Release 4

Consent-example-notOrg.xml

Community Based Collaborative Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient

Raw XML (canonical form + also see XML Format Specification)

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Withhold or withdraw consent for disclosure to a specific provider organization (id = "consent-example-notOrg")

<?xml version="1.0" encoding="UTF-8"?>

<Consent xmlns="http://hl7.org/fhir">
  <id value="consent-example-notOrg"/> 
  <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 3) Withhold or withdraw consent for disclosure to a specific provider
         organization  
  </p> <p> 
    Patient &quot;P. van de Heuvel&quot; ex-spouse is a Physician that is employed by
         Good Health Clinic.  P. decides
   that he would like to withdraw/withhold consent to disclose any instance of his health
         information 
   to Good Health Clinic.
   </p> 
   </div> 
  </text> 
  <status value="active"/> 
  <scope> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/> 
      <code value="patient-privacy"/> 
    </coding> 
    </scope> 
      <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://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="OPTIN"/> 
    </coding> 
  </policyRule> 
  <provision> 
    <!--   no read or write access for this org   -->
    <type value="deny"/> 
    <actor> 
      <role> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
          <code value="PRCP"/> 
          <!--   PRCP: recipient of the information   -->
        </coding> 
      </role> 
      <reference> 
        <reference value="Organization/f001"/> 
      </reference> 
    </actor> 
    <action> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/consentaction"/> 
        <code value="access"/> 
      </coding> 
    </action> 
    <action> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/consentaction"/> 
        <code value="correct"/> 
      </coding> 
    </action> 
  </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.