Pcd-example-notThis.xml

Consent to share except to withhold or withdraw consent for disclosure of a specific record (e.g. LAB) (id = "pcd-example-notThis")

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

  <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 2. Withhold or withdraw consent for disclosure of a specific record
         (e.g. Lab Order/Result) 
  </p><p>
    Patient &quot;P. van de Heuvel&quot; Primary Care Provider, Dr. Philip Primary, has
         ordered a set of lab test which Adam 
   wishes to keep as private as possible.  At the sample collection facility, he indicates
         that he would 
   like withhold consent to disclose the order and all results associated with that specific
         order from 
   all other providers  
   </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>
 
 <!--   I can easily say to exclude a type of FHIR Resource, but lab-orders is not a direct
   Resource type. Might we put in FHIR based query parameters?   -->
   <term>
     <type>
       <coding>
       <!--   made up code system   -->
       <system value="http://hl7.org/fhir/consent-term-type-codes"/>
       <code value="withhold-identified-object-and-related"/>
     <display value="Withhold the identified object and any other resources that are related to this object."/>
     </coding>
   </type>
   <subject>
       <reference value="Order/f201"/>
   </subject>
     <!--   by not specifying term.actor I assume this means everyone?   -->
   <text value="Withhold this order and any results or related objects from any 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>