Pcd-example-notThem.json

Consent to share except to withhold or withdraw consent for disclosure to an individual.

{
  "resourceType": "Contract",
  "id": "pcd-example-notThem",
  "text": {
    "status": "generated",
    "div": "<div>The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada. \n\tThe 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. \n\tIn other jurisdictions, where an express consent model is used (Opt-In), these would examples would contain the phrase &quot;consent to&quot; rather \n\tthan &quot;withhold&quot; or &quot;withdraw&quot; consent for.\n    <p>\n\tspecific to use-case 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization) \n\t</p><p>\n    Patient &quot;P. van de Heuvel&quot; ex-spouse, Bill T Lookafter is a Nurse that is employed by Good Health Hospital.\n   P. realizes that she may receive treatment at GHH, however she does not want her ex-spouse to have any \n   access to her IIHI.  She indicates that she would like to withdraw/withhold consent to disclose any instance \n   of her health information to her ex-spouse as a result of his employment at Good Health Clinic.\n   </p>\n   </div>"
  },
  "issued": "2015-11-18",
  "subject": [
    {
      "fhir_comments": [
        "  not bound by a timeframe - Contract.applies  "
      ],
      "reference": "Patient/f001",
      "display": "P. van de Heuvel"
    }
  ],
  "authority": [
    {
      "fhir_comments": [
        "  I assume the example given is Canada Infoway wide???  AND I assume it is desired to state that in the Contract.authority element  "
      ],
      "reference": "Organization/Infoway",
      "display": "Canada Infoway"
    }
  ],
  "domain": [
    {
      "fhir_comments": [
        "  and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example on UK Pharamacy Juristiction)  "
      ],
      "reference": "Location/Infoway",
      "display": "Canada Infoway"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "57016-8"
      }
    ]
  },
  "subType": [
    {
      "fhir_comments": [
        "  made up code-system to represent the set of privacy consent sub-types known and published by Canada Infoway  "
      ],
      "coding": [
        {
          "system": "http://www.infoway-inforoute.ca.org/Consent-subtype-codes",
          "code": "Opt-In",
          "display": "Default Authorization with exceptions."
        }
      ]
    }
  ],
  "term": [
    {
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/consent-term-type-codes",
            "_system": {
              "fhir_comments": [
                "  made up code system  "
              ]
            },
            "code": "withhold-from",
            "display": "Withhold all data from specified actor entity."
          }
        ]
      },
      "topic": [
        {
          "reference": "Practitioner/f204",
          "display": "Fictive Nurse"
        }
      ],
      "text": "Withhold this order and any results or related objects from specified nurse provider."
    }
  ],
  "friendly": [
    {
      "fhir_comments": [
        "  the terms of the consent in friendly consumer speak  "
      ],
      "contentAttachment": {
        "fhir_comments": [
          "  likely use url pointer to common text  "
        ],
        "title": "The terms of the consent in friendly consumer speak."
      }
    }
  ],
  "legal": [
    {
      "fhir_comments": [
        "  the legal terms of the consent in lawyer speak  "
      ],
      "contentAttachment": {
        "fhir_comments": [
          "  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  "
        ],
        "title": "The terms of the consent in lawyer speak."
      }
    }
  ]
}