IHE Patient Care Coordination Technical Framework Vol I

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PCC Technical Framework V3.0, vol. 1 ________________________________________________________________________ 1195 1200 information which the patient believes may indicate that the patient has genetic, substance use, HIV-AIDs, mental health or other conditions, which the patient wishes to mask. Another use for sensitivity markers is for victims of abuse who wish to mask all records containing their demographic information. 3.3.2 Privacy Access Policies (Informative) One possible implementation may have a collection of policies and sensitivity markers form an access control matrix. A simple access control matrix is shown in the table below. Sensitivity Functional Role Billing Information Administrative Information Dietary Restrictions General Clinical Information Sensitive Clinical Information Research Information Mediated by Direct Care Provider Administrative Staff X X Dietary Staff X X General Care Provider X X X Direct Care Provider X X X X X Emergency Care Provider X X X X X Researcher X Patient or Legal Representative X X X X X 1205 Table 3.3-1 Sample Access Control Policies The matrix can be sliced vertically. By slicing the matrix vertically (by sensitivity marker), a single patient consent policy (aka. sensitivity marker) vocabulary can be established. This vocabulary must then be configured in the XDS Affinity Domain. Using the example above, the privacy consent policies would be. Privacy Consent Policy Description Billing Information Administrative Information May be accessed by administrative staff and the patient or their legal representative. May be accessed by administrative or dietary staff or general, direct or emergency care providers, the patient or their legal representative. _____________________________________________________________________ 43 Revision 3.0 Public Comment — June 25, 2007 Copyright © 1997-2007: ACC/HIMSS/RSNA
PCC Technical Framework V3.0, vol. 1 ________________________________________________________________________ Dietary Restrictions General Clinical Information Sensitive Information Research Information Mediated by Direct Care Provider May be accessed by dietary staff, general, direct or emergency care providers, the patient or their legal representative. May be accessed by general, direct or emergency care providers, the patient or their legal representative. May be accessed by direct or emergency care providers, the patient or their legal representative. May be accessed by researchers. May be accessed by direct or emergency care providers. 1210 Table 3.3-2 Privacy Consent Policies When Expressed by Document Sensitivity The access control matrix can also be sliced horizontally by functional role. This requires that a separate vocabulary for document Privacy Consent Policy be configured in the XDS Affinity Domain. Privacy Consent Policy Description Administrative Staff Dietary Staff General care providers Direct care providers Emergency care providers Researchers Patient (or legal representative) May access documents that describe their sensitivity with the Billing Information or Administrative Information code. May access documents that describe their sensitivity with the Administrative Information or Dietary Restrictions codes. May access documents that describe their sensitivity with the Administrative Information, Dietary Restrictions or General Clinical Information codes. May access documents that describe their sensitivity with the Administrative Information, Dietary Restrictions, General Clinical Information, or Sensitive Clinical Information codes. May access documents that describe their sensitivity with the Administrative Information, Dietary Restrictions, General Clinical Information, or Sensitive Clinical Information codes. May access documents that describe their sensitivity with the Research Information code. May access documents that describe their sensitivity with the Administrative Information, Dietary Restrictions, General Clinical Information, or Sensitive Clinical Information codes. Table 3.3-3 Privacy Consent Policies when Expressed by Functional Role Other divisions of the access control matrix are possible, so long as a Privacy Consent Policy covers each cell granting access in the matrix. _____________________________________________________________________ 44 Revision 3.0 Public Comment — June 25, 2007 Copyright © 1997-2007: ACC/HIMSS/RSNA
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