Withhold
or
withdraw
consent
for
disclosure
to
a
specific
provider
organization
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <http://loinc.org/rdf#> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
<http://hl7.org/fhir/Consent/consent-example-notOrg> a fhir:Consent;
fhir:nodeRole fhir:treeRoot;
fhir:Resource.id [ fhir:value "consent-example-notOrg"];
fhir:DomainResource.text [
fhir:Narrative.status [ fhir:value "generated" ];
fhir:Narrative.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 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. \n In other jurisdictions, where an express consent model is used (Opt-In), these would examples would contain the phrase "consent to" rather \n than "withhold" or "withdraw" consent for.\n <p>\n specific to use-case 3) Withhold or withdraw consent for disclosure to a specific provider organization \n </p><p>\n Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Good Health Clinic. P. decides\n that he would like to withdraw/withhold consent to disclose any instance of his health information \n to Good Health Clinic.\n </p>\n </div>"
];
fhir:Consent.status [ fhir:value "active"];
fhir:Consent.scope [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/consentscope" ];
fhir:Coding.code [ fhir:value "patient-privacy" ]
]
];
fhir:Consent.category [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
a loinc:59284-0;
fhir:Coding.system [ fhir:value "http://loinc.org" ];
fhir:Coding.code [ fhir:value "59284-0" ]
]
];
fhir:Consent.patient [
fhir:link <http://hl7.org/fhir/Patient/f001>;
fhir:Reference.reference [ fhir:value "Patient/f001" ];
fhir:Reference.display [ fhir:value "P. van de Heuvel" ]
];
fhir:Consent.dateTime [ fhir:value "2015-11-18"^^xsd:date];
fhir:Consent.organization [
fhir:index 0;
fhir:link <http://hl7.org/fhir/Organization/f001>;
fhir:Reference.reference [ fhir:value "Organization/f001" ]
];
fhir:Consent.sourceAttachment [
fhir:Attachment.title [ fhir:value "The terms of the consent in lawyer speak." ]
];
fhir:Consent.policyRule [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ActCode" ];
fhir:Coding.code [ fhir:value "OPTIN" ]
]
];
fhir:Consent.provision [
fhir:Consent.provision.type [ fhir:value "deny" ];
fhir:Consent.provision.actor [
fhir:index 0;
fhir:Consent.provision.actor.role [
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/v3-ParticipationType" ];
fhir:Coding.code [ fhir:value "PRCP" ]
]
];
fhir:Consent.provision.actor.reference [
fhir:link <http://hl7.org/fhir/Organization/f001>;
fhir:Reference.reference [ fhir:value "Organization/f001" ]
]
];
fhir:Consent.provision.action [
fhir:index 0;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/consentaction" ];
fhir:Coding.code [ fhir:value "access" ]
]
], [
fhir:index 1;
fhir:CodeableConcept.coding [
fhir:index 0;
fhir:Coding.system [ fhir:value "http://terminology.hl7.org/CodeSystem/consentaction" ];
fhir:Coding.code [ fhir:value "correct" ]
[a fhir:Consent ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "consent-example-notOrg"] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada. \n 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. \n Withhold or withdraw consent for disclosure to a specific provider organization </p>\n <p>Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Burgers University Medical Center. \n P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Burgers University Medical Center.</p>\n </div>"
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:category ( [
fhir:coding ( [
a loinc:59284-0 ;
fhir:system [ fhir:v "http://loinc.org"^^xsd:anyURI ] ;
fhir:code [ fhir:v "59284-0" ]
] )
] ) ; #
fhir:subject [
fhir:reference [ fhir:v "Patient/f001" ] ;
fhir:display [ fhir:v "P. van de Heuvel" ]
] ; #
fhir:date [ fhir:v "2018-12-24"^^xsd:date] ; #
fhir:controller ( [
fhir:reference [ fhir:v "Organization/2.16.840.1.113883.19.5" ]
] ) ; #
fhir:sourceAttachment ( [
fhir:title [ fhir:v "The terms of the consent in lawyer speak." ]
] ) ; # the text terms of the consent in lawyer speak , likely use url pointer to common text
fhir:regulatoryBasis ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ] ;
fhir:code [ fhir:v "INFA" ]
] )
] ) ; # this is opt-in - e.g. everything approved unless otherwise stated
fhir:decision [ fhir:v "permit"] ; #
fhir:provision ( [
fhir:actor ( [
fhir:role [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ] ;
fhir:code [ fhir:v "PRCP" ]
] ) # PRCP: recipient of the information
] ;
fhir:reference [
fhir:reference [ fhir:v "Organization/f001" ]
]
]
] .
<http://hl7.org/fhir/Patient/f001> a fhir:Patient .
<http://hl7.org/fhir/Organization/f001> a fhir:Organization .
# - ontology header ------------------------------------------------------------
<http://hl7.org/fhir/Consent/consent-example-notOrg.ttl> a owl:Ontology;
owl:imports fhir:fhir.ttl;
owl:versionIRI <http://build.fhir.org/Consent/consent-example-notOrg.ttl> .
] ) ; # no read or write access for this org
fhir:action ( [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/consentaction"^^xsd:anyURI ] ;
fhir:code [ fhir:v "access" ]
] )
] [
fhir:coding ( [
fhir:system [ fhir:v "http://terminology.hl7.org/CodeSystem/consentaction"^^xsd:anyURI ] ;
fhir:code [ fhir:v "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.
Security
and
Privacy
.
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