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SQL (for debugging): Insert into SearchEntries Select 6564, Ids.ResourceKey, Versions.ResourceVersionKey, RIGHT ('0000000000000'+CAST(Versions.ResourceVersionKey AS VARCHAR(14)),14) as sort, null, null from Versions, Ids, Sessions where Ids.ResourceTypeKey = 28 and Versions.ResourceKey = Ids.ResourceKey and Versions.SessionKey = Sessions.SessionKey order by ResourceVersionKey DESC

Contract pcd-example-notThis deleted

Deleted by ANONYMOUS (Unknown) at 10/7/2017 6:27:21 AM(UTC)

Contract "pcd-example-notThis" Version "2"

Updated by ANONYMOUS (Unknown) at 10/7/2017 6:27:05 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notThis"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2017-10-07T06:27:05Z"/>
  </meta>
  <language value="no"/>
  <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>
  <status value="disputed"/>
  <issued value="2017-10-07T02:27:04.960Z"/>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <authority>
    <reference value="Organization/Infoway"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
  </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>
    <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>
    <topic>
      <reference value="ProcedureRequest/example-lipid"/>
    </topic>
    <text value="Withhold this order and any results or related objects from any provider."/>
  </term>
  <friendly>
    <contentReference>
      <display value="DocumentReference KePwQMaKRMg1RLWIj1QdtA=="/>
    </contentReference>
  </friendly>
  <legal>
    <contentReference>
      <display value="DocumentReference 6tAkvTg8B4q+v4ObzNCLMA=="/>
    </contentReference>
  </legal>
</Contract>

Contract pcd-example-notThem deleted

Deleted by ANONYMOUS (Unknown) at 10/4/2017 6:14:26 AM(UTC)

Contract pcd-example-notOrg deleted

Deleted by ANONYMOUS (Unknown) at 10/4/2017 6:01:55 AM(UTC)

Contract "pcd-example-notOrg" Version "2"

Updated by ANONYMOUS (Unknown) at 10/4/2017 6:01:53 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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 3) Withhold or withdraw consent for disclosure to a specific provider organization

Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Good Health Clinic. P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Good Health Clinic.


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notOrg"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2017-10-04T06:01:53Z"/>
  </meta>
  <language value="hr"/>
  <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 3) Withhold or withdraw consent for disclosure to a specific provider organization </p>
      <p>Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Good Health Clinic. P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Good Health Clinic. </p> </div>
  </text>
  <status value="executable"/>
  <issued value="2017-10-04T02:01:53.270Z"/>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <authority>
    <reference value="Organization/Infoway"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
  </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>
    <type>
      <coding>
        <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>
    <topic>
      <reference value="Organization/2.16.840.1.113883.19.5"/>
      <display value="Good Health Clinic"/>
    </topic>
    <text value="Withhold this order and any results or related objects from any provider."/>
  </term>
  <friendly>
    <contentReference>
      <display value="DocumentReference d85dvblvTUkvP1jZYFy1Ag=="/>
    </contentReference>
  </friendly>
  <legal>
    <contentReference>
      <display value="DocumentReference n/lj4rIxSWQih3SfEEctSA=="/>
    </contentReference>
  </legal>
</Contract>

Contract pcd-example-notLabs deleted

Deleted by ANONYMOUS (Unknown) at 10/1/2017 7:17:40 AM(UTC)

Contract "pcd-example-notLabs" Version "2"

Updated by ANONYMOUS (Unknown) at 10/1/2017 7:17:21 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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

Patient "P. van de Heuvel" wishes to withhold disclosure of all of her lab orders and results to any provider.


