Example-Consent-OptIn-NotThem

This is an example showing the use-case 4 from Canadian Real World Consent Directive Scenarios by Pat Pyette

<?xml version="1.0" encoding="UTF-8"?>
<Contract xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/coverage.xsd">
  <id value="C-123"/>

  <text>
    <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. 
	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. 
	In other jurisdictions, where an express consent model is used (Opt-In), these would examples would contain the phrase "consent to" rather 
	than "withhold" or "withdraw" consent for.
    <p>
	specific to use-case 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization) 
	</p><p>
    Patient "P. van de Heuvel" ex-spouse, Bill T Lookafter is a Nurse that is employed by Good Health Hospital.
   P. realizes that she may receive treatment at GHH, 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 his employment at Good Health Clinic.
   </p>
   </div>
  </text>

  <issued value="2015-11-18"/>
 <!-- not bound by a timeframe -- Contract.applies -->
 
  <subject>
    <reference value="Patient/f001"/>
    <display value="P. van de Heuvel"/>
  </subject>

  <!-- I assume the example given is Canada Infoway wide???  AND I assume it is desired to state that in the Contract.authority element -->
  <authority>
      <reference value="Organization/Infoway"/>
	  <display value="Canada Infoway"/>
   </authority>
	  
   <!-- and/or would this [also] go into Contract.domain as a Jurisdiction?? (see the example on UK Pharamacy Juristiction) -->
  <domain>
      <reference value="Organization/Infoway"/>
	  <display value="Canada Infoway"/>
   </domain>
   
  <type>
     <coding>
	   <system value="http://hl7.org/fhir/contracttypecodes"/>
	   <code value="privacy"/>
	 </coding>
  </type>

  <!-- made up code-system to represent the set of privacy consent sub-types known and published by Canada Infoway -->
  <subtype>
     <coding>
	   <system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/>
	   <code value="Opt-In"/>
	   <display value="Default Authorization with exceptions."/>
	 </coding>
  </subtype>
 
  <term>
     <type>
       <coding>
	     <!-- made up code system -->
	     <system value="http://hl7.org/fhir/consent-term-type-codes"/>
	     <code value="withhold-from"/>
		 <display value="Withhold all data from specified actor entity."/>
	   </coding>
	 </type>
	 <actor>
       <entity value="Practitioner/f204"/>
	 </actor>
     
	 <text value="Withhold this order and any results or related objects from specified nurse provider."/>
   </term>
   <!-- the terms of the consent in friendly consumer speak -->
   <friendly>
     <contentAttachment>
	   <title value="The terms of the consent in friendly consumer speak."/>
	   <!-- likely use url pointer to common text -->
	 </contentAttachment>
   </friendly>
   <!-- the legal terms of the consent in lawyer speak -->
   <legal>
     <contentAttachment>
	   <title value="The terms of the consent in lawyer speak."/>
	   <!-- likely use url pointer to common text -->
	   <!-- I think some think that this should be the pointer to the law by which this consent is derived under. Such as http://lois-laws.justice.gc.ca/eng/acts/P-21/index.html -->
	 </contentAttachment>
   </legal>
</Contract>