{
  "package" : "hl7.terminology@6.3.0",
  "definition" : "Privacy metadata indicating the level of protection required under atypical cicumstances to safeguard potentially damaging or harmful information, which if disclosed without authorization, would (1) present an extremely high risk of harm to an individual's reputation, sense of privacy, and possibly safety; or (2) impact an individual's or organization's legal matters.\\r\\n\\r\\n*Usage Note:* The level of protection afforded very restricted confidential information is dictated by specially protective privacy or legal policies intended to ensure that under atypical circumstances additional protections limit access to only those with a high 'need to know' and the information is kept in highest confidence..\\r\\n\\r\\nPrivacy and legal policies mandating the highest level of protection by stringently restricting information access, preempt less protective privacy policies when the information is used in the delivery and management of healthcare including legal proceedings related to healthcare. May be pre-empted by jurisdictional law (e.g., for public health reporting or emergency treatment but only under limited circumstances).\\r\\n\\r\\nConfidentiality code total order hierarchy: Very Restricted (V) is the highest protection level and subsumes all other protection levels s (i.e., *R, N, M, L, and UI*).\\r\\n\\r\\n**Examples:** \\r\\n\\r\\nIncludes information about a victim of abuse, patient requested information sensitivity, and taboo subjects relating to health status that must be discussed with the patient by an attending provider before sharing with the patient. May also include information held under a legal hold or attorney-client privilege.",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
  "property" : [ {
    "code" : "status",
    "valueCode" : "active"
  }, {
    "code" : "internalId",
    "valueCode" : "14799"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "parent",
    "_implicit" : true,
    "valueCode" : "_Confidentiality"
  } ],
  "codesystem" : "97d75d0e-ca69-5ded-bae0-15ae73439703",
  "concept_id" : "e75be303-0cb7-59a7-a3fc-3475be952a46",
  "ancestors" : {
    "V" : 0,
    "_Confidentiality" : 1
  },
  "id" : "0e324ce7-8a12-43f5-ac26-ba3da44bdfcc",
  "code" : "V",
  "display" : "very restricted",
  "version" : "3.0.0"
}