JohnMoehrke Consent with Segmented data
0.1.0-current - ci-build International flag

JohnMoehrke Consent with Segmented data, published by John Moehrke (himself). This guide is not an authorized publication; it is the continuous build for version 0.1.0-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/JohnMoehrke/ConsentWithSegmentation/ and changes regularly. See the Directory of published versions

Artifacts Summary

Contents:

This page provides a list of the FHIR artifacts defined as part of this implementation guide.

Structures: Resource Profiles

These define constraints on FHIR resources for systems conforming to this implementation guide.

Consent to allow use for treatment

Some useful

Terminology: Value Sets

These define sets of codes used by systems conforming to this implementation guide.

clinical codes that indicate ETH

codes that when found in data would indicate the data is likely ETH related

ETH - substance abuse information sensitivity (alcohol or drug-abuse information)

  • SAMSHA C2S Alcohol Use Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.1 // SNOMEDCD
    • ValueSet 2.16.840.1.113762.1.4.1142.2 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.3 // RXNORM
    • ValueSet 2.16.840.1.113762.1.4.1142.4 // ICD10CD
    • ValueSet 2.16.840.1.113762.1.4.1142.5 // LOINC
  • SAMSHA C2S Amphetamine Use Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.10 // RXNORM
    • ValueSet 2.16.840.1.113762.1.4.1142.11 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.6 // HCPCS
    • ValueSet 2.16.840.1.113762.1.4.1142.7 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.8 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.9 // LOINC
  • SAMSHA C2S Cannabis Use Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.12 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.13 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.14 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.15 // SNOMED-CT
  • SAMSHA C2S Cocaine Use Disorder
    • ValueSet 2.16.840.1.113762.1.4.1142.16 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.17 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.18 // SNOMED-CT
  • SAMSHA C2S Hallucinogens
    • ValueSet 2.16.840.1.113762.1.4.1142.19 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.20 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.21 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.22 // SNOMED-CT
  • SAMSHA C2S Inhalants
    • ValueSet 2.16.840.1.113762.1.4.1142.28 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.29 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.30 // SNOMED-CT
  • SAMSHA C2S Opioids
    • ValueSet 2.16.840.1.113762.1.4.1142.38 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.39 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.40 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.41 // RXNORM
    • ValueSet 2.16.840.1.113762.1.4.1142.42 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.59 // CPT
  • SAMSHA C2S Other Psychoactive Substance Use Disorder
    • ValueSet 2.16.840.1.113762.1.4.1142.43 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.44 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.45 // ICD10CM
  • SAMSHA C2S Sedative Hypnotic, or anxiolytic related disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.46 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.47 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.48 // ICD9CM
  • SAMSHA C2S Substance use Information Sensitivity
    • ValueSet 2.16.840.1.113762.1.4.1142.55 // HCPCS
    • ValueSet 2.16.840.1.113762.1.4.1142.56 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.57 // RXNORM
  • SAMSHA Test C2S Alcohol Use Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.65 // SNOMED-CT
clinical codes that indicate ETHUD

codes that when found in data would indicate the data is likely ETHUD related

ETHUD - alcohol abuse information sensitivity (alcohol abuse information)

  • SAMSHA C2S Alcohol Use Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.1 // SNOMEDCD
    • ValueSet 2.16.840.1.113762.1.4.1142.2 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.3 // RXNORM
    • ValueSet 2.16.840.1.113762.1.4.1142.4 // ICD10CD
    • ValueSet 2.16.840.1.113762.1.4.1142.5 // LOINC
  • SAMSHA Test C2S Alcohol Use Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.65 // SNOMED-CT
clinical codes that indicate HIV

HIV/AIDS information

  • SAMSHA C2S HIV/AIDS Information
    • ValueSet 2.16.840.1.113762.1.4.1142.23 // HCPCS
    • ValueSet 2.16.840.1.113762.1.4.1142.24 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.25 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.26 // RXNORM
    • ValueSet 2.16.840.1.113762.1.4.1142.27 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.60 // CPT
  • SAMSHA Test C2S HIV/AIDS Information Sensitivity
    • ValueSet 2.16.840.1.113762.1.4.1142.67 // SNOMEDCD
clinical codes that indicate OPIOIDUD

codes that when found in data would indicate the data is likely OPIOIDUD related

OPIOIDUD - Opioid substance abuse information sensitivity (drug-abuse information)

