Example-Consent-OptIn-NotLabs

<?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>

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.

specific to use-case 1. Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.)

   Patient "P. van de Heuvel" wishes to withhold disclosure of all of her lab orders and results to any provider. 

 </text>

 <issued value="2014-08-17"/>

 <subject>
   <reference value="Patient/f001"/>
   <display value="P. van de Heuvel"/>
 </subject>

 <authority>
     <reference value="Organization/Infoway"/>

<display value="Canada Infoway"/>

  </authority>

 <domain>
     <reference value="Organization/Infoway"/>

<display value="Canada Infoway"/>

  </domain>
  
 <type>
    <coding>

<system value="http://hl7.org/fhir/contracttypecodes"/> </coding>

 </type>

 <subtype>
    <coding>

<system value="http://www.infoway-inforoute.ca.org/Consent-subtype-codes"/> <display value="Default Authorization with exceptions."/> </coding>

 </subtype>

  <term>
    <type>
      <coding>

<system value="http://hl7.org/fhir/consent-term-type-codes"/> </coding> </type> <subType>

      <coding>

<system value="http://hl7.org/fhir/ValueSet/resource-types"/> </coding> </subtype> <text value="Withhold orders from any provider."/>

  </term>
  <term>
    <type>
      <coding>

<system value="http://hl7.org/fhir/consent-term-type-codes"/> </coding> </type> <subType>

      <coding>

<system value="http://hl7.org/fhir/ValueSet/resource-types"/> </coding> </subtype> <text value="Withhold order results from any provider."/>

  </term>
  <friendly>
    <contentAttachment>

<title value="The terms of the consent in friendly consumer speak."/> </contentAttachment>

  </friendly>
  <legal>
    <contentAttachment>

<title value="The terms of the consent in lawyer speak."/> </contentAttachment>

  </legal>
</Contract>