cda Refrain Policy Security Observation

[Observation: templateId 2.16.840.1.113883.3.445.23]

This template is constrains the Security Observation to specify a "refrain
          policy code". This template reuses the SecurityObservation implementing the HL7
          Healthcare Security Classification (HCS) standard.

Contained By Contains
Privacy Annotation Template  
  1. SHALL contain exactly one [1..1] templateId ( CONF-CD-23 ) such that it
    1. SHALL contain exactly one [1..1] @root="2.16.840.1.113883.3.445.23"
  2. SHALL conform to cda Security Observation template (templateId: 2.16.840.1.113883.3.445.21) (CONF:16826)
  3. SHALL contain exactly one [1..1] code (CONF:14841)/@code="SECCONOBS" Security Control Observation Type (CodeSystem: 2.16.840.1.113883.1.11.20457 SecurityObservationTypeCodeSystem) (CONF:14885)
    • This element specifies the type of security metadata observation made about the
                  control of an IT resource (data, information object, service, or system capability),
                  which may be used to make access control decisions. Security control metadata convey
                  instructions to users and receivers for secure distribution, transmission,and storage;
                  dictate obligations or mandated actions; specify any action prohibited by refrain policy
                  such as dissemination controls; and stipulate the permissible purpose of use of an IT

  4. SHALL contain exactly one [1..1] value (CONF:9134), where the @code SHALL be selected from ValueSet HL7 RefrainPolicy 2.16.840.1.113883.1.11.20446 DYNAMIC (CONF:9135)
    • This attribute specifies a type of refrain policy, specifically.

cda Refrain Policy Security Observation example

    <observation classCode="OBS" moodCode="EVN">
        <!-- Security Observation -->
        <templateId root="2.16.840.1.113883.3.445.21"
            assigningAuthorityName="HL7 CBCC"/>
        <!--  Refrain Policy Code template -->
        <templateId root="2.16.840.1.113883.3.445.23"
            assigningAuthorityName="HL7 CBCC"/>
        <code code="SECCONOBS" codeSystem="2.16.840.1.113883.1.11.20457"
            displayName="Security Classification"
            codeSystemName="HL7 SecurityObservationTypeCodeSystem"/>
        <!-- Value set constraint "2.16.840.1.113883.1.11.20446" -->
        <value xsi:type="CE" code="NORDSLCD"
            displayName="Prohibition on redisclosure without patient consent directive">
            <originalText>Prohibition on redisclosure without patient
                consent directive</originalText>