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description:
The Consent class represents informed consents and all similar medico-legal transactions
between the patient (or his legal guardian) and the provider. Examples are informed
consent for surgical procedures, informed consent for clinical trials, advanced beneficiary
notice, against medical advice decline from service, release of information agreement,
etc.
The details of consents vary. Often an institution has a number of different consent
forms for various purposes, including reminding the physician about the topics to
mention. Such forms also include patient education material. In electronic medical
record communication, consents thus are information-generating acts on their own and
need to be managed similar to medical activities. Thus, Consent is modeled as a special
class of Act.
The "signatures" to the consent document are represented electronically through Participation
instances to the consent object. Typically an informed consent has Participation.typeCode
of "performer", the healthcare provider informing the patient, and "consenter", the
patient or legal guardian. Some consent may associate a witness or a notary public
(e.g., living wills, advanced directives). In consents where a healthcare provider
is not required (e.g. living will), the performer may be the patient himself or a
notary public.
Some consent has a minimum required delay between the consent and the service, so
as to allow the patient to rethink his decisions. This minimum delay can be expressed
in the act definition by the ActRelationship.pauseQuantity attribute that delays the
service until the pause time has elapsed after the consent has been completed.
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Value Set ActClassConsent 2011‑07‑26
Final
