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.

<!-- likely use url pointer to common text --> </sourceAttachment> <!-- this is opt-out - e.g. everything approved unless otherwise stated --> <policy value="http://hl7.org/fhir/ConsentPolicy/opt-out"/> <except> <!-- no read or write access for this org --> <type value="deny"/> <actor> <role> <coding> <system value="http://hl7.org/fhir/v3/ParticipationType"/> <code value="PRCP"/> <!-- PRCP: recipient of the information --> </coding> </role> <reference> <reference value="Organization/2.16.840.1.113883.19.5"/> <display value="Good Health Clinic"/> </reference> </actor> <action> <coding> <system value="http://hl7.org/fhir/consentaction"/> <code value="access"/> </coding> </action> <action> <coding> <system value="http://hl7.org/fhir/consentaction"/> <code value="correct"/> </coding> </action> </except> </Consent>