Pcd-example-notThem.xml

Consent to share except to withhold or withdraw consent for disclosure to an individual. (id = "pcd-example-notThem")

<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notThem"/>

  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">The following scenario is based on existing jurisdictional policy and are realized in
       existing systems in Canada. 
  The default policy is one of implied consent for the provision of care, so these scenarios
       all deal with withdrawal or withholding consent for that purpose. 
  In other jurisdictions, where an express consent model is used (Opt-In), these would
       examples would contain the phrase &quot;consent to&quot; rather 
  than &quot;withhold&quot; or &quot;withdraw&quot; consent for.
    <p>
  specific to use-case 4) Withhold or withdraw consent for disclosure to a specific provider
         agent (an individual within an organization) 
  </p><p>
    Patient &quot;P. van de Heuvel&quot; ex-spouse, Bill T Lookafter is a Nurse that is
         employed by Good Health Hospital.
   P. realizes that she may receive treatment at GHH, however she does not want her ex-spouse
         to have any 
   access to her IIHI.  She indicates that she would like to withdraw/withhold consent
         to disclose any instance 
   of her health information to her ex-spouse as a result of his employment at Good Health
         Clinic.
   </p>
   </div>
  </text>

  <issued value="2015-11-18"/>
 <!--   not bound by a timeframe - Contract.applies   -->
 
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>

  <!--   I assume the example given is Canada Infoway wide???  AND I assume it is desired to
   state that in the Contract.authority element   -->
  <authority>
      <reference value="Organization/Infoway"/>
    <display value="Canada Infoway"/>
   </authority>
    
   <!--   and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example
   on UK Pharamacy Juristiction)   -->
  <domain>
      <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
   </domain>
   
  <type>
     <coding>
     <system value="http://loinc.org"/>
     <code value="57016-8"/>
   </coding>
  </type>

  <!--   made up code-system to represent the set of privacy consent sub-types known and published
   by Canada Infoway   -->
  <subType>
     <coding>
     <system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/>
     <code value="Opt-In"/>
     <display value="Default Authorization with exceptions."/>
   </coding>
  </subType>
 
  <term>
     <type>
       <coding>
       <!--   made up code system   -->
       <system value="http://hl7.org/fhir/consent-term-type-codes"/>
       <code value="withhold-from"/>
     <display value="Withhold all data from specified actor entity."/>
     </coding>
   </type>
   <actor>
       <entity>
         <reference value="Practitioner/f204"/>
           <display value="Fictive Nurse"/>
    </entity>
   </actor>
     
   <text value="Withhold this order and any results or related objects from specified nurse provider."/>
   </term>
   <!--   the terms of the consent in friendly consumer speak   -->
   <friendly>
     <contentAttachment>
     <title value="The terms of the consent in friendly consumer speak."/>
     <!--   likely use url pointer to common text   -->
   </contentAttachment>
   </friendly>
   <!--   the legal terms of the consent in lawyer speak   -->
   <legal>
     <contentAttachment>
     <title value="The terms of the consent in lawyer speak."/>
     <!--   likely use url pointer to common text   -->
     <!--   I think some think that this should be the pointer to the law by which this consent
       is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html   -->
   </contentAttachment>
   </legal>
</Contract>