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notLabs"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2017-10-01T07:17:21Z"/>
  </meta>
  <language value="el"/>
  <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 1. Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.) </p>
      <p>Patient "P. van de Heuvel" wishes to withhold disclosure of all of her lab orders and results to any provider. </p> </div>
  </text>
  <status value="executed"/>
  <issued value="2017-10-01T03:17:21.301Z"/>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <authority>
    <reference value="Organization/Infoway"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
  </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>
    <type>
      <coding>
        <system value="http://example.org/fhir/consent-term-type-codes"/>
        <code value="withhold-object-type"/>
      </coding>
    </type>
    <subType>
      <coding>
        <system value="http://hl7.org/fhir/resource-types"/>
        <code value="ProcedureRequest"/>
      </coding>
    </subType>
    <text value="Withhold orders from any provider."/>
  </term>
  <term>
    <type>
      <coding>
        <system value="http://example.org/fhir/consent-term-type-codes"/>
        <code value="withhold-object-type"/>
      </coding>
    </type>
    <subType>
      <coding>
        <system value="http://hl7.org/fhir/resource-types"/>
        <code value="DiagnosticReport"/>
      </coding>
    </subType>
    <text value="Withhold order results from any provider."/>
  </term>
  <friendly>
    <contentReference>
      <display value="DocumentReference OHdCfSY49VUkXeT+jC5Ckg=="/>
    </contentReference>
  </friendly>
  <legal>
    <contentReference>
      <display value="DocumentReference j9fbS8u9bQ/9xDsX6XqsNQ=="/>
    </contentReference>
  </legal>
</Contract>

Contract pcd-example-notAuthor deleted

Deleted by ANONYMOUS (Unknown) at 10/1/2017 6:52:02 AM(UTC)

Contract "pcd-example-notAuthor" Version "2"

Updated by ANONYMOUS (Unknown) at 10/1/2017 6:51:59 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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 collected at the Good Health Psychiatric Hospital restricted from disclosure to every provider.


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notAuthor"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2017-10-01T06:51:59Z"/>
  </meta>
  <language value="fr-CH"/>
  <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 collected at the Good Health Psychiatric Hospital restricted from disclosure to every provider. </p> </div>
  </text>
  <status value="cancelled"/>
  <issued value="2017-10-01T02:51:59.802Z"/>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <authority>
    <reference value="Organization/Infoway"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
  </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>
    <type>
      <coding>
        <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>
    <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."/>
  </term>
  <friendly>
    <contentReference>
      <display value="DocumentReference 7AVsPDcW/bBPTxr8GETq3g=="/>
    </contentReference>
  </friendly>
  <legal>
    <contentReference>
      <display value="DocumentReference vN2HftwZ8SJLI72SL/sPDg=="/>
    </contentReference>
  </legal>
</Contract>

Contract C-2121 deleted

Deleted by ANONYMOUS (Unknown) at 9/28/2017 6:44:32 AM(UTC)

Contract C-123 deleted

Deleted by ANONYMOUS (Unknown) at 9/28/2017 6:33:18 AM(UTC)

Contract "C-123" Version "2"

Updated by ANONYMOUS (Unknown) at 9/28/2017 6:33:17 AM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

A human-readable rendering of the contract

<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="C-123"/>
  <meta>
    <versionId value="2"/>
    <lastUpdated value="2017-09-28T06:33:17Z"/>
  </meta>
  <language value="en-GB"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the contract</div>
  </text>
  <identifier>
    <system value="http://happyvalley.com/contract"/>
    <value value="12347"/>
  </identifier>
  <status value="policy"/>
  <issued value="2017-09-28T02:33:17.644Z"/>
</Contract>

Contract "pcd-example-notThis" Version "1"

Created by SYSTEM () at 9/26/2017 10:00:09 PM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notThis"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-09-26T22:00:09Z"/>
  </meta>
  <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/Infoway"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
  </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>
    <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>
    <topic>
      <reference value="ProcedureRequest/example-lipid"/>
    </topic>
    <text value="Withhold this order and any results or related objects from any provider."/>
  </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>

Contract "pcd-example-notThem" Version "1"

Created by SYSTEM () at 9/26/2017 10:00:09 PM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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.


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notThem"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-09-26T22:00:09Z"/>
  </meta>
  <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/2"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/ukp"/>
    <display value="Canada Infoway"/>
  </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>
  <agent>
    <actor>
      <reference value="Patient/f001"/>
    </actor>
  </agent>
  <signer>
    <type>
      <system value="http://www.hl7.org/fhir/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"/>
      <whoReference>
        <reference value="Patient/f001"/>
      </whoReference>
    </signature>
  </signer>
  <term>
    <type>
      <coding>
        <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>
    <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."/>
  </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>

Contract "pcd-example-notOrg" Version "1"

Created by SYSTEM () at 9/26/2017 10:00:09 PM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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 3) Withhold or withdraw consent for disclosure to a specific provider organization

Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Good Health Clinic. P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Good Health Clinic.