  • SAMSHA C2S Amphetamine Use Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.10 // RXNORM
    • ValueSet 2.16.840.1.113762.1.4.1142.11 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.6 // HCPCS
    • ValueSet 2.16.840.1.113762.1.4.1142.7 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.8 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.9 // LOINC
  • SAMSHA C2S Cannabis Use Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.12 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.13 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.14 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.15 // SNOMED-CT
  • SAMSHA C2S Cocaine Use Disorder
    • ValueSet 2.16.840.1.113762.1.4.1142.16 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.17 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.18 // SNOMED-CT
  • SAMSHA C2S Hallucinogens
    • ValueSet 2.16.840.1.113762.1.4.1142.19 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.20 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.21 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.22 // SNOMED-CT
  • SAMSHA C2S Inhalants
    • ValueSet 2.16.840.1.113762.1.4.1142.28 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.29 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.30 // SNOMED-CT
  • SAMSHA C2S Opioids
    • ValueSet 2.16.840.1.113762.1.4.1142.38 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.39 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.40 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.41 // RXNORM
    • ValueSet 2.16.840.1.113762.1.4.1142.42 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.59 // CPT
  • SAMSHA C2S Other Psychoactive Substance Use Disorder
    • ValueSet 2.16.840.1.113762.1.4.1142.43 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.44 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.45 // ICD10CM
  • SAMSHA C2S Sedative Hypnotic, or anxiolytic related disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.46 // SNOMED-CT
    • ValueSet 2.16.840.1.113762.1.4.1142.47 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.48 // ICD9CM
  • SAMSHA C2S Substance use Information Sensitivity
    • ValueSet 2.16.840.1.113762.1.4.1142.55 // HCPCS
    • ValueSet 2.16.840.1.113762.1.4.1142.56 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.57 // RXNORM
clinical codes that indicate PSY

codes that when found in data would indicate the data is likely PSY related

PSY - psychiatry disorder information sensitivity

??should this include MH (Mental Health), PSYTHPN (psychotherapy note), and SUD (subsance use)??

  • SAMSHA C2S Mental Health Disorders
    • ValueSet 2.16.840.1.113762.1.4.1142.32 // ICD10CM
    • ValueSet 2.16.840.1.113762.1.4.1142.33 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.34 // LOINC
    • ValueSet 2.16.840.1.113762.1.4.1142.35 // RXNORM
    • ValueSet 2.16.840.1.113762.1.4.1142.36 // SNOMED-CT
clinical codes that indicate SDV

SDV - Sexual assault, abuse or domestic violence

??should this also include SEX (sexuality and reproductive health information sensitivity), PREGNANT (pregnancy), STD (sexually transmitted disease)? The SAMSHA valuesets seem to be labeled as if they are only about sexuality and reproductive health, but do include sexual abuse and sexually transmitted disease.

  • SAMSHA C2S Sexuality and reproductive health information sensitivity
    • ValueSet 2.16.840.1.113762.1.4.1142.49 // ICD9CM
    • ValueSet 2.16.840.1.113762.1.4.1142.50 // RXNORM

Example: Example Instances

These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.

Consent for sons access example

Consent justifying RelatedPerson and authorizing access by that RelatedPerson
Consent for treatment example

Consent for purposes of use involved in treatment: Treatment/Payment/Operations
DocumentReference Consent Paperwork example

DocumentReference example of the paperwork of the Consent
Example Organization holding the data

The Organization that holds the data, and enforcing any Consents
Example of an MHV blood sugar R4 observation

holding typical health values

  • SLS assessed this as not sensitvie
  • SLS added Normal due to not sensitive
Observation - SH: Alcohol Use

This example Observation resource to represent alcohol use assessment in a patient summary.

  • SLS assessed this as ETH
  • SLS added Restricted due to the ETH assessment
Patient example

Patient example for completeness sake.
Practitioner example doctor

Practitioner example for the doctor.
Son - Related Person

Son of the Patient authorized by a Consent
Son2 - Related Person

Son2 of the Patient authorized by a Consent