0.0.1 - ci-build
0.0.1 - ci-build
ShiftPrivacyExamples, published by SHIFT-Task-Force. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SHIFT-Task-Force/demo-fhir-data/ and changes regularly. See the Directory of published versions
Contents:
This page provides a list of the FHIR artifacts defined as part of this implementation guide.
Resources related to Carl Frederickson's Care Team
| ACO Care Manager |
Care manager for Springfield ACO |
| ACO Care Manager PractitionerRole |
Care manager role for Springfield ACO |
| Bundle of Carl Frederickson's Care Team and Related Resources |
A FHIR Bundle containing Carl Frederickson's Care Team and all related Practitioner, PractitionerRole, and Organization resources |
| Dr. Aurora - Anesthesiologist |
Dr. Aurora, anesthesiologist at Orthopedic Health Services |
| Dr. Aurora - Anesthesiologist PractitionerRole |
Anesthesiologist provider role for Dr. Aurora at Orthopedic Health Services |
| Dr. Banner - Radiologist |
Dr. Banner, radiologist at Regional Advanced Diagnostic Services |
| Dr. Banner - Radiologist PractitionerRole |
Radiologist provider role for Dr. Banner at Regional Advanced Diagnostic Services |
| Dr. Funke - Psychiatrist |
Dr. Funke, psychiatrist at Springfield Medical Center |
| Dr. Funke - Psychiatrist PractitionerRole |
Psychiatrist provider role for Dr. Funke at Springfield Medical Center |
| Dr. Hibbert - Primary Care Physician |
Dr. Hibbert, primary care physician at Springfield Medical Center |
| Dr. Hibbert - Primary Care PractitionerRole |
Primary care provider role for Dr. Hibbert at Springfield Medical Center |
| Dr. Sasquatch - Podiatrist |
Dr. Sasquatch, podiatrist at Orthopedic Health Services |
| Dr. Sasquatch - Podiatrist PractitionerRole |
Podiatrist provider role for Dr. Sasquatch at Orthopedic Health Services |
| Dr. White - 42 CFR II Psychiatrist |
Dr. White, psychiatrist specializing in substance use treatment at Springfield Medical Center Addiction Program |
| Dr. White - 42 CFR II Psychiatrist PractitionerRole |
42 CFR II Psychiatrist provider role for Dr. White at Springfield Medical Center Addiction Program |
| Lucy van Pelt - Therapist |
Lucy van Pelt, psychotherapist at Springfield Medical Center |
| Lucy van Pelt - Therapist PractitionerRole |
Therapist provider role for Lucy van Pelt at Springfield Medical Center |
| Orthopedic Health Services |
Orthopedic Health Services, specializing in musculoskeletal care |
| Regional Advanced Diagnostic Services |
Regional Advanced Diagnostic Services, providing specialized radiology and imaging services |
| Springfield ACO |
Springfield Accountable Care Organization, coordinating care for improved health outcomes |
| Springfield Medical Center |
Springfield Medical Center, providing comprehensive healthcare services |
| Springfield Medical Center Addiction Program |
Addiction treatment program at Springfield Medical Center, compliant with 42 CFR Part 2 |
Resources related to Carl Frederickson
| Bundle - All of Carl Frederickson |
A bundle containing all resources related to Carl Frederickson |
| Carl Frederickson's Multi-Disciplinary Care Team |
Comprehensive care team covering primary care, behavioral health, specialty care, and care coordination |
| Condition - Bilateral Bunions |
Bilateral bunions diagnosis for Carl Frederickson |
| Condition - Essential Hypertension |
Essential hypertension diagnosis for Carl Frederickson |
| Condition - Major Depressive Disorder |
Major depressive disorder, recurrent, moderate for Carl Frederickson |
| Condition - Obsessive-Compulsive Personality Disorder |
Obsessive-compulsive personality disorder for Carl Frederickson |
| Condition - Opiate Use Disorder |
Opiate Use Disorder for Carl Frederickson |
| Diagnostic Report - Bilateral Feet X-Ray |
X-ray, bilateral feet, weightbearing, 2 views: dorsoplantar (DP) and axial for Carl Frederickson |
| Mapple Vitals - Blood Pressure Measurement |
Mapple vitals blood pressure reading for Carl Frederickson |
