Cross-Version Extension for DocumentReference.securityLabel in R4

Context of Use

This extension may be used in the following contexts:

Name	Flags	Card.	Type	Description & Constraints
Extension		0..*	Extension	Document security-tags
extension		..0
value[x]		1..	CodeableConcept
url				"http://hl7.org/fhir/4.0/StructureDefinition/extension-DocumentReference.securityLabel"
Documentation for this format

{
  "resourceType" : "StructureDefinition",
  "id" : "xv-r4-dcr.securityLabel",
  "url" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-DocumentReference.securityLabel",
  "name" : "XVerExtensionDocumentReference.securityLabelR4",
  "title" : "Cross-Version Extension for DocumentReference.securityLabel in R4",
  "status" : "active",
  "experimental" : false,
  "publisher" : "Health Level Seven International (Structured Documents)",
  "contact" : [{
    "telecom" : [{
      "system" : "url",
      "value" : "http://hl7.org/fhir"
    }]
  },
  {
    "telecom" : [{
      "system" : "url",
      "value" : "http://www.hl7.org/Special/committees/structure/index.cfm"
    }]
  }],
  "description" : "Cross-Version Extension for DocumentReference.securityLabel. Valid in versions R2, R3\r\n\r\nThis is a valid extension because it has the following codes that are not in other versions http://terminology.hl7.org/CodeSystem/v3-ActReason#CLINTRCHPC, http://terminology.hl7.org/CodeSystem/v3-ActCode#_ActInformationSensitivityPolicy, http://terminology.hl7.org/CodeSystem/v3-ActReason#PRECLINTRCH, http://terminology.hl7.org/CodeSystem/v3-ActReason#ERTREAT, http://terminology.hl7.org/CodeSystem/v3-ActCode#VIO, http://terminology.hl7.org/CodeSystem/v3-ActCode#ACCESSCONSCHEME, http://terminology.hl7.org/CodeSystem/v3-ActUSPrivacyLaw#_ActUSPrivacyLaw, http://terminology.hl7.org/CodeSystem/v3-ActCode#_RoleInformationSensitivityPolicy, http://terminology.hl7.org/CodeSystem/v3-ActReason#POARCH, http://terminology.hl7.org/CodeSystem/v3-ActCode#FMCOMPT, http://terminology.hl7.org/CodeSystem/v3-ActCode#ACOCOMPT, http://terminology.hl7.org/CodeSystem/v3-ActCode#SPI, http://terminology.hl7.org/CodeSystem/v3-ActReason#BTG, http://terminology.hl7.org/CodeSystem/v3-ActCode#DELEPOL, http://terminology.hl7.org/CodeSystem/v3-ActReason#LABELING, http://terminology.hl7.org/CodeSystem/v3-ObservationValue#_SECALTINTOBV, http://terminology.hl7.org/CodeSystem/v3-ActCode#OPIOIDUD, http://terminology.hl7.org/CodeSystem/v3-ActCode#_InformationSensitivityPolicy, http://terminology.hl7.org/CodeSystem/v3-ActCode#EMOTDIS, http://terminology.hl7.org/CodeSystem/v3-ActCode#_EntitySensitivityPolicyType, http://terminology.hl7.org/CodeSystem/v3-ObservationValue#_SECINTPRVABOBV, http://terminology.hl7.org/CodeSystem/v3-ObservationValue#_SECDATINTOBV, http://terminology.hl7.org/CodeSystem/v3-ActCode#COGN, http://terminology.hl7.org/CodeSystem/v3-ActReason#HTEST, http://terminology.hl7.org/CodeSystem/v3-ActCode#PHY, http://terminology.hl7.org/CodeSystem/v3-ActCode#PACOMPT, http://terminology.hl7.org/CodeSystem/v3-ActReason#BIORCH, http://terminology.hl7.org/CodeSystem/v3-ActCode#MST, http://terminology.hl7.org/CodeSystem/v3-ActCode#LRCOMPT, http://terminology.hl7.org/CodeSystem/v3-ActReason#MILCDM, http://terminology.hl7.org/CodeSystem/v3-ActCode#CTCOMPT, http://terminology.hl7.org/CodeSystem/v3-ActReason#COC, http://terminology.hl7.org/CodeSystem/v3-ActReason#TRANSRCH, http://terminology.hl7.org/CodeSystem/v3-ObservationValue#_SECINTPRVRBOBV, http://terminology.hl7.org/CodeSystem/v3-ActReason#METAMGT, http://terminology.hl7.