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 0) Withhold Authorization of sharing data for Treatment

Patient "P. van de Heuvel" wishes to have no data at the Good Health Psychiatric Hospital available for normal treatment use.

<!-- likely use url pointer to common text --> </sourceAttachment> <!-- this is opt-out - e.g. everything approved unless otherwise stated --> <policyRule> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="OPTOUT"/> </coding> </policyRule> <provision> <actor> <role> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="CST"/> </coding> </role> <reference> <reference value="Organization/f001"/> </reference> </actor> </provision> </Consent>