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    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: ImplementationGuide ihe.iti.deid</b></p><a name="ihe.iti.deid"> </a><a name="hcihe.iti.deid"> </a><h2>IHE_ITI_DeId</h2><p>The official URL for this implementation guide is: </p><pre>https://profiles.ihe.net/ITI/DeId/ImplementationGuide/ihe.iti.deid</pre><div><p>This handbook defines the requirements for the de-identification of health information.</p>
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  <title value="De-Identification Handbook"/>
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      <description value="In addition to pseudonymizing the Decedent Identifiers and Patient name, we are also applying pseudoidentifiers and names for the:&#xA;* Decedent Mother&#xA;* Decedent Father&#xA;* Decedent Spouse&#xA;&#xA;The indirect identifiers in this record will be addressed during stage 2 de-identification."/>
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      </extension>
      <reference>
        <reference value="Bundle/fc7b32fe-13b1-42e9-bca1-ff805587d072"/>
      </reference>
      <name value="ex-Bundle-DeathCert-pandemicIPS-VRDR-stage-2"/>
      <description value="The following bundle reflects the sample mortality data after applying the approved de-identification methods to the pseudonymized bundle as described in section IPS Data Element Mappings (FHIR). This shows:&#xA;* Date shifting throughout the bundle (applies to the date of death), and&#xA;* Data omissions, noting the data is omitted in emptyReason as ‘withheld’ at the section level, and as ‘masked’ in dataAbsentReason at the data element level.&#xA;&#xA;The majority of the death certificate is redacted leaving the remaining data deeded for the study:&#xA;* coded cause of death&#xA;* coded usual occupation and associated usual industry,&#xA;* pseudonymized decedent demographics, including date/time of death"/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Bundle"/>
      </extension>
      <reference>
        <reference value="Bundle/80c516fd-9c84-4924-875b-bf0048979ae1"/>
      </reference>
      <name value="ex-Bundle-secondaryUse-pandemicIPS-example-patient"/>
      <description value="The Origional FHIR Document provided by the health Data Holder. &#xA;The following bundle provides an example view of a record that could be in the research cohort for the pandemic patient. &#xA;There have been no alterations to this original record."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Bundle"/>
      </extension>
      <reference>
        <reference value="Bundle/430e32bc-be3e-4c42-a17b-461ea4f402d4"/>
      </reference>
      <name value="ex-Bundle-secondaryUse-pandemicIPS-example-patient-1-stage-1"/>
      <description value="The following bundle provides an example view of the sample patient record after applying pseudonymization. &#xA;This shows:&#xA;- A pseudo-identifier has been applied to the patient resource and replaces the original patient identifier throughout the document.&#xA;- A pseudo-name has been applied to the patient resource and replaces the original patient name throughout the document. Note that a pseudo-name is required as content is not permitted to be omitted or replaced with a null flavor in FHIR patient resources."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Bundle"/>
      </extension>
      <reference>
        <reference value="Bundle/6603561c-2888-4355-9df4-23675f6eb458"/>
      </reference>
      <name value="ex-Bundle-secondaryUse-pandemicIPS-example-patient-1-stage-2"/>
      <description value="The following bundle provides an example view of the sample patient record after applying the approved de-identification methods to the pseudonymized bundle as described in section IPS Data Element Mappings (FHIR). &#xA;This shows:&#xA;- Date shifting throughout the bundle (e.g. dates associated with problems, procedures, medications, immunizations, allergies, etc.)&#xA;- The Patient's birthdate has been date-shifted forward by 107 days.&#xA;- Data omissions, noting the data is omitted in emptyReason as ‘withheld’ at the section level, and as ‘masked’ in dataAbsentReason at the data element level."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/ex-Decedent-pandemicIPS-VRDR"/>
      </reference>
      <name value="ex-Decedent-pandemicIPS-VRDR"/>
      <description value="The following patient resource represents the decedent referenced in the death certificate document bundle. This is the stage 0 version of the patient, where no de-identification has been applied and all direct identifiers are present."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/ex-Decedent-pandemicIPS-VRDR-stage-1"/>
      </reference>
      <name value="ex-Decedent-pandemicIPS-VRDR-stage-1"/>
      <description value="Stage 1 de-identification of the patient. &#xA;Stage 1 applies reversible pseudonymization to direct identifiers needed for linkage (decedent name and identifier)."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/ex-Decedent-pandemicIPS-VRDR-stage-2"/>
      </reference>
      <name value="ex-Decedent-pandemicIPS-VRDR-stage-2"/>
      <description value="Stage 2 de-identification of the patient where the telecom is masked, the address is reduced to the first 3 digits of the postal code, the general practitioner can be seen as masked, and the birthdate has been date-shifted forward by 107 days."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/ex-Patient-secondaryUse-pandemicIPS"/>
      </reference>
      <name value="ex-Patient-secondaryUse-pandemicIPS"/>
      <description value="The following patient resource represents the patient referenced in the IPS document bundle. This is the stage 0 version of the patient, where no de-identification has been applied and all direct identifiers are present."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/ex-Patient-secondaryUse-pandemicIPS-stage-1"/>
      </reference>
      <name value="ex-Patient-secondaryUse-pandemicIPS-stage-1"/>
      <description value="Stage 1 de-identification of the patient. &#xA;Stage 1 applies reversible pseudonymization to direct identifiers needed for linkage (decedent name and identifier)."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Patient"/>
      </extension>
      <reference>
        <reference value="Patient/ex-Patient-secondaryUse-pandemicIPS-stage-2"/>
      </reference>
      <name value="ex-Patient-secondaryUse-pandemicIPS-stage-2"/>
      <description value="Stage 2 de-identification of the patient where the telecom is masked, the address is reduced to the first 3 digits of the postal code, the general practitioner can be seen as masked, and the birthdate has been date-shifted forward by 107 days."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="Practitioner"/>
