<?xml version=“1.0” encoding=“UTF-8”?>

<ValueSet xmlns=“hl7.org/fhir”>

<id value="nhin-purposeofuse"/>
<text>
  <status value="generated"/>
  <div xmlns="http://www.w3.org/1999/xhtml">
    <h2>NHIN PurposeOfUse</h2>
    <p>This value set is suitable for use with the provenance resource. It is derived from, but not compatible with, the HL7 v3 Purpose of use Code system.</p>
    <p>This value set has an inline code system http://healthit.gov/nhin/purposeofuse, which defines the following codes:</p>
    <table class="codes">
      <tr>
        <td>
          <b>Code</b>
        </td>
        <td>
          <b>Display</b>
        </td>
        <td>
          <b>Definition</b>
        </td>
        <td>
          <b>
            <a href="v3\PurposeOfUse\index.html">NHIN / V3 Mapping</a>
          </b>
        </td>
      </tr>
      <tr>
        <td>TREATMENT
          <a name="TREATMENT"> </a>
        </td>
        <td>Treatment</td>
        <td>Treatment</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-TREAT">TREAT</a>
        </td>
      </tr>
      <tr>
        <td>PAYMENT
          <a name="PAYMENT"> </a>
        </td>
        <td>Payment</td>
        <td>Payment</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HPAYMT">HPAYMT</a>
        </td>
      </tr>
      <tr>
        <td>OPERATIONS
          <a name="OPERATIONS"> </a>
        </td>
        <td>Operations</td>
        <td>Healthcare Operations</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HOPERAT">HOPERAT</a>
        </td>
      </tr>
      <tr>
        <td>SYSADMIN
          <a name="SYSADMIN"> </a>
        </td>
        <td>Sysadmin</td>
        <td>System Administration</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-SYSADMIN">SYSADMIN</a>
        </td>
      </tr>
      <tr>
        <td>FRAUD
          <a name="FRAUD"> </a>
        </td>
        <td>Fraud</td>
        <td>Fraud detection</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-FRAUD">FRAUD</a>
        </td>
      </tr>
      <tr>
        <td>PSYCHOTHERAPY
          <a name="PSYCHOTHERAPY"> </a>
        </td>
        <td>Psychotherapy</td>
        <td>Use or disclosure of Psychotherapy Notes</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PSYCHOTHERAPY">PSYCHOTHERAPY</a>
        </td>
      </tr>
      <tr>
        <td>TRAINING
          <a name="TRAINING"> </a>
        </td>
        <td>Training</td>
        <td>Use or disclosure by the covered entity for its own training programs</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-TRAINING">TRAINING</a>
        </td>
      </tr>
      <tr>
        <td>LEGAL
          <a name="LEGAL"> </a>
        </td>
        <td>Legal</td>
        <td>Use or disclosure by the covered entity to defend itself in a legal action</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
        </td>
      </tr>
      <tr>
        <td>MARKETING
          <a name="MARKETING"> </a>
        </td>
        <td>Marketing</td>
        <td>Marketing</td>
        <td>
          <span title="narrower">&gt;</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HMARKT">HMARKT</a>
          <i>(Not clear how much difference there is between &#39;marketing&#39; and &#39;healthcare marketing&#39;)</i>
        </td>
      </tr>
      <tr>
        <td>DIRECTORY
          <a name="DIRECTORY"> </a>
        </td>
        <td>Directory</td>
        <td>Use and disclosure for facility directories</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HDIRECT">HDIRECT</a>
        </td>
      </tr>
      <tr>
        <td>FAMILY
          <a name="FAMILY"> </a>
        </td>
        <td>Family</td>
        <td>Disclose to a family member, other relative, or a close personal friend of the individual</td>
        <td/>
      </tr>
      <tr>
        <td>PRESENT
          <a name="PRESENT"> </a>
        </td>
        <td>Present</td>
        <td>Uses and disclosures with the individual present.</td>
        <td/>
      </tr>
      <tr>
        <td>EMERGENCY
          <a name="EMERGENCY"> </a>
        </td>
        <td>Emergency</td>
        <td>Permission cannot practicably be provided because of the individual&#39;s incapacity or an emergency.</td>
        <td/>
      </tr>
      <tr>
        <td>DISASTER
