Privacy Consent on FHIR (PCF)
1.1.1-current - ci-build International flag

Privacy Consent on FHIR (PCF), published by IHE IT Infrastructure Technical Committee. This guide is not an authorized publication; it is the continuous build for version 1.1.1-current built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/ITI.PCF/ and changes regularly. See the Directory of published versions

Example Consent: Consent for purpose of treatment example

Generated Narrative: Consent ex-consent-basic-treat

status: Active

scope: Privacy Consent

category: Consent

patient: Jack Smith Male, DoB: 1923-07-25

dateTime: 2022-06-13

performer: Jack Smith Male, DoB: 1923-07-25

organization: Organization somewhere org

source: DocumentReference: status = current; type = Release of information consent; description = The captured signed document

Policies

-Uri
*http://example.org/policies/basePrivacyConsentPolicy.txt

provision

type: Opt In

purpose: ActReason TREAT: treatment, ActReason HPAYMT: healthcare payment, ActReason HOPERAT: healthcare operations

Notes:

IUA Access Token

Provided an ITI-71 results in a PERMIT access token issued. That token would have the following PCF specific element to inform the Consent Enforcement Point.

In this case there is no residual, as the Consent expresses that authorization be given for a given purpose of use. Possibly with scope restrictions based on other business rules, such as a subset of actions (CRUDE) and resources. No token would be issued by ITI-71 for users not authorized, or requests beyond the set of purpose of use.

  • The restriction to the given purpose (FooBar) would be expressed in the ihe_iua extension
    • The other ihe_iua extension parameters are not shown below
  • The consent is indicated in the ihe_pcf
    • no residual element is provided, indicating that no residual rules need be enforced
"extensions" : {
  "ihe_iua" : {
    ...
    "purpose_of_use" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "TREAT"
      },{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HPAYMT"
      },{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HOPERAT"
    }]
  }
  "ihe_pcf" : {
    "patient_id" : "http://example.org/fhir/Patient/ex-patient",
    "doc_id" : ["http://example.org/fhir/Consent/ex-consent-basic-treat"]
  }
}