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://hl7.org/fhir/v3/Confidentiality", Display = "restricted"
• Normal: Code = "N", System = "http://hl7.org/fhir/v3/Confidentiality", Display = "normal"

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

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

Example

 "resource": {
        "resourceType": "Condition",
        "id": "129",
        "meta": {
          "versionId": "20160723123649",
          "lastUpdated": "2016-07-23T12:36:49+00:00",
          "security": [
            {
              "system": "http://hl7.org/fhir/v3/Confidentiality",
              "code": "R",
              "display": "restricted"
            }
          ]
        },
        "text": {
          "status": "generated",
          "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>2016-07-23 Alcohol dependence</p></div>"
        },
        "patient": {
          "reference": "Patient/35"
        },
        "code": {
          "coding": [
            {
              "system": "http://oridashi.com.au/system/code/bestpracticeterm",
              "code": "81",
              "display": "Alcohol dependence"
            },
            {
              "system": "http://snomed.info/sct",
              "code": "66590003",
              "display": "Alcohol dependence"
            }
          ],
          "text": "Alcohol dependence"
        },
        "category": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "439401001",
              "display": "Diagnosis"
            }
          ]
        },
        "clinicalStatus": "active",
        "verificationStatus": "confirmed",
        "onsetDateTime": "2016-07-23",
        "abatementBoolean": false
 }