0.2.2 - ci-build
FastAccessControl - Local Development build (v0.2.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Official URL: http://34.94.253.50:8080/hapi-fhir-jpaserver/fhir/Questionnaire/leap-patient-privacy | Version: 0.2.2 | |||
Active as of 1969-12-31 | Computable Name: |
Generated Narrative: Questionnaire fast-patient-privacy
LinkID | Text | Cardinality | Type | Description & Constraints |
---|---|---|---|---|
![]() ![]() | Questionnaire | http://34.94.253.50:8080/hapi-fhir-jpaserver/fhir/Questionnaire/leap-patient-privacy#0.2.2 | ||
![]() ![]() ![]() | Set the dates this consent will be in force. | 0..1 | group | |
![]() ![]() ![]() | Use Default Option | 0..1 | boolean | |
![]() ![]() ![]() | Custom Date Option | 0..1 | boolean | |
![]() ![]() ![]() | Default date options, beginning today for: | 0..1 | group | Enable When: 1.1 = |
![]() ![]() ![]() ![]() | 24 Hours | 0..1 | boolean | |
![]() ![]() ![]() ![]() | 1 Year | 0..1 | boolean | |
![]() ![]() ![]() ![]() | 5 years | 0..1 | boolean | |
![]() ![]() ![]() ![]() | 10 Years | 0..1 | boolean | |
![]() ![]() ![]() ![]() | Calculated start date and time based on option selection | 0..1 | string | |
![]() ![]() ![]() ![]() | Calculated end date and time based on option selection | 0..1 | string | |
![]() ![]() ![]() | Set the dates this consent will be in force. | 0..1 | group | Enable When: 1.2 = |
![]() ![]() ![]() ![]() | Start date and time | 0..1 | string | |
![]() ![]() ![]() ![]() | End date and time | 0..1 | string | |
![]() ![]() ![]() | Control what types of clinical information are exchanged. | 0..1 | group | |
![]() ![]() ![]() | Deny access to the following: | 0..1 | boolean | |
![]() ![]() ![]() | Allow all types of data to be exchange. | 0..1 | boolean | |
![]() ![]() ![]() | Select from list. | 0..1 | string | Enable When: 2.1 = |
![]() ![]() ![]() | The source of information being exchanged. | 0..1 | group | |
![]() ![]() ![]() | Practitioner | 0..1 | boolean | |
![]() ![]() ![]() | Organization | 0..1 | boolean | |
![]() ![]() ![]() | Practitioner - Custodian (Select from list). | 0..1 | string | Enable When: 3.1 = |
![]() ![]() ![]() | Organization - Custodian (Select from list). | 0..1 | string | Enable When: 3.2 = |
![]() ![]() ![]() | The Person, or Organization, requesting your information. | 0..1 | group | |
![]() ![]() ![]() | Practitioner | 0..1 | boolean | |
![]() ![]() ![]() | Organization | 0..1 | boolean | |
![]() ![]() ![]() | Practitioner - Recipient (Select from list). | 0..1 | string | Enable When: 4.1 = |
![]() ![]() ![]() | Organization - Recipient (Select from list). | 0..1 | string | Enable When: 4.2 = |
![]() ![]() ![]() | If portions of my clinical record are privacy sensitive, I would like to: | 0..1 | group | |
![]() ![]() ![]() | Remove them | 0..1 | boolean | |
![]() ![]() ![]() | I do not have privacy concerns | 0..1 | boolean | |
![]() ![]() ![]() | Select All - This will remove all information flagged as confidential | 0..1 | boolean | Enable When: 5.1 = |
![]() ![]() ![]() | This last step will capture your signature and create a human readable pdf of this consent. (Electronic signature captured) | 0..1 | boolean | |