Example of authorizing some data in a directory but excluding sensitive elements (id = "example-exclude")

<?xml version="1.0" encoding="UTF-8"?>

<Permission xmlns="http://hl7.org/fhir">
  <id value="example-exclude"/> 
  <meta> 
    <security> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
      <code value="HTEST"/> 
    </security> 
  </meta> 
  <status value="active"/> 
  <asserter> 
    <reference value="Organization/example"/> 
  </asserter> 
  <date value="2023-11-22"/> 
  <!--   combining rule is deny-unless-permit, ANY permit authorizes access, so rules
   do not need to be exhaustively processed, but if no permit is found then access
   is denied.  -->
  <combining value="deny-unless-permit"/> 
  <rule> 
    <!--   rule is #permit for administrative actions on the directory. This enables maintenance
     by those with directory admin authorization   -->
    <type value="permit"/> 
    <activity> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="C"/> 
        </coding> 
      </action> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="R"/> 
        </coding> 
      </action> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="U"/> 
        </coding> 
      </action> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="D"/> 
        </coding> 
      </action> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="E"/> 
        </coding> 
      </action> 
      <purpose> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
          <code value="HDIRECT"/> 
        </coding> 
      </purpose> 
      <purpose> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
          <code value="HSYSADMIN"/> 
        </coding> 
      </purpose> 
    </activity> 
  </rule> 
  <rule> 
    <!--   When anyone that has TPO authority accesses the directory, they get access to
     all entries in the directory, but any data marked as Location Sensitive is excluded.
     Presumes Practitioner resources are tagged at the element level following DS4P
     Inline Security Labels that indicate the sensitive location elements using the
     LOCIS tag   -->
    <type value="permit"/> 
    <activity> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="R"/> 
        </coding> 
      </action> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="E"/> 
        </coding> 
      </action> 
      <purpose> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
          <code value="TREAT"/> 
        </coding> 
      </purpose> 
      <purpose> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
          <code value="HPAYMT"/> 
        </coding> 
      </purpose> 
      <purpose> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
          <code value="HOPERAT"/> 
        </coding> 
      </purpose> 
    </activity> 
    <limit> 
      <tag> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
        <code value="LOCIS"/> 
      </tag> 
    </limit> 
  </rule> 
  <rule> 
    <!--   When a Patient accesses the directory, it will be with PurposeOfUse of PATRQT.
     They only get access to Doctors, and only non-sensitive data. So not access to
     kitchen staff, janitor, nurses, etc.   -->
    <type value="permit"/> 
    <data> 
      <expression> 
        <description value="select all Practitioner resources where the Practitioner has a PractitionerRole
         with code of doctor"/> 
        <language value="application/x-fhir-query"/> 
        <expression value="Practitioner?_has:PractitionerRole:practitioner:role=http://terminology.hl7.org/CodeSystem/pr
        actitioner-role|doctor"/> 
      </expression> 
    </data> 
    <activity> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="R"/> 
        </coding> 
      </action> 
      <action> 
        <coding> 
          <system value="http://hl7.org/fhir/audit-event-action"/> 
          <code value="E"/> 
        </coding> 
      </action> 
      <purpose> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
          <code value="PATRQT"/> 
        </coding> 
      </purpose> 
    </activity> 
    <limit> 
      <tag> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
        <code value="LOCIS"/> 
      </tag> 
    </limit> 
  </rule> 


</

Permission

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