Confidentiality Usage

Confidentiality (security) for resource content is managed as metadata

http://hl7.org/fhir/resource.html#Meta

Represented as security labels:

http://hl7.org/fhir/security-labels.html

In Hiasobi usage security is applied for 'confidentiality' on Condition or Procedure resources (as supported by the clinical systems)

There are two codes used:

• Confidential: Code = "R", System = "http://terminology.hl7.org/CodeSystem/v3-Confidentiality", Display = "restricted"
• Normal: Code = "N", System = "http://terminology.hl7.org/CodeSystem/v3-Confidentiality", Display = "normal"

These are applied on every Condition and Procedure resource Meta element. e.g.

      "security": [
          {
             "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
             "code": "R",
             "display": "restricted"
           }
      ]

Full example

    {
        "resourceType": "Condition",
        "id": "082EB55DBC004E41B5E37E643DC2E124.1020",
        "meta": {
          "versionId": "20210520002317",
          "lastUpdated": "2021-05-20T00:23:17+00:00",
          "security": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
              "code": "R",
              "display": "restricted"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2021-05-20 Diabetes Mellitus, Type 2</p></div>"
        },
        "clinicalStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code": "active",
              "display": "Active"
            }
          ],
          "text": "active"
        },
        "verificationStatus": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code": "confirmed",
              "display": "Confirmed"
            }
          ],
          "text": "confirmed"
        },
        "category": [
          {
            "coding": [
              {
                "system": "http://snomed.info/sct",
                "code": "439401001",
                "display": "Diagnosis"
              }
            ]
          }
        ],
        "code": {
          "coding": [
            {
              "system": "http://oridashi.com.au/system/code/bestpracticeterm",
              "code": "778",
              "display": "Diabetes Mellitus, Type 2"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "44054006",
              "display": "Diabetes Mellitus, Type 2"
            },
            {
              "system": "http://oridashi.com.au/system/code/medicaldirectorterm",
              "code": "diabm@niddm",
              "display": "Diabetes Mellitus, Type 2"
            },
            {
              "system": "http://hl7.org.au/fhir/sid/icpc-2plus",
              "code": "T90009",
              "display": "Diabetes Mellitus, Type 2"
            }
          ],
          "text": "Diabetes Mellitus, Type 2"
        },
        "subject": {
          "reference": "Patient/082EB55DBC004E41B5E37E643DC2E124.21"
        },
        "onsetDateTime": "2021-05-20",
        "asserter": {
          "reference": "Practitioner/082EB55DBC004E41B5E37E643DC2E124.1"
        }
      }
    }