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notOrg"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-09-26T22:00:09Z"/>
  </meta>
  <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 3) Withhold or withdraw consent for disclosure to a specific provider organization </p>
      <p>Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Good Health Clinic. P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to 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/Infoway"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
  </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>
    <type>
      <coding>
        <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>
    <topic>
      <reference value="Organization/2.16.840.1.113883.19.5"/>
      <display value="Good Health Clinic"/>
    </topic>
    <text value="Withhold this order and any results or related objects from any provider."/>
  </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>

Contract "pcd-example-notLabs" Version "1"

Created by SYSTEM () at 9/26/2017 10:00:08 PM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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

Patient "P. van de Heuvel" wishes to withhold disclosure of all of her lab orders and results to any provider.


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notLabs"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-09-26T22:00:08Z"/>
  </meta>
  <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 1. Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.) </p>
      <p>Patient "P. van de Heuvel" wishes to withhold disclosure of all of her lab orders and results to any provider. </p> </div>
  </text>
  <issued value="2014-08-17"/>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <authority>
    <reference value="Organization/Infoway"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
  </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>
    <type>
      <coding>
        <system value="http://example.org/fhir/consent-term-type-codes"/>
        <code value="withhold-object-type"/>
      </coding>
    </type>
    <subType>
      <coding>
        <system value="http://hl7.org/fhir/resource-types"/>
        <code value="ProcedureRequest"/>
      </coding>
    </subType>
    <text value="Withhold orders from any provider."/>
  </term>
  <term>
    <type>
      <coding>
        <system value="http://example.org/fhir/consent-term-type-codes"/>
        <code value="withhold-object-type"/>
      </coding>
    </type>
    <subType>
      <coding>
        <system value="http://hl7.org/fhir/resource-types"/>
        <code value="DiagnosticReport"/>
      </coding>
    </subType>
    <text value="Withhold order results from any provider."/>
  </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>

Contract "pcd-example-notAuthor" Version "1"

Created by SYSTEM () at 9/26/2017 10:00:08 PM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

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 collected at the Good Health Psychiatric Hospital restricted from disclosure to every provider.


<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="pcd-example-notAuthor"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-09-26T22:00:08Z"/>
  </meta>
  <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 collected at the Good Health Psychiatric Hospital restricted from disclosure to every provider. </p> </div>
  </text>
  <issued value="2015-11-18"/>
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>
  <authority>
    <reference value="Organization/Infoway"/>
    <display value="Canada Infoway"/>
  </authority>
  <domain>
    <reference value="Location/Infoway"/>
    <display value="Canada Infoway"/>
  </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>
    <type>
      <coding>
        <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>
    <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."/>
  </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>

Contract "C-123" Version "1"

Created by SYSTEM () at 9/26/2017 9:51:18 PM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

A human-readable rendering of the contract

<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="C-123"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-09-26T21:51:18Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">A human-readable rendering of the contract</div>
  </text>
  <identifier>
    <system value="http://happyvalley.com/contract"/>
    <value value="12347"/>
  </identifier>
</Contract>

Contract "C-2121" Version "1"

Created by SYSTEM () at 9/26/2017 9:51:18 PM(UTC)

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative with Details

id: C-2121

meta:

issued: 01/11/2031 9:18:27 PM

subject: Patient/f201

type: Opt-in consent directive (Details : {http://org.mdhhs.fhir.consentdirective-type code 'OPTIN' = 'OPTIN)

subType: Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes (Details : {http://hl7.org/fhir/consentcategorycodes code 'MDHHS-5515' = 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes', given as 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes'})

