Difference between revisions of "Canadian Real World Consent Directive Scenarios by Pat Pyette"
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1) Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.) | 1) Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.) | ||
| − | + | ''Eve Everywoman wishes to withhold disclosure of all of her lab orders and results to any provider.'' | |
| + | |||
2) Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result) | 2) Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result) | ||
| + | ''Adam Everyman's Primary Care Provider, Dr. Philip Primary, has ordered a set of lab test which Adam '' | ||
| + | ''wishes to keep as private as possible. At the sample collection facility, he indicates that he would '' | ||
| + | ''like withhold consent to disclose the order and all results associated with that specific order from '' | ||
| + | ''everyone except Dr. Primary.'' | ||
3) Withhold or withdraw consent for disclosure to a specific provider organization | 3) Withhold or withdraw consent for disclosure to a specific provider organization | ||
| + | ''Adam Everyman's ex-spouse is a Physician that is employed by Good Health Clinic. Adam decides'' | ||
| + | ''that he would like to withdraw/withhold consent to disclose any instance of his health information '' | ||
| + | ''to Good Health Clinic.'' | ||
4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization) | 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization) | ||
Revision as of 01:02, 16 November 2015
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Real World Consent Directive Scenarios
The following scenarios are 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 be express consent rather than withdrawal.
1) Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.)
Eve Everywoman wishes to withhold disclosure of all of her lab orders and results to any provider.
2) Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result)
Adam Everyman's Primary Care Provider, Dr. Philip Primary, has ordered a set of lab test which Adam wishes to keep as private as possible. At the sample collection facility, he indicates that he would like withhold consent to disclose the order and all results associated with that specific order from everyone except Dr. Primary.
3) Withhold or withdraw consent for disclosure to a specific provider organization
Adam Everyman's ex-spouse is a Physician that is employed by Good Health Clinic. Adam decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Good Health Clinic.
4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization)
5) Withhold or withdraw consent for disclosure of records that were authored by a specific organization (or service delivery location).
6) Combinations of the above, such as withhold or withdraw consent to disclose all of my Labs to every organization except for Good Health Clinic and Sunny Ways Hospital, and then only allow disclosure of records 1234 and 4567.