| Medication - Buprenorphine/Naltrexone |
Buprenorphine/Naltrexone for treatment of OUD Buprenorphine/naltrexone 16mg/4mg (2x 8mg/2mg SL tablets) SL daily |
| MedicationRequest - Captopril |
Captopril 12.5mg PO BID prescription for Carl Frederickson |
| MedicationRequest - Fluoxetine |
Fluoxetine prescription for Carl Frederickson |
| MedicationRequest - Ibuprofen for Carl Frederickson |
Ibuprofen 800mg PO TID as needed - Note: Not placed |
| Observation - OUD Thought Record |
Substance use cognitive behavioral therapy thought record for Carl Frederickson |
| Observation - PHQ-9 Depression Screening |
PHQ-9 Depression screening questionnaire for Carl Frederickson |
| Observation - PHQ-9 Depression Screening |
PHQ-9 Depression screening questionnaire for Carl Frederickson |
| Patient Carl Frederickson |
Patient demographics for Carl Frederickson |
| Related Person - Ellie Frederickson |
Related person information for Ellie Frederickson, spouse and portal proxy |
Resources related to Security Labeling Services
| CodeSystem - Local Sensitive Kind Codes |
Local CodeSystem for Sensitive Kind Codes used in meta.security labels |
| ValueSet - Example Behavioral Health Codes |
Example set of codes representing behavioral health conditions requiring special privacy protections Identified as: v3-ActCode#BH |
| ValueSet - Example Hallucinogen Codes |
Example set of codes representing hallucinogen abuse requiring special privacy protections Identified as: local#hallucinogen and local#bh_substances/SUD |
| ValueSet - Example Opioid Codes |
Example set of codes representing opioid abuse requiring special privacy protections. Identified as: local#opioid |
| ValueSet - Example Sensitive Kind Codes |
Example set of codes representing kinds of sensitive information requiring special privacy protections |
| ValueSet - Example Sexuality and Reproductive Health Codes |
Example set of codes representing sexuality and reproductive health requiring special privacy protections Identified as: v3-ActCode#SEX |
| ValueSet - Example Substance Use Codes |
Example set of codes representing substance use requiring special privacy protections. Inclusive of medications, conditions, and observations; as no matter where these codes show up they would indicate the sensitivity kind SUD. Identified as: SUD |
These define sets of codes used by systems conforming to this implementation guide.
| AB352 Segmentation Tags |
ValueSet of security labels used to segment AB352-sensitive health information in meta.security. |
| Abortion-Related Health Topics (Health Net California) |
Health Net explains and references 500073-Abortion-DX-Code-List.pdf file primarily within its Provider Library and through Provider Bulletins related to legislative compliance. The specific explanation is found in the context of Assembly Bill (AB) 352, which mandates the segregation and protection of sensitive health data. Where the Explanation is Located:
How Health Net Directs Providers to Use This File: According to the site's AB 352 guidance, Health Net recommends that IT and Billing departments download this PDF and use the listed codes to create firewalls in EHR systems. If a patient's record contains any code found in 500073-Abortion-DX-Code-List.pdf, the system should automatically:
Direct Link to the Document: 500073-Abortion-DX-Code-List.pdf Note: This list may not be all-inclusive and is subject to change. |
| Contraception-Related Health Topics |
Clinical concepts related to contraception drawn from LOINC, SNOMED CT, and ICD-10-CM. Intended for segmentation of sensitive reproductive health information under AB352. This ValueSet does not include code recommendations from Health Net California. Health Net California does not have a single source document for contraception-related codes similar to their abortion-related code list. Instead, Health Net references multiple sources, including the DHCS Family PACT Code List, within various policy documents.
