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

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


  
  
    
    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.
    
  specific to use-case 4) Withhold or withdraw consent for disclosure to a specific provider
         agent (an individual within an organization) 
  
    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.
   
   
  
  
  
    
      
      
    
    
      
    
      
      
    
  
  
    
    
  
  
  
  <!--   I assume the example given is Canada Infoway wide???  AND I assume it is desired to
   state that in the Consent.authority element   -->
  
    
  
  
  
    
    
  
  
  
    
      
      
    
  
  
    
    
      
        
          
          
          
        
      
      
        
        
      
    
    
      
        
        
      
    
    
      
        
        
      
    
  

<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. <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;Eve Everywoman&quot;'s ex-spouse, Carla Espinosa is a Nurse that

         is employed by Burgers University Medical Center.
    Eve realizes that she may receive treatment at BUMC, 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 her ex's employment
         at Burgers University Medical Center.
      </p>     </div>   </text>   <status value="active"/>   <category>     <coding>       <system value="http://loinc.org"/>       <code value="59284-0"/>     </coding>   </category>   <subject>     <reference value="Patient/mom"/>     <display value="Eve Everywoman"/>   </subject>   <date value="2018-12-24"/>   <controller>     <reference value="Organization/f001"/>   </controller>   <!--   the text terms of the consent in lawyer speak   -->  <!--   likely use url pointer to common text   -->  <sourceAttachment>     <title value="The terms of the consent in lawyer speak."/>   </sourceAttachment>   <!--   this is opt-in - e.g. everything approved unless otherwise stated   -->  <regulatoryBasis>     <coding>       <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>       <code value="INFA"/>     </coding>   </regulatoryBasis>   <verification>     <verified value="true"/>     <verifiedBy>       <reference value="Organization/f001"/>     </verifiedBy>     <verifiedWith>       <reference value="RelatedPerson/benedicte"/>     </verifiedWith>     <date value="2021-11-11"/>   </verification>   <decision value="permit"/>   <provision>     <!--   no read or write access for this individual   -->    <actor>       <role>         <!--   PRCP: recipient of the information   -->        <coding>           <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>           <code value="PRCP"/>         </coding>       </role>       <reference>         <reference value="Practitioner/f204"/>         <display value="Carla Espinosa"/>       </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

>