Data+Segmentation+User+Story+1.1C

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= User 1.1 C – Title 38 (Push/ Change Mind) = Patient X is admitted to a VAMC for inpatient care for the purpose of treating a 38 CFR Part 1 condition. As Patient X’s clinical needs develop, the Patient now requires specialty care. The Patient is referred to a Healthcare Provider Organization outside of the VA for further care. Upon discharge, the VA staff request a 38 CFR compliant consent form authorizing the disclosure of 38 CFR part 1 protected ToC clinical data to the Patient’s outside Healthcare Provider Organization, which includes an authorization to re-disclose to a specific Specialist. The Patient consents to sharing some (subset) of the protected 38 CFR part 1 data (e.g., medications associated with a covered diagnosis) but does not want to share all of their 38 CFR part 1 covered data. The VA staff enters the Patient consent data into their EHR system. The VA electronically sends (pushes) data for which the Patient has consented to the Healthcare Provider Organization (excluding the set of data for which the Patient did not consent to share) with the accompanying compliant 38 CFR Part 1 prohibition on re-disclosure notification. The Healthcare Pro vider Organization EHR system receives the Patient’s subset data and the prohibition on re-disclosure notification. The Patient later changes their mind about the authorization by prohibiting further re-disclosure to the Specialist, before the consent expires, and requests that the VA update the re-disclosure consent with the Healthcare Provider Organization. The VA sends (pushes) the Patient updated restriction on disclosure to the Healthcare Provider Organization. The Healthcare Provider Organization EHR system receives the Patient’s updated restriction on further disclosure.