      </extension>
      <reference>
        <reference value="Practitioner/ex-Practitioner-IPS-SimoneHeps"/>
      </reference>
      <name value="ex-Practitioner-IPS-SimoneHeps"/>
      <description value="This example practitioner is made to be reference by other example resources realted to IPS."/>
      <exampleBoolean value="true"/>
    </resource>
    <resource>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/resource-information">
        <valueString value="CapabilityStatement"/>
      </extension>
      <reference>
        <reference value="CapabilityStatement/IHE.DeId.AuditCreator"/>
      </reference>
      <name value="IHE DeId Audit Creator"/>
      <description value="CapabilityStatement for [DeIdentification Audit Creator](security.html) Actor in [DeIdentification Handbook](index.html).&#xA;&#xA;This actor is derived off of the [ATNA Secure Application](https://profiles.ihe.net/ITI/TF/Volume1/ch-9.html#9.1.1.2) &#xA;or [ATNA Secure Node](https://profiles.ihe.net/ITI/TF/Volume1/ch-9.html#9.1.1.1) actor &#xA;with [ATNA ATX:FHIR Feed Option](https://profiles.ihe.net/ITI/TF/Volume1/ch-9.html). &#xA;&#xA;This actor is derived off of the [Basic Audit Log Patterns (BALP)](https://profiles.ihe.net/ITI/BALP/index.html) &#xA;[Audit Creator](https://profiles.ihe.net/ITI/BALP/volume-1.html#152111-audit-creator) recording rich audit log entries to ATNA.&#xA;&#xA;- This actor is involved in the generation of De-Identified data, and thus would record [De-Identification Audit Events](StructureDefinition-IHE.BasicAudit.DeIdentification.Source.html)&#xA;- This actor may be involved in events that uncover a Privacy Disclosure, and thus would record [Privacy Disclosure Audit Events](https://build.fhir.org/ig/IHE/ITI.BasicAudit/StructureDefinition-IHE.BasicAudit.PrivacyDisclosure.Source.html)."/>
      <exampleBoolean value="false"/>
    </resource>
    <page>
      <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
        <valueUrl value="toc.html"/>
      </extension>
      <nameUrl value="toc.html"/>
      <title value="Table of Contents"/>
      <generation value="html"/>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="index.html"/>
        </extension>
        <nameUrl value="index.html"/>
        <title value="De-Identification Handbook Home"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="intro.html"/>
        </extension>
        <nameUrl value="intro.html"/>
        <title value="Introduction"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="glossary.html"/>
        </extension>
        <nameUrl value="glossary.html"/>
        <title value="Glossary"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="concepts.html"/>
        </extension>
        <nameUrl value="concepts.html"/>
        <title value="Concepts"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="data-types.html"/>
        </extension>
        <nameUrl value="data-types.html"/>
        <title value="Data Types"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="techniques.html"/>
        </extension>
        <nameUrl value="techniques.html"/>
        <title value="Techniques"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="process.html"/>
        </extension>
        <nameUrl value="process.html"/>
        <title value="Process"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="ihe-use.html"/>
        </extension>
        <nameUrl value="ihe-use.html"/>
        <title value="IHE Use"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="security.html"/>
        </extension>
        <nameUrl value="security.html"/>
        <title value="Security Considerations"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="dicom-example.html"/>
        </extension>
        <nameUrl value="dicom-example.html"/>
        <title value="DICOM Example"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="fhir-example.html"/>
        </extension>
        <nameUrl value="fhir-example.html"/>
        <title value="FHIR Example"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="hl7-example.html"/>
        </extension>
        <nameUrl value="hl7-example.html"/>
        <title value="HL7 v2 Example"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="family-planning.html"/>
        </extension>
        <nameUrl value="family-planning.html"/>
        <title value="Family Planning Example"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="ips-ehds-example.html"/>
        </extension>
        <nameUrl value="ips-ehds-example.html"/>
        <title value="IPS EHDS2"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="download.html"/>
        </extension>
        <nameUrl value="download.html"/>
        <title value="Download and Analysis"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="issues.html"/>
        </extension>
        <nameUrl value="issues.html"/>
        <title value="Significant Changes and Issues"/>
        <generation value="markdown"/>
      </page>
      <page>
        <extension url="http://hl7.org/fhir/tools/StructureDefinition/ig-page-name">
          <valueUrl value="references.html"/>
        </extension>
        <nameUrl value="references.html"/>
        <title value="References"/>
        <generation value="markdown"/>
      </page>
    </page>
    <parameter>
      <code value="path-resource"/>
      <value value="input/resources"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="fsh-generated/resources"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/examples"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="resources/examples"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/capabilities"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/extensions"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/models"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/operations"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/profiles"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/vocabulary"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/testing"/>
    </parameter>
    <parameter>
      <code value="path-resource"/>
      <value value="input/history"/>
    </parameter>
    <parameter>
      <code value="path-pages"/>
      <value value="template/config"/>
    </parameter>
    <parameter>
      <code value="path-pages"/>
      <value value="input/images"/>
    </parameter>
    <parameter>
      <code value="path-tx-cache"/>
      <value value="input-cache/txcache"/>
    </parameter>
  </definition>
</ImplementationGuide>