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Difference between revisions of "HL7 FHIR Consent Directive Project"

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[[CBCC|Back to CBCC Wiki: Meetings]]
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[[Community-Based_Care_and_Privacy_(CBCP)|Back to CBCP Wiki: Meetings]]
  
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[[http://wiki.hl7.org/index.php?title=HL7_Patient_Friendly_Consent_Directive_Project Back to HL7 Patient Friendly Language Consent Directive Project]]
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This work is authorized under project 1130 [[HL7 Patient Friendly Consent Directive Project]]
  
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==Weekly meeting==
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[[HL7 FHIR Consent Directive Project]]
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Wednesdays 6:00 PM Eastern Time
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* Phone: +1 770-657-9270, Participant Code: 994563
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==Weekly Meeting Logistics==
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* Web meeting Info: https://global.gotomeeting.com/join/520841173
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Weekly meeting; Fridays 2:00 - 3:00 PM Eastern Time
 +
 
 +
Dial-in Number: (515) 604-9861
 +
 
 +
International Dial-in Numbers are provided
 +
 
 +
Access Code: 429554
 +
 
 +
Online Meeting Link: http://join.freeconferencecall.com/cbhs
  
 
==Call Agenda, Attendance, and Call Notes==
 
==Call Agenda, Attendance, and Call Notes==
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*[[November 11, 2015]]
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* [[FHIR Consent Feb 22, 2018]]
−
*[[November 4, 2015]]
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* [[FHIR Consent Feb 15, 2018]]
−
*[[October 28, 2015]]
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* FHIR Consent Feb 8, 2018  -- CANCELLED
 +
* FHIR Consent Feb 1, 2018  -- CANCELLED (WGM)
 +
* FHIR Consent Jan 25, 2018  -- CANCELLED
 +
* [[FHIR Consent Jan 18, 2018]]
 +
* [[FHIR Consent Jan 11, 2018]]
 +
* FHIR Consent Jan 4, 2018  -- CANCELLED
 +
* FHIR Consent December 28, 2017 -- CANCELLED
 +
* FHIR Consent December 21, 2017 -- CANCELLED
 +
* [[FHIR Consent December 14, 2017]]
 +
* [[FHIR Consent December 7, 2017]]
 +
* FHIR Consent November 23, 2017 -- CANCELLED
 +
* FHIR Consent November 16, 2017 -- CANCELLED
 +
* [[FHIR Consent November 9, 2017]]
 +
* [[FHIR Consent November 2, 2017]]
 +
* [[FHIR Consent October 26, 2017]]
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* [[FHIR Consent October 19, 2017]]
 +
* [[FHIR Consent October 12, 2017]]
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* [[FHIR Consent October 6, 2017]]
 +
* [[FHIR Consent Sept 29, 2017]]
 +
* FHIR Consent Sept 23, 2017 -- CANCELLED
 +
* FHIR Consent Sept 15, 2017 -- CANCELLED (WGM)
 +
* FHIR Consent Sept 8, 2017 -- CANCELLED (WGM)
 +
* FHIR Consent Sept 1, 2017 -- CANCELLED
 +
* [[FHIR Consent August 25, 2017]]
 +
* [[FHIR Consent August 18, 2017]]
 +
* [[FHIR Consent August 11, 2017]]
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* [[FHIR Consent August 4, 2017]]
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* [[FHIR Consent July 28, 2017]]
 +
* FHIR Consent July 21, 2017 -- CANCELLED
 +
* [[FHIR Consent July 14, 2017]]
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* FHIR Consent July 7, 2017 -- CANCELLED
 +
* [[FHIR Consent June 30, 2017]]
 +
* [[FHIR Consent June 23, 2017]]
 +
* [[FHIR Consent June 16, 2017]]
 +
* [[FHIR Consent June 9, 2017]]
 +
* [[FHIR Consent June 2, 2017]]
 +
* [[FHIR Consent May, 26 2017]]
 +
* FHIR Consent May, 19 2017 -- CANCELLED
 +
* FHIR Consent May, 12 2017 -- CANCELLED
 +
* FHIR Consent May, 5 2017 -- CANCELLED (WGM)
 +
* FHIR Consent Apr 28, 2017 -- CANCELLED (WGM)
 +
* [[FHIR Consent Apr 21, 2017]]
 +
* FHIR Consent Apr 14, 2017 -- CANCELLED
 +
* [[FHIR Consent Apr 7, 2017]]
 +
* [[FHIR Consent Mar 31, 2017]]
 +
* [[FHIR Consent Mar 24, 2017]]
 +
* [[FHIR Consent Mar 17, 2017]]
 +
* [[FHIR Consent Mar 10, 2017]]
 +
* [[FHIR Consent Mar 3, 2017]]
 +
[[Pre-STU3 Meetings]]
  