          <a name="DISASTER"> </a>
        </td>
        <td>Disaster</td>
        <td>Use and disclosures for disaster relief purposes.</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-DISASTER">DISASTER</a>
        </td>
      </tr>
      <tr>
        <td>PUBLICHEALTH
          <a name="PUBLICHEALTH"> </a>
        </td>
        <td>Public Health</td>
        <td>Uses and disclosures for public health activities.</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PUBHLTH">PUBHLTH</a>
        </td>
      </tr>
      <tr>
        <td>ABUSE
          <a name="ABUSE"> </a>
        </td>
        <td>Abuse</td>
        <td>Disclosures about victims of abuse, neglect or domestic violence.</td>
        <td/>
      </tr>
      <tr>
        <td>OVERSIGHT
          <a name="OVERSIGHT"> </a>
        </td>
        <td>Oversight</td>
        <td>Uses and disclosures for health oversight activities.</td>
        <td/>
      </tr>
      <tr>
        <td>JUDICIAL
          <a name="JUDICIAL"> </a>
        </td>
        <td>Judicial</td>
        <td>Disclosures for judicial and administrative proceedings.</td>
        <td>
          <span title="wider">&lt;</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
        </td>
      </tr>
      <tr>
        <td>LAW
          <a name="LAW"> </a>
        </td>
        <td>Law Enforcement</td>
        <td>Disclosures for law enforcement purposes.</td>
        <td>
          <span title="wider">&lt;</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HLEGAL">HLEGAL</a>
        </td>
      </tr>
      <tr>
        <td>DECEASED
          <a name="DECEASED"> </a>
        </td>
        <td>Deceased</td>
        <td>Uses and disclosures about decedents.</td>
        <td/>
      </tr>
      <tr>
        <td>DONATION
          <a name="DONATION"> </a>
        </td>
        <td>Donation</td>
        <td>Uses and disclosures for cadaveric organ,  eye or tissue donation purposes</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-DONAT">DONAT</a>
        </td>
      </tr>
      <tr>
        <td>RESEARCH
          <a name="RESEARCH"> </a>
        </td>
        <td>Research</td>
        <td>Uses and disclosures for research purposes.</td>
        <td>
          <span title="narrower">&gt;</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-HRESCH">HRESCH</a>
          <i>(Not clear how much difference there is between &#39;research&#39; and &#39;healthcare research&#39;)</i>
        </td>
      </tr>
      <tr>
        <td>THREAT
          <a name="THREAT"> </a>
        </td>
        <td>Threat</td>
        <td>Uses and disclosures to avert a serious threat to health or safety.</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-THREAT">THREAT</a>
        </td>
      </tr>
      <tr>
        <td>GOVERNMENT
          <a name="GOVERNMENT"> </a>
        </td>
        <td>Government</td>
        <td>Uses and disclosures for specialized government functions.</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-GOV">GOV</a>
        </td>
      </tr>
      <tr>
        <td>WORKERSCOMP
          <a name="WORKERSCOMP"> </a>
        </td>
        <td>Worker&#39;s Comp</td>
        <td>Disclosures for workers&#39; compensation.</td>
        <td/>
      </tr>
      <tr>
        <td>COVERAGE
          <a name="COVERAGE"> </a>
        </td>
        <td>Coverage</td>
        <td>Disclosures for insurance or disability coverage determination</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-OVAUTH">OVAUTH</a>
        </td>
      </tr>
      <tr>
        <td>REQUEST
          <a name="REQUEST"> </a>
        </td>
        <td>Request</td>
        <td>Request of the Individual</td>
        <td>
          <span title="equivalent">~</span>
          <a href="v3\PurposeOfUse\index.html#http---hl7.org-fhir-v3-ActReason-PATRQT">PATRQT</a>
        </td>
      </tr>
    </table>
  </div>
</text>
<contained>
  <ConceptMap>
    <id value="map"/>
    <name value="NHIN / V3 Mapping"/>
    <status value="draft"/>
    <sourceReference>
      <reference value="http://hl7.org/fhir/ValueSet/nhin-purposeofuse"/>
    </sourceReference>
    <targetReference>
      <reference value="http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"/>
