Example Use-case: Patient choose to not be public in patient directory

[JohnMoehrke]

A Veteran has the right to opt-out of the facility directory. The facility directory is used to provide information on the location and general status of a Veteran. Veterans must be in an inpatient setting in order to opt-out and thus it does not apply to the emergency room or other outpatient settings. If the Veteran opts out of the facility directory, no information will be given to a member of the public from the directory unless required by law. The Veteran will not receive mail or flowers. If the Veteran has opted out of the directory, visitors will only be directed to the Veteran's room if they already know the room number.

If the Veteran is admitted emergently and medically cannot give their opt-out preference, the provider will use their professional judgment and make the determination for the Veteran. This determination may be based on previous admissions, or by a family member who is involved in the care of the Veteran. When the Veteran becomes able to make a decision, staff is required to ask the individual their preference about opting out of the facility directory and change the opt-out decision, if necessary.

[JohnMoehrke]

Presume that general public would use HDIRECT purposeOfUse. Thus this is handled with a standalone Consent for that purposeOfUse; and is either permit or deny.

Note that the Patient returned would likely need to be a redacted version but not sure what would typically be needed in one of these directory use-cases.

[JohnMoehrke]

Given that this might be a simple Consent case, this might be a good one to show element level redaction. For example the Patient may generally permit access, but request that their birth-sex be redacted.

[JohnMoehrke]

https://chat.fhir.org/#narrow/stream/179254-patient-administration-WG/topic/Public.20Patient.20Directory