Example-Consent-OptIn-NotLabs

This is an example showing the use-case 1 from Canadian Real World Consent Directive Scenarios by Pat Pyette

Note: I used an existing patient in the FHIR example space "P.van de Heuvel".

Concern: There was not an obvious way to identify "lab orders and results", which is the specific example given. However I think when we discussed it, the actual current use is the data held by a specific server. This would be easier to manage than trying to call out "lab results".

 <?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 1. Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.)
	</p><p>
    Patient "P. van de Heuvel" wishes to withhold disclosure of all of her lab orders and results to any provider. 
   </p>
   </div>
  </text>
  <issued value="2014-08-17"/>
 <!-- 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>
 <!-- I can easily say to exclude a type of FHIR Resource, but lab-orders is not a direct Resource type. Might we put in FHIR based query parameters? -->
   <term>
     <type>
       <coding>
	     <!-- made up code system -->
	     <system value="http://hl7.org/fhir/consent-term-type-codes"/>
	     <code value="withhold-object-type"/>
	   </coding>
	 </type>
	 <subType>
       <coding>
	     <system value="http://hl7.org/fhir/ValueSet/resource-types"/>
	     <code value="Order"/>
	   </coding>
	 </subtype>
     <!-- by not specifying term.actor I assume this means everyone? -->
	 <text value="Withhold orders from any provider."/>
   </term>
   <term>
     <type>
       <coding>
	     <!-- made up code system -->
	     <system value="http://hl7.org/fhir/consent-term-type-codes"/>
	     <code value="withhold-object-type"/>
	   </coding>
	 </type>
	 <subType>
       <coding>
	     <system value="http://hl7.org/fhir/ValueSet/resource-types"/>
	     <code value="OrderResponse"/>
	   </coding>
	 </subtype>
     <!-- by not specifying term.actor I assume this means everyone? -->
	 <text value="Withhold order results from any 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>