    </targetReference>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="TREATMENT"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="TREAT"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="PAYMENT"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="HPAYMT"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="OPERATIONS"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="HOPERAT"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="SYSADMIN"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="SYSADMIN"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="FRAUD"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="FRAUD"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="PSYCHOTHERAPY"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="PSYCHOTHERAPY"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="TRAINING"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="TRAINING"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="LEGAL"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="HLEGAL"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="MARKETING"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="HMARKT"/>
        <equivalence value="narrower"/>
        <comments value="Not clear how much difference there is between &#39;marketing&#39; and &#39;healthcare marketing&#39;"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="DIRECTORY"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="HDIRECT"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="DISASTER"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="DISASTER"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="PUBLICHEALTH"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="PUBHLTH"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="JUDICIAL"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="HLEGAL"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="LAW"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="HLEGAL"/>
        <equivalence value="wider"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="DONATION"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="DONAT"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="RESEARCH"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="HRESCH"/>
        <equivalence value="narrower"/>
        <comments value="Not clear how much difference there is between &#39;research&#39; and &#39;healthcare research&#39;"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="THREAT"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="THREAT"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="GOVERNMENT"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="GOV"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="COVERAGE"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="OVAUTH"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
    <element>
      <codeSystem value="http://healthit.gov/nhin/purposeofuse"/>
      <code value="REQUEST"/>
      <target>
        <codeSystem value="http://hl7.org/fhir/v3/ActReason"/>
        <code value="PATRQT"/>
        <equivalence value="equivalent"/>
      </target>
    </element>
  </ConceptMap>
</contained>
<extension url="http://hl7.org/fhir/StructureDefinition/valueset-map">
  <valueReference>
    <reference value="#map"/>
  </valueReference>
</extension>

<!– set of loinc codes for cholesterol for LONC 2.36 –>

<url value="http://hl7.org/fhir/ValueSet/nhin-purposeofuse"/>
<version value="2.0"/>
<name value="NHIN PurposeOfUse"/>
<status value="active"/>
<experimental value="false"/>
<publisher value="Nationwide Health Information Network (NHIN)"/>
<contact>
  <telecom>
    <system value="other"/>
    <value value="https://www.healthit.gov/sites/default/files/nhin-authorization-framework-production-specification-v2.0-1.pdf"/>
  </telecom>
</contact>
<date value="2010-01-29"/>
<description value="This value set is suitable for use with the provenance resource. It is derived from, but not compatible with, the HL7 v3 Purpose of use Code system."/>
<codeSystem>
  <system value="http://healthit.gov/nhin/purposeofuse"/>
  <version value="2.0"/>
  <caseSensitive value="true"/>
  <concept>
    <code value="TREATMENT"/>
    <display value="Treatment"/>
    <definition value="Treatment"/>
