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  • Created by Unknown User (gaelle.laurent.ext@imec.be), last modified on Aug 27, 2019

Used Documentation

Cookbook / MaterialsVersionLocation
Consent WS1.9https://www.ehealth.fgov.be/ehealthplatform/nl/service-ehealthconsent

General Information

Informed Consent 

The existence of an active ‘informed patient consent’ is one of the fundamental prerequisites for the healthcare providers to access patient’s medical data. Therefore, the eHealth platform makes available to the concerned patients and the health care actors involved in the exchange,

storage or referencing personal data a service to manage the ‘informed patient consent’ as defined by the deliberation 12/047 of the CSSSS/SCSZG1.

Technically, we identify the following attributes for an ‘informed patient consent’:

  • The SSIN of the patient.
  • The date of the consent registration (at the end-user side).
  • The “type” of the consent If the consent is only valuable for data posterior to the signing date, it is called ‘prospective’ and ‘retrospective’ in the other case . According to the rules defined now, the only possible value for this attribute is ‘retrospective’. The attribute is present for backwards compatibility.
  • The identity of the HCParty acting in the patient’s name (if applicable).


KMEHR

This service is a ‘KMEHR-based’ WS. We thus strongly recommend consulting the documentation related to the KMEHR normative elements. The KMEHR site aims to offer a central point for the documentation of the KMEHR normative elements.

https://www.ehealth.fgov.be/standards/kmehr/en

The three following generic elements are, in particular, essentials to build the request and the reply of eHealth Consent WS. 

Basic Flow

FlowSpecifications

IDUC-122-BF
NameRevoke Patient Consent - Patient
DescriptionRevoke Patient consent allows end-users to revoke an active consent of the concerned patient. Request Revoke consent is done by the concerned patient.
Actor(s)A patient
Requirements
  • End-user is a patient
  • End-user acts as author of the request and manages himself throughout his usual software
  • Valid eID
  • Consent WS is integrated in the software of the end-user
  • Identification end-user

     °Patient software information

     °Identification patient: SSIN number

  • Information about the consent to revoke

     °Identification data concerned patient: INSS, first and family name (optional)

     °Type of consent: retrospective

     °Date of revocation

TriggerThe user wants to revoke his Patient Consent 
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access the eHealth Consent WS
  2. The user needs to request a SAML Token by using his eID 
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS Consent
  6. The user does a request for Revoke Patient Consent 
  7. The Revoke Patient Consent Request is sent to the WS Consent 
  8. The revoked consent is stored in eHealth Database
  9. The request is logged 
  10. The WS Consent responds with a Revoke Patient Consent Response
Post Condition(s)
  • The request is logged 
  • The revoked consent is stored in eHealth Database with following information

         °SSIN of concerned patient 

         °Initial signing date of the consent

         °Consent type

         °Author of the request

         °Revocation date

Test Data
End point(s)
  • WS Consent
  • eHealth Database
Additional InformationDate of revocation of an active consent must be equal or anterior to the request date. If so, it must be also anterior to the current date. 

Alternative Flow

FlowSpecifications

IDUC-122-AF01
NameRevoke Patient Consent - Parent of patient
DescriptionRevoke Patient consent allows end-users to revoke an active consent of the concerned patient. Request Revoke consent is done by a parent of the concerned patient.
Actor(s)Parent of the concerned patient, who is younger than 18 years of age
Requirements
  • End-user is the parent of the concerned patient
  • End-user acts as author of the request through his software and manages himself throughout his usual software
  • Valid eID
  • Consent WS is integrated in the software of the end-user
  • Identification end-user

     °Parent software information

     °Identification parent: SSIN number

  • Information about the consent to revoke

     °Identification data concerned patient: INSS, first and family name (optional)

     °Type of consent: retrospective

     °Date of revocation

TriggerThe user wants to revoke a Patient Consent 
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access the eHealth Consent WS
  2. The user needs to request a SAML Token by using his eID 
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS Consent
  6. The user does a request for Revoke Patient Consent 
  7. The Revoke Patient Consent Request is sent to the WS Consent 
  8. The revoked consent is stored in eHealth Database
  9. The request is logged 
  10. The WS Consent responds with a Revoke Patient Consent Response
Post Condition(s)
  • The request is logged 
  • The revoked consent is stored in eHealth Database with following information

         °SSIN of concerned patient 

         °Initial signing date of the consent

         °Consent type

         °Author of the request

         °Revocation date

Test Data
End point(s)
  • WS Consent
  • eHealth Database
Additional InformationDate of revocation of an active consent must be equal or anterior to the request date. If so, it must be also anterior to the current date. 

