---
type: "example"
title: "Contract Example: pcd-example-notThem"
resource: "Contract"
example: "pcd-example-notThem"
---
# Contract Example: pcd-example-notThem

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 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization)

Patient "P. van de Heuvel" 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.

## Example XML



```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-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 "consent to" rather than
      "withhold" or "withdraw" consent for. <p> specific to use-case 4) Withhold or withdraw consent
        for disclosure to a specific provider agent (an individual within an organization) </p><p>
        Patient "P. van de Heuvel" 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>
    <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>
  <!-- not bound by a timeframe - Contract.applies -->
</Contract>
```