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Consent "consent-example-basic" Version "1"

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Authorize Normal access for Treatment

Patient "Peter James Chalmers ("Jim")" wishes to have all of the PHI collected at the Burgers University Medical Center available for normal treatment use.


{
  "resourceType" : "Consent",
  "id" : "consent-example-basic",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:35.062Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>\n&#x09; Authorize Normal access for Treatment\n&#x09;&#x09;&#x09;</p>\n <p>\n Patient \"Peter James Chalmers (\"Jim\")\" wishes to have all of the PHI collected at the Burgers University Medical Center available for normal treatment use.\n&#x09;&#x09;&#x09;</p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/Example",
    "display" : "Peter James Chalmers"
  },
  "dateTime" : "2018-12-28",
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The terms of the consent in lawyer speak."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "deny",
    "provision" : [
      {
        "type" : "permit",
        "period" : {
          "start" : "1964-01-01",
          "end" : "2019-01-01"
        }
      }
    ]
  }
}

Consent "consent-example-smartonfhir" Version "1"

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{
  "resourceType" : "Consent",
  "id" : "consent-example-smartonfhir",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:35.015Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: active</p><p><b>scope</b>: <span>Privacy Consent</span></p><p><b>category</b>: <span>Patient Consent</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 12345 (USUAL); active; Henry Levin ; gender: male; birthDate: 1932-09-24</a></p><p><b>dateTime</b>: 23 Jun. 2016, 5:02:33 pm</p><p><b>performer</b>: <a>Generated Summary: <span>Emergency Contact</span>; Peter James Chalmers (OFFICIAL); Phone: (03) 5555 6473; gender: male; period: 2012-03-11 --&gt; (ongoing)</a></p><p><b>controller</b>: <a>Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); <span>University Medical Hospital</span>; name: Burgers University Medical Center; Phone: 022-655 2300</a></p><p><b>policyRule</b>: <span>information access</span></p><blockquote><p><b>provision</b></p><p><b>type</b>: deny</p><p><b>period</b>: 23 Jun. 2016, 5:02:33 pm --&gt; 23 Jun. 2016, 5:32:33 pm</p><h3>Provisions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/xcda"
  },
  "dateTime" : "2016-06-23T17:02:33+10:00",
  "performer" : [
    {
      "reference" : "RelatedPerson/peter"
    }
  ],
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "deny",
    "period" : {
      "start" : "2016-06-23T17:02:33+10:00",
      "end" : "2016-06-23T17:32:33+10:00"
    },
    "provision" : [
      {
        "type" : "permit",
        "action" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                "code" : "access"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                "code" : "correct"
              }
            ]
          }
        ],
        "class" : [
          {
            "system" : "http://hl7.org/fhir/resource-types",
            "code" : "MedicationRequest"
          }
        ]
      }
    ]
  }
}

Consent "consent-example-pkb" Version "1"

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This example demonstrates how to encode this screen shot in a consent resource:

Screenshot from Patient Knows Best

Thanks to Patients Know Best for contributing this example

Example uses SecurityLabels to define data types


{
  "resourceType" : "Consent",
  "id" : "consent-example-pkb",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.953Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>This example demonstrates how to encode this screen shot in a consent resource:</p>\n <p>\n <img alt=\"Screenshot from Patient Knows Best\"/>\n </p>\n <p>Thanks to <a href=\"https://www.patientsknowbest.com/\">Patients Know Best</a> for contributing this example</p>\n <p>Example uses SecurityLabels to define data types</p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"
  },
  "dateTime" : "2018-12-28",
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "deny",
    "provision" : [
      {
        "type" : "permit",
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "PRCP"
                }
              ]
            },
            "reference" : {
              "reference" : "Organization/f001"
            }
          }
        ],
        "action" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                "code" : "access"
              }
            ]
          }
        ],
        "securityLabel" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
            "code" : "N"
          }
        ],
        "provision" : [
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "PSY"
              }
            ]
          },
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "SPI"
              }
            ]
          },
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                "code" : "N"
              }
            ]
          },
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "PSY"
              }
            ]
          },
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "SPI"
              }
            ]
          },
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "SEX"
              }
            ]
          },
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                "code" : "N"
              }
            ]
          },
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "PSY"
              }
            ]
          },
          {
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "SPI"
              }
            ]
          },
          {
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
                "code" : "SEX"
              }
            ]
          },
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "PRCP"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f001"
                }
              }
            ],
            "action" : [
              {
                "coding" : [
                  {
                    "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                    "code" : "access"
                  }
                ]
              }
            ],
            "securityLabel" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                "code" : "N"
              }
            ]
          }
        ]
      }
    ]
  }
}

