Consent DNR example for improvement

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    • Type: Change Request
    • Resolution: Persuasive with Modification
    • Priority: Medium
    • FHIR Core (FHIR)
    • DSTU2
    • Community-Based Care and Privacy
    • Consent
    • Hide

      Add example (attached) and change the consent.provision cardinality to be 0..1 with an invariant for privacy to force consent.provision 1..1

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      Add example (attached) and change the consent.provision cardinality to be 0..1 with an invariant for privacy to force consent.provision 1..1
    • John Moehrke/Suzanne Webb: 6-0-0
    • Enhancement
    • Non-substantive
    • DSTU2

      DNR example from Aleksandra Pavlyshina from fhir chat thread https://chat.fhir.org/#narrow/stream/implementers/subject/Consent.20Directive

      Application requirements have been changed recently. Now we display the question "Does the patient wish to attempt resuscitation?"
      and the answers are Yes / No (DNR) (an answer of "No (DNR)" should toggle the red DNR flag on the patient banner).
      And we display the question "Does the patient have documentation supporting this decision?" Yes / No
      And we capture the following questions for each type of the 'Advanced Directive / Living Will / DNR / POST/POLST' documents:
      Does the patient have a <document type>? Yes/No
      If, yes?
      Does the patient need to make changes to the <document type>?Yes/No
      Does the patient have copies of the <document type>?Yes/No
      Has Narus Health received a copy of the <document type>?Yes/No
      Does the patient have any questions about the <document type>?Yes/No
      Do we need to send copies of the <document type> to the medical team?Yes/No
      If, no?
      Is the patient interested in learning more about a <document type>?Yes/No
      Does the patient want to complete a <document type>?

      Issues:

      however Consent.policy is 1..1 so I had to put something there, I put 'opt-in' meaning 'allow everything' but 'deny' the action 'For resuscitation (finding) SCTID: 304252001'.
      I'm not sure about the Consent.except.code value: should it be Not for resuscitation (finding) SCTID: 304253006?
      Also I'm not sure about the Consent.organization(Organization that manages the consent) - is this the organization that owns the application where I'm capturing this information, or is this an attorney's firm, who attested this original document?

            Assignee:
            Unassigned
            Reporter:
            John Moehrke
            Watchers:
            1 Start watching this issue

              Created:
              Updated:
              Resolved: