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.

<!-- 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> <type value="deny"/> <actor> <role> <coding> <system value="http://hl7.org/fhir/v3/ParticipationType"/> <code value="CST"/> </coding> </role> <reference> <reference value="Organization/2.16.840.1.113883.19.5"/> <display value="Good Health Clinic"/> </reference> </actor> </except> </Consent>