Return to contents

Confidentiality
Lvl Type, Domain name and/or Mnemonic code Concept ID Mnemonic Print Name Definition/Description
1 A: ConfidentialityByAccessKind 10229 By accessing subject / role and relationship based rights (These concepts are mutually exclusive, one and only one is required for a valid confidentiality coding.)
2   L:  (B) 10235 B business 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.
2   L:  (D) 10231 D clinician only clinicians may see this item, billing and administration persons can not access this item without special permission.
2   L:  (I) 10233 I individual 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.)
2   L:  (L) 10234 L low No patient record item can be of low confidentiality. However, some service objects are not patient related and therefore may have low confidentiality.
2   L:  (N) 10230 N normal 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.
2   L:  (R) 10232 R restricted Restricted access, e.g. only to providers having a current care relationship to the patient.
2   L:  (V) 14799 V Very restricted Very restricted access as declared by the Privacy Officer of the record holder.
1 A: ConfidentialityByInfoType 10240 By information type, only for service catalog entries (multiples allowed) Not to be used with actual patient data!
2   L:  (ETH) 10243 ETH substance abuse related Alcohol/drug-abuse related item
2   L:  (HIV) 10241 HIV HIV related HIV and AIDS related item
2   L:  (PSY) 10242 PSY psychiatry relate Psychiatry related item
2   L:  (SDV) 10244 SDV sexual and domestic violence related Sexual assault / domestic violence related item
1 A: ConfidentialityModifiers 10236 Modifiers of role based access rights (multiple allowed)
2   L:  (C) 10239 C celebrity Celebrities are people of public interest (VIP) including employees, whose information require special protection.
2   L:  (S) 10237 S sensitive 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.
2   L:  (T) 10238 T taboo 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.

Return to contents