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Confidentiality      [2.16.840.1.113883.5.25]

Description:

Values that control disclosure of information.

Example: Normal, restricted, substance abuse related.

OpenIssue: Description copied from Concept Domain of same name. Must be verified.

Lvl- Typ Concept Code
  Head Code-defined Value Set
Print Name Definition, Properties, Relationships
0-A _ConfidentialityByAccessKind
 v:ConfidentialityByAccessKind
ConfidentialityByAccessKind

Definition:

By accessing subject / role and relationship based rights (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.)

Concept Relationships:
  Generalizes (derived): B D I L N R V

1-L B business

Definition:

Since the service class can represent knowledge structures that may be considered a trade or business secret, there is sometimes (though rarely) the need to flag those items as of business level confidentiality. However, no patient related information may ever be of this confidentiality level.

Concept Relationships:
  Specializes: _ConfidentialityByAccessKind

1-L D clinician

Definition:

Only clinicians may see this item, billing and administration persons can not access this item without special permission.

Concept Relationships:
  Specializes: _ConfidentialityByAccessKind

1-L I individual

Definition:

Access only to individual persons who are mentioned explicitly as actors of this service and whose actor type warrants that access (cf. to actor type code).

Concept Relationships:
  Specializes: _ConfidentialityByAccessKind

1-L L low

Definition:

No patient record item can be of low confidentiality. However, some service objects are not patient related and therefore may have low confidentiality.

Concept Relationships:
  Specializes: _ConfidentialityByAccessKind

1-L N normal

Definition:

Normal confidentiality rules (according to good health care practice) apply, that is, only authorized individuals with a legitimate medical or business need may access this item.

Concept Relationships:
  Specializes: _ConfidentialityByAccessKind

1-L R restricted

Definition:

Restricted access, e.g. only to providers having a current care relationship to the patient.

Concept Relationships:
  Specializes: _ConfidentialityByAccessKind

1-L V very restricted

Definition:

Very restricted access as declared by the Privacy Officer of the record holder.

Concept Relationships:
  Specializes: _ConfidentialityByAccessKind

0-A _ConfidentialityByInfoType
 v:ConfidentialityByInfoType
ConfidentialityByInfoType

Definition:

By information type, only for service catalog entries (multiples allowed). Not to be used with actual patient data!

Concept Relationships:
  Generalizes (derived): ETH HIV PSY SDV

1-L ETH substance abuse related

Definition:

Alcohol/drug-abuse related item

Concept Relationships:
  Specializes: _ConfidentialityByInfoType

1-L HIV HIV related

Definition:

HIV and AIDS related item

Concept Relationships:
  Specializes: _ConfidentialityByInfoType

1-L PSY psychiatry relate

Definition:

Psychiatry related item

Concept Relationships:
  Specializes: _ConfidentialityByInfoType

1-L SDV sexual and domestic violence related

Definition:

Sexual assault / domestic violence related item

Concept Relationships:
  Specializes: _ConfidentialityByInfoType

0-A _ConfidentialityModifiers
 v:ConfidentialityModifiers
ConfidentialityModifiers

Definition:

Modifiers of role based access rights (multiple allowed)

Concept Relationships:
  Generalizes (derived): C S T

1-L C celebrity

Definition:

Celebrities are people of public interest (VIP) including employees, whose information require special protection.

Concept Relationships:
  Specializes: _ConfidentialityModifiers

1-L S sensitive

Definition:

Information for which the patient seeks heightened confidentiality. Sensitive information is not to be shared with family members. Information reported by the patient about family members is sensitive by default. Flag can be set or cleared on patient's request.

Concept Relationships:
  Specializes: _ConfidentialityModifiers

1-L T taboo

Definition:

Information not to be disclosed or discussed with patient except through physician assigned to patient in this case. This is usually a temporary constraint only, example use is a new fatal diagnosis or finding, such as malignancy or HIV.

Concept Relationships:
  Specializes: _ConfidentialityModifiers


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