 +
[[Pre-STU2 Meetings]]
  
 
==Purpose==
 
==Purpose==
Line 19: Line 77:
 
Prior to 10/27/2015, some of this content was kept on the [[http://wiki.hl7.org/index.php?title=HL7_Patient_Friendly_Consent_Directive_Project HL7 Patient Friendly Language Consent Directive Project]] page.
 
Prior to 10/27/2015, some of this content was kept on the [[http://wiki.hl7.org/index.php?title=HL7_Patient_Friendly_Consent_Directive_Project HL7 Patient Friendly Language Consent Directive Project]] page.
  
−
==Current Open FHIR CPs==
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==working space==
 +
[[FHIR Consent Directive Implementation Guide]]
 +
 
 +
[http://build.fhir.org/consent.html The current version of the Consent resource]
 +
[http://fhir.hl7.org/consent.html STU3 Version of the Consent resource]
  
−
November 4, 2015
+
==[[Current Open/Deferred FHIR CPs]]==
 +
[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemBrowse&tracker_id=677&querynav=%2Fgf%2Fproject%2Ffhir%2Ftracker%2F%3Faction%3DTrackerItemBrowse%26tracker_id%3D677%26forget_query%3D1&quickquery=1&tracker_item_id=&summary=&submitted_by=&priority=&assigned_to=&extra_field%5B4214%5D=&extra_field%5B4215%5D=&extra_field%5B4060%5D=&extra_field%5B3631%5D=&extra_field%5B3807%5D=19593&extra_field%5B3808%5D=&extra_field%5B3628%5D=15347&extra_field%5B3626%5D=&extra_field%5B4065%5D=&extra_field%5B4092%5D=&extra_field%5B4063%5D=&extra_field%5B4062%5D=&extra_field%5B2415%5D=-3&extra_field%5B4252%5D=&extra_field%5B3633%5D=&extra_field%5B3969%5D=&extra_field%5B4069%5D=&extra_field%5B4066%5D=&extra_field%5B4071%5D=&extra_field%5B3632%5D=&sortcol=priority&sortord=DESC All current CPs in Gforge]
  
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=5524 5524] Consent shouldn't be a sub-type of Contract (Lloyd McKenzie) Considered for Future Use
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==FHIR Consent Directive Artefacts==
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=5525 5525] Consent Directive does not appear to be aligned with the 80% (Lloyd McKenzie) Considered for Future Use
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* Current Information for Discussion
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=6285 6285] Proposal for ConsentDirective stepping stones (John Moehrke) Considered for Future Use
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THese have been provided by Mike Davis, Kathleen Connor and John Moehrke as illustrations for possible reasons for and against having multiple Purpose of Use elements on the FHIR Consent Resource.
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=6861 6861] 2015May sdc #78 - What is subject? (James Kretz) Considered for Future Use
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** [[File:Purpose of Use CBCC 1220 2016 JMD.pptx]]
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=6864 6864] 2015May sdc #81 - Only one mandatory element in consent directive (James Kretz) Considered for Future Use
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** [[File:POU De-Mystified.pdf]]
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=6865 6865] 2015May sdc #82 - Bundle with consent + request? (James Kretz) Considered for Future Use
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** [[File:Consent-DAM-HCS-vectors-20170131.pptx]]
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7252 7252] 2015May core #361 - ConsentDirective appears US-specific (Lloyd McKenzie) None
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** [[File:UK Handling Instructions Government Security Classification guidance.doc]]
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7253 7253] 2015May core #362 - ConsentDirective violates DSTU 2 rules (Lloyd McKenzie) None
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7531 7531] 2015May core #822 - ConsentDirective ballot status (Grahame Grieve) None
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7532 7532] 2015May core #823 - ConsentDirective documentation (Grahame Grieve) None
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7533 7533] 2015May core #824 - ConsentDirective as a profile (Grahame Grieve) None
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7871 7871] 2015May core #1191 - Where is consent status, advance directive details? Contract resource is inappropriate (Michelle Miller) None
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=5905 5905] Contract.binding is the same as the intent of Consent.legal (John Moehrke) Not Related
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=5906 5906] Contract.signer needs to be clarified (John Moehrke) Not Related
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=5907 5907] Contract.action is not defined (John Moehrke) Not Related
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=6137 6137] Consent has no examples (Lloyd McKenzie) Not Related
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=6284 6284] ConsentDirective vs Contract (John Moehrke) Not Related
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7691 7691] 2015May core #982 - Is "subject" supposed to identify the data covered by the consent? (Ioana Singureanu) Not Related
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7752 7752] 2015May core #1073 - Replace value set with FHIR Signer Type value set (Kathleen Connor) Not Related
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7770 7770] 2015May core #1091 - Rename Contract - Consent is not a Contract (Keith Boone) Not Related
 
