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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).
The “informed consent” can be managed and verified throughout several ways and associated components. The above scheme provides an overview of all those components.
The “eHealth Consent WS” described here is only available for the software of the authorized healthcare professionals and institutions.
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
Flow | Specifications |
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| ID | AR-UC134-BF | Name | Revoke Patient Consent - Patient | Description | Revoke 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 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
°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 | Trigger | The user wants to revoke his Patient Consent | Precondition(s) | - The user has an account for the application
- The user is logged out
| Flow | - The user attempts to access the eHealth Consent WS
- The user needs to request a SAML Token by using his eID
- A request for a SAML Token is sent to the Secure Token Service (STS)
- The STS responds with a SAML Token
- The user has access to the eHealth WS Consent
- The user does a request for Revoke Patient Consent
- The Revoke Patient Consent Request is sent to the WS Consent
- ° The WS Consent responds with a Revoke Patient Consent Response
° The request is logged ° The revoked consent is stored in eHealth Database | 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 Information | Date 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
Flow | Specifications |
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| ID | AR-UC134-AF01 | Name | Revoke Patient Consent - Parent of patient | Description | Revoke 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 | 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
°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 | Trigger | The user wants to revoke a Patient Consent | Precondition(s) | - The user has an account for the application
- The user is logged out
| Flow | - The user attempts to access the eHealth Consent WS
- The user needs to request a SAML Token by using his eID
- A request for a SAML Token is sent to the Secure Token Service (STS)
- The STS responds with a SAML Token
- The user has access to the eHealth WS Consent
- The user does a request for Revoke Patient Consent
- The Revoke Patient Consent Request is sent to the WS Consent
- ° The WS Consent responds with a Revoke Patient Consent Response
° The request is logged ° The revoked consent is stored in eHealth Database | 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 Information | Date 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
Flow | Specifications |
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| ID | AR-UC134-AF02 | Name | Revoke Patient Consent - Mandatary of patient | Description | Revoke 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
°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 | Trigger | The user wants to revoke a Patient Consent | Precondition(s) | - The user has an account for the application
- The user is logged out
| Flow | - The user attempts to access the eHealth Consent WS
- The user needs to request a SAML Token by using his eID
- A request for a SAML Token is sent to the Secure Token Service (STS)
- The STS responds with a SAML Token
- The user has access to the eHealth WS Consent
- The user does a request for Revoke Patient Consent
- The Revoke Patient Consent Request is sent to the WS Consent
- ° The WS Consent responds with a Revoke Patient Consent Response
° The request is logged ° The revoked consent is stored in eHealth Database | 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 Information | Date 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
Flow | Specifications |
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| ID | AR-UC134-EF01 | Name | Revoke Patient Consent - Parent or mandatary of patient - Deceased patient | Description | Revoke 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. Deceased patient | Actor(s) | 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
°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 - Concerned patient is deceased
| Trigger | The user wants to revoke a Patient Consent | Precondition(s) | - The user has an account for the application
- The user is logged out
| Flow | - The user attempts to access the eHealth Consent WS
- The user needs to request a SAML Token by using his eID
- A request for a SAML Token is sent to the Secure Token Service (STS)
- The STS responds with a SAML Token
- The user has access to the eHealth WS Consent
- The user does a request for Revoke Patient Consent
- The Revoke Patient Consent Request is sent to the WS Consent
- 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
Flow | Specifications |
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| ID | AR-UC134-EF02 | Name | Revoke Patient Consent - Parent or mandatary of patient - The consent of the concerned patient is already revoked | Description | Revoke 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
°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
| Trigger | The user wants to revoke a Patient Consent | Precondition(s) | - The user has an account for the application
- The user is logged out
| Flow | - The user attempts to access the eHealth Consent WS
- The user needs to request a SAML Token by using his eID
- A request for a SAML Token is sent to the Secure Token Service (STS)
- The STS responds with a SAML Token
- The user has access to the eHealth WS Consent
- The user does a request for Revoke Patient Consent
- The Revoke Patient Consent Request is sent to the WS Consent
- 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 3
Flow | Specifications |
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| ID | AR-UC134-EF03 | Name | Revoke Patient Consent - Parent or mandatary of patient - The consent of the concerned patient does not exist | Description | Revoke 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
°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
| Trigger | The user wants to revoke a Patient Consent | Precondition(s) | - The user has an account for the application
- The user is logged out
| Flow | - The user attempts to access the eHealth Consent WS
- The user needs to request a SAML Token by using his eID
- A request for a SAML Token is sent to the Secure Token Service (STS)
- The STS responds with a SAML Token
- The user has access to the eHealth WS Consent
- The user does a request for Revoke Patient Consent
- The Revoke Patient Consent Request is sent to the WS Consent
- 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
|
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