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Define a security label for patient non-disclosure #134

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Jun 22, 2023
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Define a security label for patient non-disclosure #134

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df00214
Define a security label for patient non-disclosure
mikajylha Jun 15, 2023
19865c8
Fix grammar
mikajylha Jun 15, 2023
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20 changes: 20 additions & 0 deletions input/fsh/examples/patientWithTurvakielto.fsh
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Original file line number Diff line number Diff line change
@@ -0,0 +1,20 @@
Instance: PatientWithTurvakielto
InstanceOf: FiBasePatient
Title: "Patient - has TURVAKIELTO security label."
Description: "An example of a FI Base patient that has the TURVAKIELTO security label indicating non-disclosure for personal safety reasons."
Usage: #example
* meta.security[0] = SecurityLabelCS#TURVAKIELTO
* id = "patient-with-turvakielto"
* identifier[PIC]
* use = #official
* type = #NNFIN
* system = #urn:oid:1.2.246.21
* value = "010190-999X"
* birthDate = "1990-01-01"
* name
* given = "Turva"
* family = "Henkilö"
* active = true
* extension[MunicipalityCode].valueCoding.system = #urn:oid:1.2.246.537.6.21.2003
* extension[MunicipalityCode].valueCoding.code = #020
* extension[MunicipalityCode].valueCoding.display = "Akaa"
14 changes: 14 additions & 0 deletions input/fsh/security.fsh
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CodeSystem: SecurityLabelCS
Id: SecurityLabelCS
Title: "Finnish CodeSystem for security labels"
Description: "This is the CodeSystem for security labels in accordance with finnish authorities"
* ^status = #active
* ^experimental = false
* #TURVAKIELTO "Turvakielto"
"A non-disclosure for personal safety reasons according to DVV."

ValueSet: SecurityLabelVS
Title: "Finnish ValueSet for security labels in accordance with finnish authorities"
* ^status = #active
* ^experimental = false
* SecurityLabelCS#TURVAKIELTO
25 changes: 4 additions & 21 deletions input/pagecontent/StructureDefinition-fi-base-patient-intro.md
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Expand Up @@ -92,27 +92,10 @@ time of day is not known, the date SHALL be recorded as a date only, without the
The birth time, when known, SHALL be recorded using the
[standard extension](http://hl7.org/fhir/extensions/StructureDefinition-patient-birthTime.html).

#### Use of non-disclosure information

Finnish citizens that have requested name and address protection
([Non-disclosure for personal safety](https://dvv.fi/en/non-disclosure-for-personal-safety)) are
labeled with the security label. The preferred way to do this is shown below.

```
<Patient xmlns="http://hl7.org/fhir">
<meta>
<security>
<system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="R"/>
<display value="Restricted"/>
</security>
</meta>
... [snip] ...
</Patient>
```

Use of this label should be interpreted according to the law, rouhgly meaning that only personnel
using systems in their work are allowed to see the name and address for the patient.
#### Non-disclosure for personal safety

DVV may grant a [non-disclosure for personal safety](https://dvv.fi/en/non-disclosure-for-personal-safety).
This is communicated by `TURVAKIELTO` security label.

#### Presenting guardian information

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