---
type: "example"
title: "Consent Example: consent-example-notThis"
resource: "Consent"
example: "consent-example-notThis"
---
# Consent Example: consent-example-notThis

Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.)

## Narrative

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. Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result)

Patient "Donal D DUCK"'s 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

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<Consent xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
  xmlns="http://hl7.org/fhir"
  xmlns:xhtml="http://www.w3.org/1999/xhtml" xsi:schemaLocation="http://hl7.org/fhir ../../schema/consent.xsd">
  <id value="consent-example-notThis"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>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. 
	       Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result) 
      </p>
      <p>
    Patient "Donal D DUCK"'s 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>
  <status value="active"/>

  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="59284-0"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <date value="2018-12-28"/>
  <controller>
    <reference value="Organization/f001"/>
  </controller>
  <sourceAttachment>
    <title value="The terms of the consent in lawyer speak."/>
    <!-- likely use url pointer to common text -->
  </sourceAttachment>

  <regulatoryBasis>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="INFA"/>
    </coding>
  </regulatoryBasis>
  <decision value="permit"/>
  <!-- this is opt-in - e.g. everything approved unless otherwise stated -->

  <provision>
    <data>
      <meaning value="related"/>
      <reference>
        <reference value="MedicationRequest/medrx0305"/>
      </reference>
    </data>
  </provision>

</Consent>
```