Consent-example-notThem.xml

Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization) (id = "consent-example-notThem")

<Consent xmlns="http://hl7.org/fhir">
  <id value="consent-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>

  <status value="active"/>
   
  <dateTime value="2015-11-18"/>
   <!--   not bound by a timeframe - Consent.period   -->
 
  <patient>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </patient>

  <!--   I assume the example given is Canada Infoway wide???  AND I assume it is desired to
   state that in the Consent.authority element   -->
  <organization>
    <reference value="Organization/Infoway"/>
    <display value="Canada Infoway"/>
  </organization>
    
  <!--   the text terms of the consent in lawyer speak   -->
  <sourceAttachment>
     <title value="The terms of the consent in lawyer speak."/>
     <!--   likely use url pointer to common text   -->
  </sourceAttachment>

  <!--   this is opt-out - e.g. everything approved unless otherwise stated   -->
  <policy value="http://hl7.org/fhir/ConsentPolicy/opt-out"/>
 
  <except>
    <!--   no read or write access for this individual   -->
    <type value="deny"/>
    <actor>
      <role>
        <coding>
          <system value="http://hl7.org/fhir/v3/ParticipationType"/>
          <code value="PRCP"/> <!--   PRCP: recipient of the information   -->
        </coding>
      </role>
      <reference>
        <reference value="Practitioner/f204"/>
        <display value="Fictive Nurse"/>
      </reference>
    </actor>
    <action>
      <coding>
        <system value="http://hl7.org/fhir/consentaction"/>
        <code value="access"/>
      </coding>
    </action> 
    <action>
      <coding>
        <system value="http://hl7.org/fhir/consentaction"/>
        <code value="correct"/>
      </coding>
    </action> 
  </except>  
</Consent>