|
| Gender-Affirming Care Codes (Health Net California) |
CPT and ICD-10-CM codes referenced in Health Net California's clinical policy 'HNCA.CP.MP.496 - Gender Affirming Procedures'. Intended for segmentation of gender-affirming care under AB352. Health Net Bulletin 24-351 Health Net's bulletin 24-351 explicitly tells providers that services defined in policies like HNCA.CP.MP.496 must be:
Where to Find and Download HNCA.CP.MP.496.pdf Health Net maintains this policy in several locations within their provider libraries:
|
| Synthea Codes for attention_deficit_disorder |
A ValueSet containing all clinical codes found in the sensitive Synthea module: attention_deficit_disorder. |
| Synthea Codes for cerebral_palsy |
A ValueSet containing all clinical codes found in the sensitive Synthea module: cerebral_palsy. |
| Synthea Codes for cystic_fibrosis |
A ValueSet containing all clinical codes found in the sensitive Synthea module: cystic_fibrosis. |
| Synthea Codes for dementia |
A ValueSet containing all clinical codes found in the sensitive Synthea module: dementia. |
| Synthea Codes for opioid_addiction |
A ValueSet containing all clinical codes found in the sensitive Synthea module: opioid_addiction. |
| Synthea Codes for pregnancy |
A ValueSet containing all clinical codes found in the sensitive Synthea module: pregnancy. |
| Synthea Codes for self_harm |
A ValueSet containing all clinical codes found in the sensitive Synthea module: self_harm. |
| Synthea Codes for spina_bifida |
A ValueSet containing all clinical codes found in the sensitive Synthea module: spina_bifida. |
| Synthea Cognitive Disability Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to cognitive and neurological disabilities. |
| Synthea Genetic Disability Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to genetic diseases. |
| Synthea Mental and Behavioral Health Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to mental health conditions, including ADD, PTSD, and self-harm events. |
| Synthea Reproductive Health Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to reproductive health, including pregnancy, contraception, and sexual activity. |
| Synthea Substance Abuse Codes |
A comprehensive ValueSet encompassing codes from all Synthea modules related to Opioid Addiction, OUD treatment, and chronic pain prescribing. |
| 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)
|
| 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)
|
| clinical codes that indicate HIV |
HIV/AIDS information
|
| 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)
|
| 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 (substance use)??
|
| 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 SAMHSA valuesets seem to be labeled as if they are only about sexuality and reproductive health, but do include sexual abuse and sexually transmitted disease.
|
These define new code systems used by systems conforming to this implementation guide.
| Health Information Sensitivity Categories |
Code system defining sensitivity categories for health information segmentation under California AB352. Note did not use HL7 v2-ActCodes as two of the three categories are not represented there, and the GENDER code may be more broad than GENDER_AFFIRMING_CARE as intended here. |
These are example instances that show what data produced and consumed by systems conforming with this implementation guide might look like.
| AB352 Organizational Privacy Consent - Allow All |
A FHIR Consent instance that is an explicit consent for AB 352 protected data, with provisions that reflect Patient allowing all access.
|
| AB352 Organizational Privacy Consent - breath |
A FHIR Consent instance that is an explicit consent for AB 352 protected data, with provisions that reflect the statutory requirements, with auto-filter bypassed for in-state recipients. Breath first - not possible with R6 consent structure, but shown here for clarity.
|
| AB352 Organizational Privacy Consent - depth |
A FHIR Consent instance that is an explicit consent for AB 352 protected data, with provisions that reflect the statutory requirements, with auto-filter bypassed for in-state recipients.
|
| AB352 Organizational Privacy Consent - four deep |
A FHIR Consent instance that is an explicit consent for AB 352 protected data, with provisions that reflect the statutory requirements, with auto-filter bypassed for in-state recipients, and exception for data from 2014.
|
| California Location |
Location resource representing California for use in Consent provisions. |
| Observation - Sexual Orientation for Monica Rambeau |
Sexual Orientation Observation for Monica Rambeau |
| Observation - Sexual Orientation for Monica Rambeau |
Sexual Orientation Observation for Monica Rambeau |
| Patient Monica Rambeau, age 16 |
Patient demographics for Monica Rambeau |
| Patient Monica Rambeau, age 19 |
Patient demographics for Monica Rambeau |