securityLabel: Restricted (Details: http://hl7.org/fhir/v3/Confidentiality code R = 'restricted', stated as 'Restricted'), substance abuse information sensitivity (Details: http://hl7.org/fhir/v3/ActCode code ETH = 'substance abuse information sensitivity', stated as 'substance abuse information sensitivity'), 42 CFR Part2 (Details: http://hl7.org/fhir/v3/ActCode code 42CFRPart2 = '42 CFR Part2', stated as 'null'), treatment (Details: http://hl7.org/fhir/v3/ActReason code TREAT = 'treatment', stated as 'treatment'), healthcare payment (Details: http://hl7.org/fhir/v3/ActReason code HPAYMT = 'healthcare payment', stated as 'healthcare payment'), healthcare operations (Details: http://hl7.org/fhir/v3/ActReason code HOPERAT = 'healthcare operations', stated as 'healthcare operations'), persist security label (Details: http://hl7.org/fhir/v3/ActCode code PERSISTLABEL = 'persist security label', stated as 'persist security label'), privacy mark (Details: http://hl7.org/fhir/v3/ActCode code PRIVMARK = 'privacy mark', stated as 'privacy mark'), no redisclosure without consent directive (Details: http://hl7.org/fhir/v3/ActCode code NORDSCLCD = 'no redisclosure without consent directive', stated as 'no redisclosure without consent directive')

agent

actor: VA Ann Arbor Healthcare System

role: Recipient of restricted health information (Details : {http://org.mdhhs.fhir.consent-actor-type code 'IR' = 'IR', given as 'Recipient'})

agent

actor: Community Mental Health Clinic

role: Sender of restricted health information (Details : {http://org.mdhhs.fhir.consent-actor-type code 'IS' = 'IS', given as 'Sender'})

Signers

-TypePartySignature
*SELF (Details: http://org.mdhhs.fhir.consent-signer-type code SELF = 'SELF', stated as 'null')Alice Recruit