Consent "consent-example-Out" Version "1"

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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. Withhold Authorization of sharing data for Treatment

Patient "P. van de Heuvel" wishes to have no data at the Burgers University Medical Center available for normal treatment use.


{
  "resourceType" : "Consent",
  "id" : "consent-example-Out",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.906Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "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&#x09; 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 Authorization of sharing data for Treatment\n&#x09;</p>\n <p>\n Patient \"P. van de Heuvel\" wishes to have no data at the Burgers University Medical Center available for normal treatment use.\n </p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "dateTime" : "2018-12-28",
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The terms of the consent in lawyer speak."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "permit",
    "provision" : [
      {
        "type" : "deny",
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "CST"
                }
              ]
            },
            "reference" : {
              "reference" : "Organization/f001"
            }
          }
        ]
      }
    ]
  }
}

Consent "consent-example-notTime" Version "1"

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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. Withhold or withdraw consent for disclosure of records related published during a timeframe

Patient "P. van de Heuvel" wishes to withhold disclosure of all data from a timeframe to any provider.


{
  "resourceType" : "Consent",
  "id" : "consent-example-notTime",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.859Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "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&#x09; 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 of records related published during a timeframe</p>\n <p>Patient \"P. van de Heuvel\" wishes to withhold disclosure of all data from a timeframe to any provider.</p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "dateTime" : "2018-12-28",
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The terms of the consent in lawyer speak."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "permit",
    "provision" : [
      {
        "period" : {
          "start" : "2015-01-01",
          "end" : "2015-02-01"
        }
      }
    ]
  }
}

Consent "consent-example-notThis" Version "1"

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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. 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


{
  "resourceType" : "Consent",
  "id" : "consent-example-notThis",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.796Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "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&#x09; 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&#x09; Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result) \n&#x09; </p>\n <p>\n Patient \"Donal D DUCK\"'s Primary Care Provider, Dr. Philip Primary, has ordered a set of lab test which Adam \n wishes to keep as private as possible. At the sample collection facility, he indicates that he would \n like withhold consent to disclose the order and all results associated with that specific order from \n all other providers \n </p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "dateTime" : "2018-12-28",
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The terms of the consent in lawyer speak."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "permit",
    "provision" : [
      {
        "type" : "deny",
        "data" : [
          {
            "meaning" : "related",
            "reference" : {
              "reference" : "MedicationRequest/medrx0305"
            }
          }
        ]
      }
    ]
  }
}

Consent "consent-example-notThem" Version "1"

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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.

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

Patient "Eve Everywoman"'s ex-spouse, Carla Espinosa is a Nurse that is employed by Burgers University Medical Center. Eve realizes that she may receive treatment at BUMC, 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 her ex's employment at Burgers University Medical Center.


{
  "resourceType" : "Consent",
  "id" : "consent-example-notThem",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.750Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "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&#x09; 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. <p>\n&#x09; specific to use-case 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization) </p>\n&#x09;<p>Patient \"Eve Everywoman\"'s ex-spouse, Carla Espinosa is a Nurse that is employed by Burgers University Medical Center.\n Eve realizes that she may receive treatment at BUMC, however she does not want her ex-spouse to have any \n access to her IIHI. She indicates that she would like to withdraw/withhold consent to disclose any instance \n of her health information to her ex-spouse as a result of her ex's employment at Burgers University Medical Center.\n </p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/mom",
    "display" : "Eve Everywoman"
  },
  "dateTime" : "2018-12-24",
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The terms of the consent in lawyer speak."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "permit",
    "provision" : [
      {
        "type" : "deny",
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "PRCP"
                }
              ]
            },
            "reference" : {
              "reference" : "Practitioner/f204",
              "display" : "Carla Espinosa"
            }
          }
        ],
        "action" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                "code" : "access"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                "code" : "correct"
              }
            ]
          }
        ]
      }
    ]
  }
}

Consent "consent-example-notOrg" Version "1"

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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. 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 Burgers University Medical Center. P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Burgers University Medical Center.


