Concepts/Consent

conceptclinicalFHIR: ConsentCARE 3.0+

Clinical

Concepts

Patient

Encounter Care team Condition Allergy & Intolerance Observation Diagnostic Report Service Request Specimen Consent Clinical Notes

Questionnaire Response

Flows

Search for a patient

Register a patient View a patient's profile Update patient details Manage patient identifiers Manage patient tags Mark a patient as deceased Manage patient users View a patient's appointments and tokens Create an encounter Update encounter details Assign an encounter location Manage the encounter care team Manage encounter departments Manage encounter tags Discharge a patient Complete an encounter

Restart an encounter

References

Patient

Encounter Care team Condition Allergy Intolerance Observation Diagnostic Report Consent Notes Specimen Service Request

Questionnaire Response

Definition

A consent in Care is a record of the permission or the refusal that a patient gives for a treatment, for a research study, or for the sharing of information. Each consent belongs to one encounter. Care shows the consents of an encounter on the Consents tab of that encounter, as a list of cards.

Key Attributes

Components	What it captures
Status	The current state of the consent.
Category	The subject that the patient gives permission or refusal for.
Consent Decision	Whether the patient permits or denies the subject of the consent.
Consent Given On	The date and time when the patient gives the consent.
Consent Valid From	The date and time from which the consent is valid.
Consent Valid Until	The date and time until which the consent is valid.
Note	Free text that records more information about the consent.
Supporting Documents	Files that you attach to the consent, for example a scanned signed consent form.

Consent Decision

Consent Decision records the answer of the patient. Select one of these values:

Consent Decision	Description
Permit	The patient allows the subject of the consent.
Deny	The patient refuses the subject of the consent.

On the consent card, Care shows Permitted for Permit, and Denied for Deny.

Category

Category records the subject of the consent. The consent form shows these categories, with a short description for each one:

Category	Description
Research	Consent to take part in a research protocol and to share information.
Privacy Consent	Consent to collect, access, use, or share information.
Treatment	Consent to undergo a specific treatment.
Do Not Resuscitate	Consent to not receive CPR or resuscitation in a cardiac event.
Advance Directive	Consent that the patient gives before a possible need for medical treatment.
Advance Care Directive	Consent for the actions to take if the patient can no longer decide.

📝 Note

Care also holds a Comfort Care category, but the consent form has no option for it. You cannot select Comfort Care. This is a known gap in the product.

Verification

Care can hold a verification for a consent. A verification records who confirmed the consent, when they confirmed it, and the type of the confirmation. The type is Family for a confirmation by a family member or a representative. The type is Validation for a confirmation by the patient.

📝 Note

The current version of Care has no screen to add, show, or remove a verification. This is a known gap in the product. For more information, see Verify a consent.

Changes after creation

Care fixes the Category, the Consent Decision, the Consent Given On date, and the validity period when you record the consent. The edit form does not show these fields. After creation, you can change the Status and the Note.

Status

Status	Description
Draft	You prepared the consent, but it is not in effect.
Active	The consent is in effect.
Inactive	The consent is no longer in effect.
Not Done	The consent did not happen.
Entered in Error	Someone recorded the consent by mistake.

Permissions

Action	Permission
View a consent	Can view clinical data about patients, or Can Read encounter related clinical data.
Record a consent	Update Encounter related clinical data.
Update a consent	Update Encounter related clinical data.

The Admin, Doctor, Nurse, and Facility Admin roles hold the Update Encounter related clinical data permission.

📝 Note

Care shows the buttons that record and change a consent only when the encounter is active, and only when you open the encounter from the facility.

Clinical

Concepts

Patient · Encounter · Care team · Condition · Allergy · Observation · Dx Report · Service Request · Specimen · Consent · Notes · Q. Response

Flows

Search · Register · Profile · Update · Identifiers · Tags · Deceased · Users · Appointments · Create Encounter · Update Encounter · Location · Care Team · Departments · Tags · Discharge · Complete · Restart

References

Patient · Encounter · Care team · Condition · Allergy · Observation · Dx Report · Consent · Notes · Specimen · Service Request · Q. Response

Related

Pages that link here:

• Flows/Record a consent
• Flows/Update a consent
• Flows/Verify a consent
• Flows/View consents

• Concept: Concepts/Patient
• Reference: References/Permission

Fast Healthcare Interoperability Resources — an HL7 standard for exchanging healthcare data. CARE is built on FHIR R5.

Open Healthcare Network's flagship product: an open-source, FHIR-native electronic medical record (EMR) and healthcare operating system.