Withhold
or
withdraw
consent
for
disclosure
to
a
specific
provider
agent
(an
individual
within
an
organization)
{
"resourceType" : "Consent",
"id" : "consent-example-notThem",
"text" : {
"status" : "generated",
"div" : "<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. \n\t 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. <p>\n\t specific to use-case 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization) </p>\n <p>Patient "Eve Everywoman"'s ex-spouse, Carla Espinosa is a Nurse that is employed by Burgers University Medical Center.\n Eve realizes that she may receive treatment at BUMC, however she does not want her ex-spouse to have any \n access to her IIHI. She indicates that she would like to withdraw/withhold consent to disclose any instance \n of her health information to her ex-spouse as a result of her ex's employment at Burgers University Medical Center.\n </p>\n </div>"
},
"status" : "active",
"category" : [{
"coding" : [{
"system" : "http://loinc.org",
"code" : "59284-0"
}]
}],
"subject" : {
"reference" : "Patient/mom",
"display" : "Eve Everywoman"
},
"date" : "2018-12-24",
"controller" : [{
"reference" : "Organization/f001"
}],
"sourceAttachment" : [{
"title" : "The terms of the consent in lawyer speak."
}],
"regulatoryBasis" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code" : "INFA"
}]
}],
"verification" : [{
"verified" : true,
"verifiedBy" : {
"reference" : "Organization/f001"
},
"verifiedWith" : {
"reference" : "RelatedPerson/benedicte"
},
"verificationDate" : ["2021-11-11"]
"date" : ["2021-11-11"]
}],
"decision" : "permit",
"provision" : [{
"actor" : [{
"role" : {
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code" : "PRCP"
}]
},
"reference" : {
"reference" : "Practitioner/f204",
"display" : "Carla Espinosa"
}
}],
"action" : [{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/consentaction",
"code" : "access"
}]
},
{
"coding" : [{
"system" : "http://terminology.hl7.org/CodeSystem/consentaction",
"code" : "correct"
}]
}]
}]
}
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.