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Example Consent/consent-example-notThis (XML)

Community Based Collaborative Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient

Raw XML (canonical form + also see XML Format Specification)

Jump past Narrative

Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.) (id = "consent-example-notThis")

<?xml version="1.0" encoding="UTF-8"?>

<Consent xmlns="http://hl7.org/fhir">
  <id value="consent-example-notThis"/> 
  <text> 
    <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">
      <p> The following scenario is based on existing jurisdictional policy and are realized
         in existing systems in Canada. 
        The default policy is one of implied consent for the provision of care,
         so these scenarios all deal with withdrawal or withholding consent for that purpose.
         
         Withhold or withdraw consent for disclosure of a specific record (e.g.
         Lab Order/Result) 
      </p> 
      <p> 
    Patient &quot;Donal D DUCK&quot;'s Primary Care Provider, Dr. Philip Primary,
         has ordered a set of lab test which Adam 
   wishes to keep as private as possible.  At the sample collection facility, he
         indicates that he would 
   like withhold consent to disclose the order and all results associated with
         that specific order from 
   all other providers  
      </p> 
    </div> 
  </text> 
  <status value="active"/> 
  <category> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="59284-0"/> 
    </coding> 
  </category> 
  <subject> 
    <reference value="Patient/f001"/> 
    <display value="P. van de Heuvel"/> 
  </subject> 
  <date value="2018-12-28"/> 
  <controller> 
    <reference value="Organization/f001"/> 
  </controller> 
  <!--   likely use url pointer to common text   -->
  <sourceAttachment> 
    <title value="The terms of the consent in lawyer speak."/> 
  </sourceAttachment> 
  <regulatoryBasis> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="INFA"/> 
    </coding> 
  </regulatoryBasis> 
  <decision value="permit"/> 
  <!--   this is opt-in - e.g. everything approved unless otherwise stated   -->
  <provision> 
    <data> 
      <meaning value="related"/> 
      <reference> 
        <reference value="MedicationRequest/medrx0305"/> 
      </reference> 
    </data> 
  </provision> 
</Consent> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.