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HL7 FHIR Consent Directive Project

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[Back to HL7 Patient Friendly Language Consent Directive Project]

Weekly meeting

Wednesdays 6:00 PM Eastern Time

Call Agenda, Attendance, and Call Notes


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.

Current Open FHIR CPs

November 4, 2015

  • 5524 Consent shouldn't be a sub-type of Contract (Lloyd McKenzie) Considered for Future Use
  • 5525 Consent Directive does not appear to be aligned with the 80% (Lloyd McKenzie) Considered for Future Use
  • 6285 Proposal for ConsentDirective stepping stones (John Moehrke) Considered for Future Use
  • 6861 2015May sdc #78 - What is subject? (James Kretz) Considered for Future Use
  • 6864 2015May sdc #81 - Only one mandatory element in consent directive (James Kretz) Considered for Future Use
  • 6865 2015May sdc #82 - Bundle with consent + request? (James Kretz) Considered for Future Use
  • 7252 2015May core #361 - ConsentDirective appears US-specific (Lloyd McKenzie) None
  • 7253 2015May core #362 - ConsentDirective violates DSTU 2 rules (Lloyd McKenzie) None
  • 7531 2015May core #822 - ConsentDirective ballot status (Grahame Grieve) None
  • 7532 2015May core #823 - ConsentDirective documentation (Grahame Grieve) None
  • 7533 2015May core #824 - ConsentDirective as a profile (Grahame Grieve) None
  • 7871 2015May core #1191 - Where is consent status, advance directive details? Contract resource is inappropriate (Michelle Miller) None
  • 5905 Contract.binding is the same as the intent of Consent.legal (John Moehrke) Not Related
  • 5906 Contract.signer needs to be clarified (John Moehrke) Not Related
  • 5907 Contract.action is not defined (John Moehrke) Not Related
  • 6137 Consent has no examples (Lloyd McKenzie) Not Related
  • 6284 ConsentDirective vs Contract (John Moehrke) Not Related
  • 7691 2015May core #982 - Is "subject" supposed to identify the data covered by the consent? (Ioana Singureanu) Not Related
  • 7752 2015May core #1073 - Replace value set with FHIR Signer Type value set (Kathleen Connor) Not Related
  • 7770 2015May core #1091 - Rename Contract - Consent is not a Contract (Keith Boone) Not Related
  • 7771 2015May core #1092 - Does electronic exchange of contracts fit in the 80%? (Keith Boone) Not Related

FHIR Consent Directive Artifacts

Consent Directive Examples

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.

  • 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.
  •  ???