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Community Based Collaborative Care Work Group | Maturity Level: N/A | Ballot Status: Informative | Compartments: Patient |
Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.) (id = "consent-example-notThis")
<Consent xmlns="http://hl7.org/fhir"> <id value="consent-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 "consent to" rather than "withhold" or "withdraw" 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 "P. van de Heuvel" 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> <status value="active"/> <scope value="privacy"/> <category> <coding> <system value="http://loinc.org"/> <code value="59284-0"/> </coding> </category> <patient> <reference value="Patient/f001"/> <display value="P. van de Heuvel"/> </patient> <dateTime value="2015-11-18"/> <!-- not bound by a timeframe - Consent.period --> <!-- 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/f001"/> </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-in - e.g. everything approved unless otherwise stated --> <policyRule> <coding> <system value="http://hl7.org/fhir/v3/ActCode"/> <code value="OPTIN"/> </coding> </policyRule> <provision> <data> <meaning value="related"/> <reference> <reference value="Task/example3"/> </reference> </data> </provision> </Consent>
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.