org/CodeSystem/v3-ActReason#SYSDEV, http://terminology.hl7.org/CodeSystem/v3-ActReason#MILDCRG, http://terminology.hl7.org/CodeSystem/v3-ActReason#DSRCH, http://terminology.hl7.org/CodeSystem/v3-ActCode#PSYTHPN, http://terminology.hl7.org/CodeSystem/v3-ObservationValue#_SECINTCONOBV, http://terminology.hl7.org/CodeSystem/v3-ActCode#BH, http://terminology.hl7.org/CodeSystem/v3-ActCode#ETHUD, http://terminology.hl7.org/CodeSystem/v3-ActCode#AUTHPOL, http://terminology.hl7.org/CodeSystem/v3-ActCode#SUD, http://terminology.hl7.org/CodeSystem/v3-ObservationValue#_SECINTPRVOBV, http://terminology.hl7.org/CodeSystem/v3-ActCode#DVD, http://terminology.hl7.org/CodeSystem/v3-ActReason#CLINTRCHNPC, http://terminology.hl7.org/CodeSystem/v3-ActReason#HDM, http://terminology.hl7.org/CodeSystem/v3-ActCode#MH",
  "jurisdiction" : [{
    "coding" : [{
      "system" : "http://unstats.un.org/unsd/methods/m49/m49.htm",
      "code" : "001"
    }]
  }],
  "fhirVersion" : "5.0.0",
  "kind" : "complex-type",
  "abstract" : false,
  "type" : "Extension",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Extension",
  "derivation" : "constraint",
  "differential" : {
    "element" : [{
      "path" : "Extension",
      "short" : "Document security-tags",
      "definition" : "A set of Security-Tag codes specifying the level of privacy/security of the Document. Note that DocumentReference.meta.security contains the security labels of the \"reference\" to the document, while DocumentReference.securityLabel contains a snapshot of the security labels on the document the reference refers to.",
      "comment" : "The confidentiality codes can carry multiple vocabulary items. HL7 has developed an understanding of security and privacy tags that might be desirable in a Document Sharing environment, called HL7 Healthcare Privacy and Security Classification System (HCS). The following specification is recommended but not mandated, as the vocabulary bindings are an administrative domain responsibility. The use of this method is up to the policy domain such as the XDS Affinity Domain or other Trust Domain where all parties including sender and recipients are trusted to appropriately tag and enforce.   \n\nIn the HL7 Healthcare Privacy and Security Classification (HCS) there are code systems specific to Confidentiality, Sensitivity, Integrity, and Handling Caveats. Some values would come from a local vocabulary as they are related to workflow roles and special projects.",
      "requirements" : "Use of the Health Care Privacy/Security Classification (HCS) system of security-tag use is recommended.",
      "min" : 0,
      "max" : "*",
      "isModifier" : false,
      "mapping" : [{
        "identity" : "fhircomposition",
        "map" : "Composition.confidentiality, Composition.meta.security"
      },
      {
        "identity" : "v2",
        "map" : "TXA-18"
      },
      {
        "identity" : "rim",
        "map" : ".confidentialityCode"
      },
      {
        "identity" : "xds",
        "map" : "DocumentEntry.confidentialityCode"
      },
      {
        "identity" : "cda",
        "map" : "ClinicalDocument/confidentialityCode/@code"
      }]
    },
    {
      "path" : "Extension.extension",
      "max" : "0"
    },
    {
      "path" : "Extension.value[x]",
      "min" : 1,
      "type" : [{
        "code" : "CodeableConcept"
      }]
    },
    {
      "path" : "Extension.url",
      "fixedUri" : "http://hl7.org/fhir/4.0/StructureDefinition/extension-DocumentReference.securityLabel"
    }]
  }
}