ConsentDirective Example (id = "pcd-example-notThem")

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    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

<!--   not bound by a timeframe - Contract.applies   --><Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-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. 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

       to&quot; rather than
      &quot;withhold&quot; or &quot;withdraw&quot; consent for. <p>  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 Contract.authority element   -->
  
    
    
  

  <!--   and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example
   on UK Pharamacy Juristiction)   -->
  
    
    
  

  
    
      
      
    
  

  <!--   made up code-system to represent the set of privacy consent sub-types known and published
   by Canada Infoway   -->
  
    
      
      
      
    
  

  
    
      
    
  

  
    
      
      
    
    
      
    
    
      
        
        
      
      
      
        
      
    
  

  
    
      
        
        
        
        
      
    
    
      
      
    

    
  
  
  
    
      
      
    
  
  
  
    
      
      
      <!--   I think some think that this should be the pointer to the law by which this consent
       is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html   -->
    
  

         </p> <p> 
        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. </p> 
    </div>   </text>   <issued value="2015-11-18"/>   <subject>     <reference value="Patient/f001"/>     <display value="P. van de Heuvel"/>   </subject>   <authority>     <reference value="Organization/3"/>     <display value="Michigan Health"/>   </authority>   <!--   and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the

   example on UK Pharamacy Juristiction)   -->
  <domain>     <reference value="Location/ukp"/>     <display value="UK Pharmacies"/>   </domain>   <type>     <coding>       <system value="http://loinc.org"/>       <code value="57016-8"/>     </coding>   </type>   <!--   made up code-system to represent the set of privacy consent sub-types known and

   published by Canada Infoway   -->
  <subType>     <coding>       <system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/>       <code value="Opt-In"/>       <display value="Default Authorization with exceptions."/>     </coding>   </subType>   <term>     <type>       <coding>         <!--   made up code system   -->        <system value="http://example.org/fhir/consent-term-type-codes"/>         <code value="withhold-from"/>         <display value="Withhold all data from specified actor entity."/>       </coding>     </type>     <offer>       <topic>         <reference value="Practitioner/f204"/>         <display value="Fictive Nurse"/>       </topic>       <text value="Withhold this order and any results or related objects from specified nurse provider."/>     </offer>   </term>   <signer>     <type>       <system value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>       <code value="COVPTY"/>     </type>     <party>       <reference value="Patient/f001"/>     </party>     <signature>       <type>         <system value="urn:iso-astm:E1762-95:2013"/>         <code value="1.2.840.10065.1.12.1.1"/>       </type>       <when value="2013-06-08T10:57:34-07:00"/>       <who>         <reference value="Patient/f001"/>       </who>     </signature>   </signer>   <!--   the terms of the consent in friendly consumer speak   -->  <friendly>     <!--   likely use url pointer to common text   -->    <contentAttachment>       <title value="The terms of the consent in friendly consumer speak."/>     </contentAttachment>   </friendly>   <!--   the legal terms of the consent in lawyer speak   -->  <legal>     <!--   likely use url pointer to common text   -->    <!--   I think some think that this should be the pointer to the law by which this consent

     is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html
       -->
    <contentAttachment>       <title value="The terms of the consent in lawyer speak."/>     </contentAttachment>   </legal> 


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