Existing Wording: The purpose of this Resource is to be used to express a Consent regarding Healthcare. There are 3 possible uses for consent:

Privacy Consent: consent to share information

Treatment Consent: consent to undergo a specific treatment (or record of refusal to consent)

Research Consent: privacy and medical consent to participate in clinical trial, translational medicine, or to permit collection, use, or disclosure of health information and specimen to registries or directly to research projects for use in e.g., biomedical research and population origins or ancestry research

Advance Care Directives (e.g. DNR)

This resource is scoped to cover all 3 uses, but at this time, only the privacy use case is investigated, and the scope of the resource may change when the other possible scopes are investigated and tested.

Proposed Wording: The purpose of this Resource is to be used to express a Consent regarding Healthcare. There are 4 possible uses for consents, each of which may have a Consent Statement, which represents the Consent Directive, but is not legally binding and Consent Metadata, which is used to manage workflows for or involving the Consent Directive:

Privacy Consent Directive: Explicit or implicit agreement by a healthcare consumer grantor to one or more authorizations or restrictions to the collection, access, use or disclosure of specified information by one or more entities, including the Privacy Consent Directive grantee.

Medical Treatment Consent Directive: Explicit or implicit agreement by a subject of care to one or more authorizations or restrictions to undergo a specific medical procedure or treatment.

Research Consent Directive: Explicit or implicit agreement by a subject of care to participate in clinical trial or translational healthcare research, and to permit collection, access, use, or disclosure of health information from such research projects or grantor sourced specimen submitted to registries for use in e.g., biomedical research and population origins or ancestry research.

Advance Care Directives (e.g. DNR): Explicit or implicit agreement by a subject of cart to one or more authorizations or restrictions to potentially needed services during a emergency, critical, or end of life healthcare event or episode of care including any medical, assisted living, hospice, or pastoral care.

This resource is scoped to cover all 4 uses, but at this time, only the privacy use case is investigated, and the scope of the resource may change when the other possible scopes are investigated and tested.

Comment:

There are 4 consent domains listed, not 3. The terms and definitions are not adequte, and are somewhat tautological.

Summary:

There are 4 consent domains listed, not 3. The terms and definitions are not adequte, and are somewhat tautological.