Release 4

Consent-example-notThis.xml

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

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

Jump past Narrative

Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.) (id = "consent-example-notThis")

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

<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 &quot;consent to&quot; rather 
  than &quot;withhold&quot; or &quot;withdraw&quot; 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 &quot;P. van de Heuvel&quot; 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> 
    <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> 
    <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.