Generated Narrative: Consent

status: active

scope: Privacy Consent (Consent Scope Codes#patient-privacy)

category: Consent (LOINC#59284-0)

patient: Patient/ex-patient " SMITH"

dateTime: 2022-06-13

performer: Patient/ex-patient " SMITH"

organization: Organization/ex-organization "somewhere org"

source: DocumentReference/ex-documentreference

Policies

provision

type: permit

purpose: treatment (Details: http://terminology.hl7.org/CodeSystem/v3-ActReason code TREAT = 'treatment', stated as 'null'), healthcare payment (Details: http://terminology.hl7.org/CodeSystem/v3-ActReason code HPAYMT = 'healthcare payment', stated as 'null'), healthcare operations (Details: http://terminology.hl7.org/CodeSystem/v3-ActReason code HOPERAT = 'healthcare operations', stated as 'null')

Data

-	Meaning	Reference
*	related	Encounter/ex-encounter

IUA Access Token

Provided an ITI-71 results in a PERMIT access token issued. That token would have the following residual element to inform the Consent Enforcement Point that it needs to restrict the results.

Given that the token will express the permit portion, the residual would need to express the refinement. In this case, given that the encounter filter is at the root, it means that nothing BUT the information related to the encounter is allowed. The oAuth token would be expressing a general permit for the given user to the given patient data. Possibly with scope restrictions based on other business rules, such as a subset of actions (CRUDE) and resources.

The token would need to include an ihe_pcf extension to point at this consent, and that would include a residual to express the refinement. Shown as followed:

• The restriction to the given purpose (Treatment, Payment, and Operations) would be expressed in the ihe_iua extension
  • The other ihe_iua extension parameters are not shown below
• The restriction to data related to the encounter would need to be expressed:
  • First as a forbid everything
  • Second as a permit that data related to the encounter

"extensions" : {
  "ihe_iua" : {
    ...
    "purpose_of_use" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "TREAT"
      },{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HPAYMT"
      },{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HOPERAT"
    }]
  }
  "ihe_pcf" : {
    "patient_id" : "http://example.org/fhir/Patient/ex-patient",
    "doc_id" : ["http://example.org/fhir/Consent/ex-consent-intermediate-encounter"],
    "residual" : [
      {
        "type" : "forbid",
      },
      {
        "type" : "permit",
        "data" : [{
            "meaning" : "related",
            "reference" : {
            "reference" : "http://example.org/fhir/Encounter/ex-encounter"
            }
        }]
      }
    ]
  }
}