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*[http://gforge.hl7.org/gf/project/fhir/tracker/?action=TrackerItemEdit&tracker_item_id=7771 7771] 2015May core #1092 - Does electronic exchange of contracts fit in the 80%? (Keith Boone) Not Related
 
  
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==FHIR Consent Directive Artifacts ==
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*Historical Documents
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*[[FHIR Consent Directive Use Cases]]
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**[[FHIR Consent - Grahame's model]]
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*[[FHIR Consent Directive Library]]
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**[[FHIR Consent Directive Use Cases]]
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*[[Consent Directive Examples]]
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**[[FHIR Consent Directive Library]]
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*[[FHIR Consent Directive Value Sets]]
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**[[Consent Directive Examples]]
 +
**[[FHIR Consent Directive Value Sets]]
 
*[http://gforge.hl7.org/gf/project/cbcc/docman/Patient%20Friendly%20Security%20and%20Privacy%20Natural%20Language%20for%20Consent%20Directives/FHIR%20Contract%20Resource%20for%20CD/ FHIR Consent Directive DSTU 1 Artifacts]
 
*[http://gforge.hl7.org/gf/project/cbcc/docman/Patient%20Friendly%20Security%20and%20Privacy%20Natural%20Language%20for%20Consent%20Directives/FHIR%20Contract%20Resource%20for%20CD/ FHIR Consent Directive DSTU 1 Artifacts]
  
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=Consent Directive Examples==
+
==[[Consent Directive Examples]]==
−
*[http://share.axure.com/2AWHL4/ VA Online Consent Directive prototype]
 
−
*[http://gforge.hl7.org/gf/project/cbcc/docman/FHIR%20Consent%20Directive/Consent%20Directive%20Examples/ Gforge Folder - Consent Directive Examples and state and HIE consent directive policy analysis and governance schemes]
 
−
*[http://gforge.hl7.org/gf/download/docmanfileversion/8388/12445/Florida%20Consent%20Directive%20lmited.doc Florida Share All Consent Directive]
 
−
*[http://gforge.hl7.org/gf/download/docmanfileversion/8386/12447/Florida%20Consent%20Directive.doc Florida Share Partial Consent Directive]
 
−
*[http://gforge.hl7.org/gf/download/docmanfileversion/8387/12448/42%20CFR%20to%20XACML%20samples.zip XACML and GUI for 42 CFR samples]
 
−
*[http://www.hhs.gov/ocr/privacy/hipaa/modelnotices.html OCR Notice of Privacy Practices - with Patient Friendly templates and good example for FHIR Consent Directive Questionnaire instance]
 
−
*[https://www.healthit.gov/policy-researchers-implementers/personal-health-record-phr-model-privacy-notice ONC Personal Health Record (PHR) Model Privacy Notice - with Patient Friendly templates and good example for FHIR Consent Directive Questionnaire instance]
 
  
 
==Work breakdown==
 
==Work breakdown==
−
Work on the existing path, thus deferring resolution of "Consent as a Resource" vs "Consent as a Profile on Contract". It is best to get progress, and this difference is holding progress. Once we make more progress we can resolve and adjust.
+
Now that STU3 has been released, the Consent Resource is posed to completely replace the Contract resource profile.
 +
The Consent to share is stable
 +
Three additional use cases are being studied:
 +
Research consent, Advance Directives and Treatment consent.
 +
Each of these are being pursued with the assistance of the relevant Domain Experts workgroups.
 +
 
 +
 
 +
Work on the existing path, then expand to review consent for more than disclosure. Once we make more progress we can resolve and adjust.
  
