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Contract/C-123/_history/1 Modified: 5/28/2019 2:44:27 PM +02:00

A human-readable rendering of the contract
Contract/C-2121/_history/1 Modified: 5/28/2019 2:44:27 PM +02:00

Generated Narrative with Details

id: C-2121

meta:

status: executed

contentDerivative: Content Registration (Details : {http://terminology.hl7.org/CodeSystem/contract-content-derivative code 'registration' = 'Content Registration)

issued: 01/11/2013 9:18:27 PM

applies: 01/11/2013 9:18:27 PM --> (ongoing)

subject: Patient/f201

type: Opt-in consent directive (Details : {http://mdhhs.org/fhir/consentdirective-type code 'OPTIN' = 'OPTIN)

subType: Health Care Directive (Details : {http://terminology.hl7.org/CodeSystem/consentcategorycodes code 'hcd' = 'Health Care Directive)

term

Offers

- Type Decision Text
* Statutory (Details : {http://terminology.hl7.org/CodeSystem/contracttermtypecodes code 'statutory' = 'Statutory) opt-in (Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'OPTIN' = 'opt-in) Can't refuse

Assets

- Period
* 01/11/2013 9:18:27 PM --> 01/11/2019 9:18:27 PM

action

type: Action A (Details : {http://terminology.hl7.org/CodeSystem/contractaction code 'action-a' = 'Action A)

subject

reference: VA Ann Arbor Healthcare System

role: Recipient of restricted health information (Details : {http://mdhhs.org/fhir/consent-actor-type code 'IR' = 'IR', given as 'Recipient'})

subject

reference: Community Mental Health Clinic

role: Sender of restricted health information (Details : {http://mdhhs.org/fhir/consent-actor-type code 'IS' = 'IS', given as 'Sender'})

intent: health program reporting (Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'HPRGRP' = 'health program reporting)

status: Sample (Details )

Signers

- Type Party Signature
* SELF (Details: http://mdhhs.org/fhir/consent-signer-type code SELF = 'SELF', stated as 'null') Alice Recruit

Legals

- Content[x]
*
Contract/INS-101/_history/1 Modified: 5/28/2019 2:44:27 PM +02:00

Plan: Your Choice Split Copay (Non-Grandfathered)

Certificate Form Number: YCSCWLN (01-2017)

Contract/pcd-example-notAuthor/_history/1 Modified: 5/28/2019 2:48:38 PM +02:00

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 5) Withhold or withdraw consent for disclosure of records that were authored by a specific organization (or service delivery location).

Patient "P. van de Heuvel" wishes to have all of the PHI collected at the Good Health Psychiatric Hospital restricted from disclosure to every provider.

Contract/pcd-example-notLabs/_history/1 Modified: 5/28/2019 2:48:38 PM +02:00

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.

Contract/pcd-example-notOrg/_history/1 Modified: 5/28/2019 2:48:38 PM +02:00

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

Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Good Health Clinic. P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Good Health Clinic.

Contract/pcd-example-notThem/_history/1 Modified: 5/28/2019 2:48:39 PM +02:00

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 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization)

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.

Contract/pcd-example-notThis/_history/1 Modified: 5/28/2019 2:48:39 PM +02:00

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

Patient "P. van de Heuvel" 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 all other providers