{
  "resourceType" : "Consent",
  "id" : "consent-example-notOrg",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.703Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "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&#x09; 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&#x09; 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>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "dateTime" : "2018-12-24",
  "controller" : [
    {
      "reference" : "Organization/2.16.840.1.113883.19.5"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The terms of the consent in lawyer speak."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "permit",
    "provision" : [
      {
        "type" : "deny",
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "PRCP"
                }
              ]
            },
            "reference" : {
              "reference" : "Organization/f001"
            }
          }
        ],
        "action" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                "code" : "access"
              }
            ]
          },
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                "code" : "correct"
              }
            ]
          }
        ]
      }
    ]
  }
}

Consent "consent-example-notAuthor" Version "1"

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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. This example is to 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 Burgers University Medical Center restricted from disclosure to every provider.


{
  "resourceType" : "Consent",
  "id" : "consent-example-notAuthor",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.656Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "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&#x09; 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&#x09; This example is to withhold or withdraw consent for disclosure of records that were authored by a specific organization (or service delivery location).</p>\n <p>Patient \"P. van de Heuvel\" wishes to have all of the PHI collected at the Burgers University Medical Center restricted from disclosure to every provider.</p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "P. van de Heuvel"
  },
  "dateTime" : "2015-11-18",
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The terms of the consent in lawyer speak."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "permit",
    "provision" : [
      {
        "type" : "deny",
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "CST"
                }
              ]
            },
            "reference" : {
              "reference" : "Organization/f001"
            }
          }
        ]
      }
    ]
  }
}

Consent "consent-example-grantor" Version "1"

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Consent given to authorized representative

This is a case where a Patient is giving a limited (read-only) access to an individual.

Patient "Donald D DUCK" wishes to provide Dr. Simone Heps with read-only access to the data at Blijdorp Medisch Centrum available for patient requested access use.


{
  "resourceType" : "Consent",
  "id" : "consent-example-grantor",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.593Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Consent given to authorized representative</p>\n <p>This is a case where a Patient is giving a limited (read-only) access to an individual.</p>\n <p>Patient \"Donald D DUCK\" wishes to provide Dr. Simone Heps with read-only access to the data at Blijdorp Medisch Centrum available for patient requested access use.</p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "INFAO"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/f002",
    "display" : "Donald D DUCK"
  },
  "dateTime" : "2018-12-24",
  "controller" : [
    {
      "reference" : "Organization/f203"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The terms of the consent in lawyer speak."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFAO"
      }
    ]
  },
  "provision" : {
    "type" : "deny",
    "provision" : [
      {
        "type" : "permit",
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "CST"
                }
              ]
            },
            "reference" : {
              "reference" : "Organization/f203"
            }
          },
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "PRCP"
                }
              ]
            },
            "reference" : {
              "reference" : "Practitioner/f007",
              "display" : "Simone Heps"
            }
          }
        ],
        "action" : [
          {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
                "code" : "access"
              }
            ]
          }
        ]
      }
    ]
  }
}

Consent "consent-example-Emergency" Version "1"

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Withhold Authorization for Treatment rule for except for Emergency Treatment

Patient "Pieter van de Heuvel" wishes to have no data at the Artis University Medical Center available except for Emergency treatment use. An overall Deny consent directive, with an exception "Permit" for purposeOfUse "ETREAT" at Artis University Medical Center.


