Canadian Real World Consent Directive Scenarios by Pat Pyette

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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.)

2) Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result)

3) Withhold or withdraw consent for disclosure to a specific provider organization

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.