Data+Segmentation+User+Story+1+C

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User Story 1 C – Title 38 (Pull/ Change Mind) Patient X is a veteran. Before being discharged the VAMC staff asks the Patient if they would like to share his/her protected 38 CFR Part 1 treatment data with the HIO. Patient indicates that they would like to share all treatment data with the HIO and authorizes the HIO to re-disclose their treatment information to specified providers affiliated with the HIO. The Patient completes a 38 CFR Part 1 compliant consent form authorizing the VA to disclose protected data to the HIO and authorizing the HIO to re-disclose the information to specific identified providers. The VA staff enters the Patient consent data into their EHR system. Shortly after being discharged from the VA, Patient X is seen by his/her external Specialist, who was specified on the consent form as someone the HIO could re-disclose the treatment information to. Patient X informs the Specialist that they were seen at the VAMC. The Patient’s Specialist sends an electronic Information request to the HIO for the Patient’s clinical summary to provide better quality care. Because the Patient has signed a 38 CFR Part 1 compliant consent, the HIO responds to the information request and electronically sends Patient X’s ToC clinical summary, which includes his/her confidential data and an accompanying compliant 38 CFR Part 1 prohibition on re-disclosure notification. The Specialist EHR system receives the Patient’s ToC clinical summary and prohibition on re-disclosure notification. The Patient later changes their mind about the authorization disclosure, before the consent expires, and requests to the VA that the HIO no longer share his or her protected 38 CFR Part 1 data with the Specialist. The VA updates the patient re-disclosure preferences with the HIO. The Specialist sends a new electronic information request prior to the subsequent visit of Patient X to obtain any updated information. The HIO does not share any treatment data with the Specialist. The Specialist is no longer able to access Patient X data relating to 38 CFR Part 1 treatment from the HIO.





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