 
* Start effort on developing this effort as an Implementation Guide (IG)
 
* Start effort on developing this effort as an Implementation Guide (IG)
 
* Have many profiles within the IG
 
* Have many profiles within the IG
−
** Simple acknowledgement without deviations... Equivilant to BPPC
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** Simple acknowledgement without deviations... Equivalent to BPPC
 +
*** Opt-In, Opt-Out, Opt-Out-fully, etc
 
** Consent with explicitly authorized individuals
 
** Consent with explicitly authorized individuals
 +
*** organization or individual or service delivery location
 
** Consent with explicitly identified types of objects to exclude
 
** Consent with explicitly identified types of objects to exclude
 +
*** By clinical type of data
 +
*** By repository holding that data
 
** Consent with explicitly identified objects to exclude
 
** Consent with explicitly identified objects to exclude
−
** ???
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*** Consent with explicitly identified object and any other object related to that object (order number --> all results)(e.g. accession number)
 +
** Consents with explicitly identified author to include/exclude
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** Defining combination of terms within a single policy
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** Defining combination of terms when they are individual policies (opt-out + opt-in-for-Bob != opt-in-for-Bob + opt-out)
 
* Explain how Consent is related to a Questionnaire presented to a patient
 
* Explain how Consent is related to a Questionnaire presented to a patient
 +
* Produce a set of Consent logical Principles
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** e.g. when writing rules, you are only adding things into scope
 
* Explain how CDA-ConsentDirective can inform FHIR Consent.
 
* Explain how CDA-ConsentDirective can inform FHIR Consent.
−
* ???
 

Latest revision as of 17:51, 22 February 2018

Back to CBCP Wiki: Meetings

This work is authorized under project 1130 HL7 Patient Friendly Consent Directive Project

HL7 FHIR Consent Directive Project

Weekly Meeting Logistics

Weekly meeting; Fridays 2:00 - 3:00 PM Eastern Time

Dial-in Number: (515) 604-9861

International Dial-in Numbers are provided

Access Code: 429554

Online Meeting Link: http://join.freeconferencecall.com/cbhs

Call Agenda, Attendance, and Call Notes

Pre-STU3 Meetings

Pre-STU2 Meetings

Purpose

To track the progress of the HL7 FHIR Consent Directive Project. Prior to 10/27/2015, some of this content was kept on the [HL7 Patient Friendly Language Consent Directive Project] page.

working space

FHIR Consent Directive Implementation Guide

The current version of the Consent resource STU3 Version of the Consent resource

Current Open/Deferred FHIR CPs

All current CPs in Gforge

FHIR Consent Directive Artefacts

  • Current Information for Discussion

THese have been provided by Mike Davis, Kathleen Connor and John Moehrke as illustrations for possible reasons for and against having multiple Purpose of Use elements on the FHIR Consent Resource.

Consent Directive Examples

Work breakdown

Now that STU3 has been released, the Consent Resource is posed to completely replace the Contract resource profile. The Consent to share is stable Three additional use cases are being studied: Research consent, Advance Directives and Treatment consent. Each of these are being pursued with the assistance of the relevant Domain Experts workgroups.


Work on the existing path, then expand to review consent for more than disclosure. Once we make more progress we can resolve and adjust.

  • Start effort on developing this effort as an Implementation Guide (IG)
  • Have many profiles within the IG
    • Simple acknowledgement without deviations... Equivalent to BPPC
      • Opt-In, Opt-Out, Opt-Out-fully, etc
    • Consent with explicitly authorized individuals
      • organization or individual or service delivery location
    • Consent with explicitly identified types of objects to exclude
      • By clinical type of data
      • By repository holding that data
    • Consent with explicitly identified objects to exclude
      • Consent with explicitly identified object and any other object related to that object (order number --> all results)(e.g. accession number)
    • Consents with explicitly identified author to include/exclude
    • Defining combination of terms within a single policy
    • Defining combination of terms when they are individual policies (opt-out + opt-in-for-Bob != opt-in-for-Bob + opt-out)
  • Explain how Consent is related to a Questionnaire presented to a patient
  • Produce a set of Consent logical Principles
    • e.g. when writing rules, you are only adding things into scope
  • Explain how CDA-ConsentDirective can inform FHIR Consent.
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