  </concept>
  <concept>
    <code value="PAYMENT"/>
    <display value="Payment"/>
    <definition value="Payment"/>
  </concept>
  <concept>
    <code value="OPERATIONS"/>
    <display value="Operations"/>
    <definition value="Healthcare Operations"/>
  </concept>
  <concept>
    <code value="SYSADMIN"/>
    <display value="Sysadmin"/>
    <definition value="System Administration"/>
  </concept>
  <concept>
    <code value="FRAUD"/>
    <display value="Fraud"/>
    <definition value="Fraud detection"/>
  </concept>
  <concept>
    <code value="PSYCHOTHERAPY"/>
    <display value="Psychotherapy"/>
    <definition value="Use or disclosure of Psychotherapy Notes"/>
  </concept>
  <concept>
    <code value="TRAINING"/>
    <display value="Training"/>
    <definition value="Use or disclosure by the covered entity for its own training programs"/>
  </concept>
  <concept>
    <code value="LEGAL"/>
    <display value="Legal"/>
    <definition value="Use or disclosure by the covered entity to defend itself in a legal action"/>
  </concept>
  <concept>
    <code value="MARKETING"/>
    <display value="Marketing"/>
    <definition value="Marketing"/>
  </concept>
  <concept>
    <code value="DIRECTORY"/>
    <display value="Directory"/>
    <definition value="Use and disclosure for facility directories"/>
  </concept>
  <concept>
    <code value="FAMILY"/>
    <display value="Family"/>
    <definition value="Disclose to a family member, other relative, or a close personal friend of the individual"/>
  </concept>
  <concept>
    <code value="PRESENT"/>
    <display value="Present"/>
    <definition value="Uses and disclosures with the individual present."/>
  </concept>
  <concept>
    <code value="EMERGENCY"/>
    <display value="Emergency"/>
    <definition value="Permission cannot practicably be provided because of the individual&#39;s incapacity or an emergency."/>
  </concept>
  <concept>
    <code value="DISASTER"/>
    <display value="Disaster"/>
    <definition value="Use and disclosures for disaster relief purposes."/>
  </concept>
  <concept>
    <code value="PUBLICHEALTH"/>
    <display value="Public Health"/>
    <definition value="Uses and disclosures for public health activities."/>
  </concept>
  <concept>
    <code value="ABUSE"/>
    <display value="Abuse"/>
    <definition value="Disclosures about victims of abuse, neglect or domestic violence."/>
  </concept>
  <concept>
    <code value="OVERSIGHT"/>
    <display value="Oversight"/>
    <definition value="Uses and disclosures for health oversight activities."/>
  </concept>
  <concept>
    <code value="JUDICIAL"/>
    <display value="Judicial"/>
    <definition value="Disclosures for judicial and administrative proceedings."/>
  </concept>
  <concept>
    <code value="LAW"/>
    <display value="Law Enforcement"/>
    <definition value="Disclosures for law enforcement purposes."/>
  </concept>
  <concept>
    <code value="DECEASED"/>
    <display value="Deceased"/>
    <definition value="Uses and disclosures about decedents."/>
  </concept>
  <concept>
    <code value="DONATION"/>
    <display value="Donation"/>
    <definition value="Uses and disclosures for cadaveric organ,  eye or tissue donation purposes"/>
  </concept>
  <concept>
    <code value="RESEARCH"/>
    <display value="Research"/>
    <definition value="Uses and disclosures for research purposes."/>
  </concept>
  <concept>
    <code value="THREAT"/>
    <display value="Threat"/>
    <definition value="Uses and disclosures to avert a serious threat to health or safety."/>
  </concept>
  <concept>
    <code value="GOVERNMENT"/>
    <display value="Government"/>
    <definition value="Uses and disclosures for specialized government functions."/>
  </concept>
  <concept>
    <code value="WORKERSCOMP"/>
    <display value="Worker&#39;s Comp"/>
    <definition value="Disclosures for workers&#39; compensation."/>
  </concept>
  <concept>
    <code value="COVERAGE"/>
    <display value="Coverage"/>
    <definition value="Disclosures for insurance or disability coverage determination"/>
  </concept>
  <concept>
    <code value="REQUEST"/>
    <display value="Request"/>
    <definition value="Request of the Individual"/>
  </concept>
</codeSystem>

</ValueSet>