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Pcd-example-notThis.xml
Example
Contract/pcd-example-notThis
(XML)
Raw
XML
(
canonical
form
+
also
see
XML
Format
Specification
)
Jump
past
Narrative
ConsentDirective
Example
(id
=
"pcd-example-notThis")
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 "consent to" rather
than "withhold" or "withdraw" consent for.
specific to use-case 2. Withhold or withdraw consent for disclosure of a specific record
(e.g. Lab Order/Result)
Patient "P. van de Heuvel" 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
<!-- 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) -->
<?xml version="1.0" encoding="UTF-8"?>
<!-- made up code-system to represent the set of privacy consent sub-types known and published
by Canada Infoway -->
<!-- I can easily say to exclude a type of FHIR Resource, but lab-orders is not a direct
Resource type. Might we put in FHIR based query parameters? -->
<!-- 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 -->
<Contract xmlns="http://hl7.org/fhir">
<id value="pcd-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 "consent
to" rather than
"withhold" or "withdraw" 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 "P. van de
Heuvel" 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> <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>
<domain> <reference value="Location/ukp"/> <display value="UK Pharmacies"/> </domain> <type> <coding> <system value="http://loinc.org"/> <code value="57016-8"/> </coding> </type>
<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> <identifier> <system value="http://example.org/fhir/term-items"/> <value value="3347689"/> </identifier> <issued value="2015-11-01"/> <applies> <start value="2015-11-18"/> </applies> <type> <coding> <system value="http://example.org/fhir/consent-term-type-codes"/> <code value="withhold-identified-object-and-related"/> <display value="Withhold the identified object and any other resources that are related to this
object."/>
</coding> </type> <offer> <topic> <reference value="ServiceRequest/lipid"/> </topic> <text value="Withhold this order and any results or related objects from any provider."/> </offer> </term> <friendly> <contentAttachment> <title value="The terms of the consent in friendly consumer speak."/> </contentAttachment> </friendly> <legal>
<contentAttachment> <title value="The terms of the consent in lawyer speak."/> </contentAttachment> </legal>
</
Contract
>
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.