Alternative Flow

FlowSpecifications

IDUC-122-AF02
NameRevoke Patient Consent - Mandatary of patient
DescriptionRevoke Patient consent allows end-users to revoke an active consent of the concerned patient. Request Revoke consent is done by a mandatary of the concerned patient.
Actor(s)Mandatary of the concerned patient
Requirements
  • End-user is a mandatary of the concerned patient
  • End-user acts as author of the request through his software and manages himself throughout his usual software
  • Valid eID
  • Consent WS is integrated in the software of the end-user
  • Identification end-user

     °Mandatary software information

     °Identification mandatary: SSIN number

  • Information about the consent to revoke

     °Identification data concerned patient: INSS, first and family name (optional)

     °Type of consent: retrospective

     °Date of revocation

TriggerThe user wants to revoke a Patient Consent 
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access the eHealth Consent WS
  2. The user needs to request a SAML Token by using his eID 
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS Consent
  6. The user does a request for Revoke Patient Consent 
  7. The Revoke Patient Consent Request is sent to the WS Consent 
  8. The revoked consent is stored in eHealth Database
  9. The request is logged 
  10. The WS Consent responds with a Revoke Patient Consent Response
Post Condition(s)
  • The request is logged 
  • The revoked consent is stored in eHealth Database with following information

         °SSIN of concerned patient 

         °Initial signing date of the consent

         °Consent type

         °Author of the request

         °Revocation date

Test Data
End point(s)
  • WS Consent
  • eHealth Database
Additional InformationDate of revocation of an active consent must be equal or anterior to the request date. If so, it must be also anterior to the current date. 

Exception Flow 1

FlowSpecifications

IDUC-122-EF01
NameRevoke Patient Consent - Parent or mandatary of patient - The consent of the concerned patient is already revoked
DescriptionRevoke Patient consent allows end-users to revoke an active consent of the concerned patient. Request Revoke consent is done by a parent of the concerned patient. The consent of the concerned patient is already revoked
Actor(s)Patient, Parent or mandatary of the concerned patient
Requirements
  • End-user is the parent of the concerned patient
  • End-user acts as author of the request through his software and manages himself throughout his usual software
  • Valid eID
  • Consent WS is integrated in the software of the end-user
  • Identification end-user

     °Parent software information

     °Identification parent: SSIN number

  • Information about the consent to revoke

     °Identification data concerned patient: INSS, first and family name (optional)

     °Type of consent: retrospective

     °Date of revocation

  • The consent of the concerned patient is already revoked
TriggerThe user wants to revoke a Patient Consent 
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access the eHealth Consent WS
  2. The user needs to request a SAML Token by using his eID 
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS Consent
  6. The user does a request for Revoke Patient Consent 
  7. The Revoke Patient Consent Request is sent to the WS Consent 
  8. The WS Consent responds with a Revoke Patient Consent Response: error message
Post Condition(s)Error message
Test Data
End point(s)
  • WS Consent
  • eHealth Database

Exception Flow 2

FlowSpecifications

IDUC-122-EF02
NameRevoke Patient Consent - Parent or mandatary of patient - The consent of the concerned patient does not exist
DescriptionRevoke Patient consent allows end-users to revoke an active consent of the concerned patient. Request Revoke consent is done by a parent of the concerned patient. The consent of the concerned patient does not exist
Actor(s)Patient, Parent or mandatary of the concerned patient
Requirements
  • End-user is the parent of the concerned patient
  • End-user acts as author of the request through his software and manages himself throughout his usual software
  • Valid eID
  • Consent WS is integrated in the software of the end-user
  • Identification end-user

     °Parent software information

     °Identification parent: SSIN number

  • Information about the consent to revoke

     °Identification data concerned patient: INSS, first and family name (optional)

     °Type of consent: retrospective

     °Date of revocation

  • The consent of the concerned patient does not exist
TriggerThe user wants to revoke a Patient Consent 
Precondition(s)
  • The user has an account for the application
  • The user is logged out
Flow
  1. The user attempts to access the eHealth Consent WS
  2. The user needs to request a SAML Token by using his eID 
  3. A request for a SAML Token is sent to the Secure Token Service (STS)
  4. The STS responds with a SAML Token
  5. The user has access to the eHealth WS Consent
  6. The user does a request for Revoke Patient Consent 
  7. The Revoke Patient Consent Request is sent to the WS Consent 
  8. The WS Consent responds with a Revoke Patient Consent Response: error message
Post Condition(s)Error message
Test Data
End point(s)
  • WS Consent
  • eHealth Database
  • No labels

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