{
  "resourceType" : "Consent",
  "id" : "consent-example-Emergency",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.531Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Withhold Authorization for Treatment rule for except for Emergency Treatment</p>\n <p>Patient \"Pieter van de Heuvel\" wishes to have no data at the Artis University Medical Center available except for Emergency treatment use. \n An overall Deny consent directive, with an exception \"Permit\" for purposeOfUse \"ETREAT\" at Artis University Medical Center.</p>\n </div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "INFA"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/f001",
    "display" : "Pieter van de Heuvel"
  },
  "dateTime" : "2018-12-24",
  "controller" : [
    {
      "reference" : "Organization/f201"
    }
  ],
  "sourceAttachment" : [
    {
      "title" : "The patient [grantor] declines to agree to the provider's [grantee's] consent directive form, which lists permissible collection, access, use, or disclosure activities, purposes of use, handling caveats, revocation policies, and consequences of not assenting."
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "deny",
    "provision" : [
      {
        "type" : "deny",
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "CST"
                }
              ]
            },
            "reference" : {
              "reference" : "Organization/f201"
            }
          }
        ],
        "provision" : [
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "CST"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Organization/f201"
                }
              }
            ],
            "purpose" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "code" : "ETREAT"
              }
            ]
          }
        ]
      }
    ]
  }
}

Consent "consent-example-CDA" Version "1"

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


{
  "resourceType" : "Consent",
  "id" : "consent-example-CDA",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:34.484Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>identifier</b>: id: 494e0c7a-a69e-4fb4-9d02-6aae747790d7</p><p><b>status</b>: active</p><p><b>scope</b>: <span>Privacy Consent</span></p><p><b>category</b>: <span>Notice of Privacy Practices</span></p><p><b>subject</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>dateTime</b>: 28 Dec. 2018, 3:41:10 pm</p><p><b>performer</b>: <a>Generated Summary: Medical record number: 123456 (USUAL); active; Duck D Donald (OFFICIAL); gender: other</a></p><p><b>controller</b>: <a>Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); <span>University Medical Hospital</span>; name: Burgers University Medical Center; Phone: 022-655 2300</a></p><p><b>sourceReference</b>: <a>Generated Summary: issued: 2015-11-18; <span>Privacy policy acknowledgment Document</span>; <span>Default Authorization with exceptions.</span></a></p><p><b>policyRule</b>: <span>information access</span></p><blockquote><p><b>provision</b></p><p><b>type</b>: permit</p><h3>Provisions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></div>"
  },
  "identifier" : [
    {
      "system" : "urn:oid:2.16.840.1.113883.3.72.5.9.1",
      "value" : "494e0c7a-a69e-4fb4-9d02-6aae747790d7"
    }
  ],
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
          "code" : "npp"
        }
      ]
    }
  ],
  "subject" : {
    "reference" : "Patient/pat2"
  },
  "dateTime" : "2018-12-28T00:41:10-04:00",
  "performer" : [
    {
      "reference" : "Patient/pat2"
    }
  ],
  "controller" : [
    {
      "reference" : "Organization/f001"
    }
  ],
  "sourceReference" : [
    {
      "reference" : "Contract/pcd-example-notAuthor"
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "INFA"
      }
    ]
  },
  "provision" : {
    "type" : "permit",
    "provision" : [
      {
        "type" : "deny",
        "period" : {
          "start" : "2018-10-10",
          "end" : "2019-10-10"
        },
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "PRCP"
                }
              ]
            },
            "reference" : {
              "reference" : "Practitioner/f001"
            }
          }
        ],
        "provision" : [
          {
            "type" : "permit",
            "actor" : [
              {
                "role" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                      "code" : "AUT"
                    }
                  ]
                },
                "reference" : {
                  "reference" : "Practitioner/xcda-author"
                }
              }
            ],
            "class" : [
              {
                "system" : "urn:ietf:bcp:13",
                "code" : "application/hl7-cda+xml"
              }
            ],
            "code" : [
              {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "34133-9"
                  }
                ]
              },
              {
                "coding" : [
                  {
                    "system" : "http://loinc.org",
                    "code" : "18842-5"
                  }
                ]
              }
            ]
          }
        ]
      }
    ]
  }
}