# text.div
Generated Narrative: ValueSet vn-audit-purpose-of-use-vs

This value set includes codes based on the following rules:

Import all the codes that are contained in the intersection of Mục đích xử lý dữ liệu y tế — VN Consent Purpose ValueSet

Include these codes as defined in http://terminology.hl7.org/CodeSystem/v3-ActReason version 📍4.0.0

Code | Display | Definition

BTG

break the glass

To perform policy override operations on information for provision of immediately needed health care for an emergent condition affecting potential harm, death or patient safety by end users who are not provisioned for this purpose of use. Includes override of organizational provisioning policies and may include override of subject of care consent directive restricting access.

*Map:* Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care." The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.

ETREAT | Emergency Treatment | To perform one or more operations on information for provision of immediately needed health care for an emergent condition.

ERTREAT

emergency room treatment

To perform one or more operations on information for provision of immediately needed health care for an emergent condition in an emergency room or similar emergent care context by end users provisioned for this purpose, which does not constitute as policy override such as in a "Break the Glass" purpose of use.

Map:Partially Maps to ISO 14265 Classification Term "Emergency care provision to an individual subject of care" described as "To inform persons needing to provide health care services to the subject of care urgently, possibly needing to over-ride the policies and consents pertaining to Purpose 1 above." Purpose 1 is equivalent to HL7 treatment purpose of use: "Clinical care provision to an individual subject of care" described as "To inform persons or processes responsible for providing health care services to the subject of care."

The ISO description conflates both of the proposed specializations of HL7 ETREAT: break the glass and the typically broader access to health information normally available to providers who are provisioned for emergency workflows on a regular basis, e.g., Emergency Room providers. Examples of greater access than is normally accessible by providers based on the need to know are access to sensitive information for which access typically requires a patient's consent. This is not an override of a patient's dissent to disclose sensitive information in cases where the applicable policy waives the need for that consent to access this information. In US, Title 38 Section 7332 and 42 CFR Part 2 both permit emergency access without the need to override a patient's consent directive; rather, this access is a limitation to the patient's right to dissent from disclosure.

There is a semantic gap in concepts. This classification term is described as activities "to inform persons" rather than the rationale for performing actions/operations on information related to the activity.

# title
Mục đích sử dụng trong AuditEvent — VN Audit Purpose of Use ValueSet

# publisher
Omi HealthTech / VN Core FHIR Community Initiative

# contact[].name
Omi HealthTech / VN Core FHIR Community Initiative

# description
Tập giá trị mục đích sử dụng cho AuditEvent quyết định theo căn cứ pháp lý. Tập này giữ toàn bộ mục đích xử lý hiện có của VNConsentPurposeVS và bổ sung ba mã HL7 v3-ActReason cho truy cập cấp cứu: BTG (break-glass thực sự), ETREAT (điều trị cấp cứu) và ERTREAT (quyền truy cập thường trực của khoa cấp cứu). Căn cứ pháp lý xử lý vẫn được ghi riêng bằng VNCoreExtProcessingLegalBasis. / Purpose-of-use values for legal-basis decision AuditEvents. This value set retains all existing VNConsentPurposeVS purposes and adds the HL7 v3-ActReason BTG, ETREAT, and ERTREAT emergency-access codes. The processing legal basis remains separate in VNCoreExtProcessingLegalBasis.