{
  "package" : "hl7.terminology@6.3.0",
  "definition" : "A code representing 45 CFR 164.522 Rights to request privacy protection for protected health information, which is a US Federal law stipulating the privacy rights of an individual to restrict disclosure of information related to health care items or services for which the individual pays out of pocket in full to a health plan or payer.\\r\\n\\r\\nSee 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: (A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full.\\r\\n\\r\\n*Usage Note:* Used to indicate the legal authority for assigning security labels to HIPAA governed information. In this case, the collection, access, use, or disclosure of healthcare information is governed by HIPAA 45 CFR 164.522 https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-522.pdf use \\\"HIPAASelfPay\\\" as the security label policy code.\\r\\n\\r\\nSince information governed by a HIPAA 45 CFR 164.522 has a level of confidentiality protection that is more stringent than the normal level of protection under 45 CFR Section 164.506 Uses and disclosures to carry out treatment, payment, or health care operations https://www.gpo.gov/fdsys/pkg/CFR-2017-title45-vol1/pdf/CFR-2017-title45-vol1-sec164-506.pdf, assign the HL7 Confidentiality code \\\"R\\\" (restricted).",
  "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
  "property" : [ {
    "_uri" : "http://hl7.org/fhir/concept-properties#status",
    "code" : "status",
    "valueCode" : "active"
  }, {
    "_uri" : "http://terminology.hl7.org/CodeSystem/utg-concept-properties#v3-internal-id",
    "code" : "internalId",
    "valueCode" : "23765"
  }, {
    "_uri" : "http://hl7.org/fhir/concept-properties#parent",
    "code" : "subsumedBy",
    "valueCode" : "_ActUSPrivacyLaw"
  } ],
  "codesystem" : "638964c5-6f49-5686-925e-fad50ec626e9",
  "concept_id" : "6df8855a-faf7-5685-a08a-e8120cf98dcd",
  "ancestors" : {
    "HIPAASelfPay" : 0,
    "_ActPolicyType" : 4,
    "_ActPrivacyLaw" : 2,
    "_ActUSPrivacyLaw" : 1,
    "_ActPrivacyPolicy" : 3
  },
  "id" : "ac810134-400d-48d4-a020-d5fe02c823c6",
  "code" : "HIPAASelfPay",
  "display" : "HIPAA self-pay",
  "version" : "9.0.0"
}