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After the report is generated it is sent to the PCEHR system as well as any of the typical recipients (the requestor and copy to providers).
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Figure 1: Standard Pre-consent
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2.3 Standard Withdrawal of Consent
This sequence starts with the patient presenting to their Healthcare Provider. In this scenario (as with all scenarios in this paper) the consultation results in a diagnostic service being requested. The patient indicates to their Healthcare Provider that they withdraw their consent for the report to be uploaded to the PCEHR.
A request for diagnostic services is sent to a diagnostic service provider with the patient consent for the report being sent to PCEHR being explicitly withdrawn.
After the report is completed, the report is sent to its typical recipients without being uploaded to the PCEHR.
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Figure 2: Standard Withdrawal of Consent
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2.4 Post-Review Consent
This sequence starts with the patient presenting to their Healthcare Provider. In this scenario (as with all scenarios in this paper) the consultation results in a diagnostic service being requested. The patient indicates to their Healthcare Provider that they withdraw their consent for the report to be uploaded to the PCEHR.
A request for diagnostic services is sent to a diagnostic service provider with the patient consent for the report being sent to PCEHR being explicitly withdrawn.
After the report is received by the reviewing providers, and a consultation with the patient is undertaken the decision to withdraw consent for the report to be sent to PCEHR is reversed. The Reviewing healthcare provider then indicates to the diagnostic service provider that consent has been now provided. The report is subsequently uploaded to the PCEHR.
Note: In this scenario the Reviewing Healthcare Provider must be a PCEHR participating provider.
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Figure 3: Post-Review Consent
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