Contract Example: pcd-example-notAuthor

ConsentDirective Example

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. 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 5) Withhold or withdraw consent for disclosure of records that were authored by a specific organization (or service delivery location).

Patient "P. van de Heuvel" wishes to have all of the PHI (Personal health information) collected at the Good Health Psychiatric Hospital restricted from disclosure to every provider.

Example XML

<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
  xsi:schemaLocation="http://hl7.org/fhir ../../schema/contract.xsd">
  <id value="pcd-example-notAuthor"/>

  <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 5) Withhold or withdraw consent
        for disclosure of records that were authored by a specific organization (or service delivery
        location). </p><p> Patient "P. van de Heuvel" wishes to have all of the PHI (Personal health information) collected at the
        Good Health Psychiatric Hospital restricted from disclosure to every provider. </p>
    </div>
  </text>

  <issued value="2015-11-18"/>
  <!-- not bound by a timeframe - Contract.applies -->

  <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-authored-by"/>
        <display value="Withhold all data authored by specified actor entity."/>
      </coding>
    </type>
    <offer>
      <topic>
        <reference value="Organization/2.16.840.1.113883.19.5"/>
        <display value="Good Health Clinic"/>
      </topic>

      <text value="Withhold all data authored by Good Health provider."/>
    </offer>
  </term>

  <!-- the terms of the consent in friendly consumer speak -->
  <friendly>
    <contentAttachment>
      <title value="The terms of the consent in friendly consumer speak."/>
      <!-- likely use url pointer to common text -->
    </contentAttachment>
  </friendly>

  <!-- the legal terms of the consent in lawyer speak -->
  <legal>
    <contentAttachment>
      <title value="The terms of the consent in lawyer speak."/>
      <!-- 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>
  </legal>
</Contract>