Legals

-Content[x]
*

<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir">
  <id value="C-2121"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2017-09-26T21:51:18Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: C-2121</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>issued</b>: 01/11/2031 9:18:27 PM</p>
      <p>
        <b>subject</b>:
        <a>Patient/f201</a>
      </p>
      <p>
        <b>type</b>: Opt-in consent directive
        <span>(Details : {http://org.mdhhs.fhir.consentdirective-type code 'OPTIN' = 'OPTIN)</span>
      </p>
      <p>
        <b>subType</b>: Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes
        <span>(Details : {http://hl7.org/fhir/consentcategorycodes code 'MDHHS-5515' = 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes', given as 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes'})</span>
      </p>
      <p>
        <b>securityLabel</b>: Restricted (Details: http://hl7.org/fhir/v3/Confidentiality code R = 'restricted', stated as 'Restricted'), substance abuse information sensitivity (Details: http://hl7.org/fhir/v3/ActCode code ETH = 'substance abuse information sensitivity', stated as 'substance abuse information sensitivity'), 42 CFR Part2 (Details: http://hl7.org/fhir/v3/ActCode code 42CFRPart2 = '42 CFR Part2', stated as 'null'), treatment (Details: http://hl7.org/fhir/v3/ActReason code TREAT = 'treatment', stated as 'treatment'), healthcare payment (Details: http://hl7.org/fhir/v3/ActReason code HPAYMT = 'healthcare payment', stated as 'healthcare payment'), healthcare operations (Details: http://hl7.org/fhir/v3/ActReason code HOPERAT = 'healthcare operations', stated as 'healthcare operations'), persist security label (Details: http://hl7.org/fhir/v3/ActCode code PERSISTLABEL = 'persist security label', stated as 'persist security label'), privacy mark (Details: http://hl7.org/fhir/v3/ActCode code PRIVMARK = 'privacy mark', stated as 'privacy mark'), no redisclosure without consent directive (Details: http://hl7.org/fhir/v3/ActCode code NORDSCLCD = 'no redisclosure without consent directive', stated as 'no redisclosure without consent directive')</p>
      <blockquote>
        <p>
          <b>agent</b>
        </p>
        <p>
          <b>actor</b>:
          <a>VA Ann Arbor Healthcare System</a>
        </p>
        <p>
          <b>role</b>: Recipient of restricted health information
          <span>(Details : {http://org.mdhhs.fhir.consent-actor-type code 'IR' = 'IR', given as 'Recipient'})</span>
        </p>
      </blockquote>
      <blockquote>
        <p>
          <b>agent</b>
        </p>
        <p>
          <b>actor</b>:
          <a>Community Mental Health Clinic</a>
        </p>
        <p>
          <b>role</b>: Sender of restricted health information
          <span>(Details : {http://org.mdhhs.fhir.consent-actor-type code 'IS' = 'IS', given as 'Sender'})</span>
        </p>
      </blockquote>
      <h3>Signers</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Type</b>
          </td>
          <td>
            <b>Party</b>
          </td>
          <td>
            <b>Signature</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td>SELF (Details: http://org.mdhhs.fhir.consent-signer-type code SELF = 'SELF', stated as 'null')</td>
          <td>
            <a>Alice Recruit</a>
          </td>
          <td/>
        </tr>
      </table>
      <h3>Legals</h3>
      <table>
        <tr>
          <td>-</td>
          <td>
            <b>Content[x]</b>
          </td>
        </tr>
        <tr>
          <td>*</td>
          <td/>
        </tr>
      </table>
    </div>
  </text>
  <issued value="2031-11-01T21:18:27-04:00"/>
  <subject>
    <reference value="Patient/f201"/>
  </subject>
  <type>
    <coding>
      <system value="http://org.mdhhs.fhir.consentdirective-type"/>
      <code value="OPTIN"/>
    </coding>
    <text value="Opt-in consent directive"/>
  </type>
  <subType>
    <coding>
      <system value="http://hl7.org/fhir/consentcategorycodes"/>
      <code value="MDHHS-5515"/>
      <display value="Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes"/>
    </coding>
  </subType>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/Confidentiality"/>
    <code value="R"/>
    <display value="Restricted"/>
  </securityLabel>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/ActCode"/>
    <code value="ETH"/>
    <display value="substance abuse information sensitivity"/>
  </securityLabel>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/ActCode"/>
    <code value="42CFRPart2"/>
  </securityLabel>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/ActReason"/>
    <code value="TREAT"/>
    <display value="treatment"/>
  </securityLabel>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/ActReason"/>
    <code value="HPAYMT"/>
    <display value="healthcare payment"/>
  </securityLabel>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/ActReason"/>
    <code value="HOPERAT"/>
    <display value="healthcare operations"/>
  </securityLabel>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/ActCode"/>
    <code value="PERSISTLABEL"/>
    <display value="persist security label"/>
  </securityLabel>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/ActCode"/>
    <code value="PRIVMARK"/>
    <display value="privacy mark"/>
  </securityLabel>
  <securityLabel>
    <system value="http://hl7.org/fhir/v3/ActCode"/>
    <code value="NORDSCLCD"/>
    <display value="no redisclosure without consent directive"/>
  </securityLabel>
  <agent>
    <actor>
      <reference value="Organization/f001"/>
      <display value="VA Ann Arbor Healthcare System"/>
    </actor>
    <role>
      <coding>
        <system value="http://org.mdhhs.fhir.consent-actor-type"/>
        <code value="IR"/>
        <display value="Recipient"/>
      </coding>
      <text value="Recipient of restricted health information"/>
    </role>
  </agent>
  <agent>
    <actor>
      <reference value="Organization/2"/>
      <display value="Community Mental Health Clinic"/>
    </actor>
    <role>
      <coding>
        <system value="http://org.mdhhs.fhir.consent-actor-type"/>
        <code value="IS"/>
        <display value="Sender"/>
      </coding>
      <text value="Sender of restricted health information"/>
    </role>
  </agent>
  <signer>
    <type>
      <system value="http://org.mdhhs.fhir.consent-signer-type"/>
      <code value="SELF"/>
    </type>
    <party>
      <reference value="Patient/f201"/>
      <display value="Alice Recruit"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.1"/>
      </type>
      <when value="2017-02-08T10:57:34+01:00"/>
      <whoReference>
        <reference value="Patient/f201"/>
      </whoReference>
    </signature>
  </signer>
  <legal>
    <contentAttachment>
      <contentType value="application/pdf"/>
      <language value="en-US"/>
      <url value="http://org.mihin.ecms/ConsentDirective-2121"/>
      <title value="MDHHS-5515 Consent To Share Your Health Information"/>
    </contentAttachment>
  </legal>
</Contract>