShifts of 17 or more hours.
VShttp://terminology.hl7.org/CodeSystem/v3-ObservationValuevariable shiftIrregular, unpredictable hours scheduled on a short notice (for example, less than 2 day notice): inconsistent schedule, on-call, as needed, as available.
_AnnotationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueAnnotationValue
_ECGAnnotationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueECGAnnotationValue
_CommonClinicalObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValuecommon clinical observation**Description:**Used in a patient care message to value simple clinical (non-lab) observations.
_CommonClinicalObservationAssertionValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCommonClinicalObservationAssertionValue**Definition:** The non-laboratory, non-DI (diagnostic imaging) coded observation if no value is also required to convey the full meaning of the observation. This may be a single concept code or a complex expression.
_CommonClinicalObservationResultValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCommonClinicalObservationResultValue**Definition:** The non-laboratory, non-diagnostic imaging coded result of the coded observable or "question" represented by the paired concept from the the NonLabDICodedObservationType domain. \] **Examples:**An APGAR result, a functional assessment, etc. The value must not require a specific unit of measure.
_CoverageChemicalDependencyValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCoverageChemicalDependencyValue**Definition:** The category of addiction used for coverage purposes that may refer to a substance, the consumption of which may result in physical or emotional harm.
_IndividualCaseSafetyReportValueDomainshttp://terminology.hl7.org/CodeSystem/v3-ObservationValueIndividual Case Safety Report Value DomainsThis domain is established as a parent to a variety of value domains being defined to support the communication of Individual Case Safety Reports to regulatory bodies. Arguably, this aggregation is not taxonomically pure, but the grouping will facilitate the management of these domains.
_CaseSeriousnessCriteriahttp://terminology.hl7.org/CodeSystem/v3-ObservationValueCaseSeriousnessCriteriaA code that provides information on the overall effect or outcome of the adverse reaction/adverse event reported in the ICSR. Note the criterion applies to the case as a whole and not to an individual reaction. Example concepts are: death, disability, hospitalization, congenital anomaly/ birth defect, and other medically important condition.
_DeviceManufacturerEvaluationInterpretationhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueDeviceManufacturerEvaluationInterpretationA code set that includes codes that are used to characterize the outcome of the device evaluation process. The code defines the manufacturer's conclusions following the evaluation. Examples include: inadequate alarms, device maintenance contributed to event, device failed just prior to use, user error caused event
_DeviceManufacturerEvaluationMethodhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueDeviceManufacturerEvaluationMethodCode assigned to indicate a relevant fact within the context of the evaluation of a reported product. There are a number of concept types including the status of the evaluation, the type of evaluation findings, and the type of activity carried out as part of the evaluation process. Examples include: Actual device involved in incident was evaluated, electrical tests performed, visual examination.
_DeviceManufacturerEvaluationResulthttp://terminology.hl7.org/CodeSystem/v3-ObservationValueDeviceManufacturerEvaluationResultCode assigned to indicate an outcome of the manufacturer's investigation of a product for which a defect has been reported. Examples include:.component/subassembly failure: air cleaner, computer-, imaging system-, microprocessor-controlled device problem: cache memory, design -- not fail safe.
_PertinentReactionRelatednesshttp://terminology.hl7.org/CodeSystem/v3-ObservationValuePertinent Reaction RelatednessA code to capture the reporter's assessment of the extent to which the reaction is related to the suspect product reported in the ICSR. Example concepts include: related, not related, possibly related and unlikely related.
_ProductCharacterizationhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueProduct CharacterizationA code that characterizes the role that the primary reporter felt that the suspect intervention -- either a substance administration or a device related procedure - played in the incident being reported. This code will capture the primary reporter's assessment of the role that the suspect product played in the incident reported in the ICSR. Examples include: Suspect, Concomitant, Interacting, Re-challenge.
_ReactionActionTakenhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueReactionActionTakenCode used to indicate the action taken by practitioner in response to the problem (whether drug or device related) that is reported in the ICSR. Examples include: failing device replaced, medication stopped, medication dose adjusted.
_SubjectReactionhttp://terminology.hl7.org/CodeSystem/v3-ObservationValueSubject ReactionA code to capture the kind of reaction that was suffered by the investigated subject, and that is being reported in the ICSR. At this point, SNOMED or MedDRA have been suggested as code systems to be used for providing this information. Example concepts include hives, swelling, rash, anaphylactic shock.
_SubjectReactionEmphasishttp://terminology.hl7.org/CodeSystem/v3-ObservationValueSubjectReactionEmphasisCode that captures the emphasis that the reporter placed on this reaction. Examples include: highlighted by the reporter, NOT serious, Not highlighted by the reporter, NOT serious, Highlighted by the reporter, SERIOUS, Not highlighted by the reporter, SERIOUS.
_SubjectReactionOutcomehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueSubjectReactionOutcomeCode that captures the type of outcome from an individual outcome of a reaction to the suspect product reported in the ICSR. Examples include: Recovered/resolved. Recovering/resolving, Not recovered/not resolved, Recovered/resolved with sequelae, Fatal.
_InjuryObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueInjuryObservationValueValues for observations of injuries.
_IntoleranceValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueIntoleranceValueCodes identifying pariticular groupings of allergens and other agents which cause allergies and intolerances. E.g. the drug, allergen group, food or environmental agent which triggers the intolerance
_IssueTriggerObservationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueIssueTriggerObservationValueThe combined domain for different types of coded observation issue triggers, such as diagnoses, allergies, etc.
_OtherIndicationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueOtherIndicationValueIndicates an observed reason for a medical action other than an indication or symptom. E.g. Need for a contrast agent prior to a diagnostic image, need for anesthesia prior to surgery, etc.
_IndicationValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueIndicationValueIndicates the specific observation result which is the reason for the action (prescription, lab test, etc.). E.g. Headache, Ear infection, planned diagnostic image (requiring contrast agent), etc.
_DiagnosisValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueDiagnosisValueDiagnosis Value
_SymptomValuehttp://terminology.hl7.org/CodeSystem/v3-ObservationValueSymptomValueIndicates an observed abnormality in the patientaTMs condition, but does not assert causation. E.g. Runny nose, swelling, flaky skin, etc.

Explanation of the columns that may appear on this page:

Level A few code lists that FHIR defines are hierarchical - each code is assigned a level. In this scheme, some codes are under other codes, and imply that the code they are under also applies
Source The source of the definition of the code (when the value set draws in codes defined elsewhere)
Code The code (used as the code in the resource instance)
Display The display (used in the display element of a Coding). If there is no display, implementers should not simply display the code, but map the concept into their application
Definition An explanation of the meaning of the concept
Comments Additional notes about how to use the code

History

DateActionCustodianAuthorComment
2020-05-06reviseVocabulary WGTed KleinMigrated to the UTG maintenance environment and publishing tooling.
2014-03-26revise2014T1_2014-03-26_001283 (RIM release ID)Vocabulary (Woody Beeler) (no record of original request)Lock all vaue sets untouched since 2014-03-26 to trackingId 2014T1_2014_03_26