Pcd-example-notThis.json

Consent to share except to withhold or withdraw consent for disclosure of a specific record (e.g. LAB)

{
  "resourceType": "Contract",
  "id": "pcd-example-notThis",
  "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 2. Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result) \n\t</p><p>\n    Patient &quot;P. van de Heuvel&quot; Primary Care Provider, Dr. Philip Primary, has ordered a set of lab test which Adam \n   wishes to keep as private as possible.  At the sample collection facility, he indicates that he would \n   like withhold consent to disclose the order and all results associated with that specific order from \n   all other providers  \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": [
    {
      "fhir_comments": [
        "  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?  "
      ],
      "type": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/consent-term-type-codes",
            "_system": {
              "fhir_comments": [
                "  made up code system  "
              ]
            },
            "code": "withhold-identified-object-and-related",
            "display": "Withhold the identified object and any other resources that are related to this object."
          }
        ]
      },
      "topic": [
        {
          "reference": "Order/f201"
        }
      ],
      "text": "Withhold this order and any results or related objects from any provider.",
      "_text": {
        "fhir_comments": [
          "  by not specifying term.actor I assume this means everyone?  "
        ]
      }
    }
  ],
  "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."
      }
    }
  ]
}