Data++Segmentation+User+Story+1.1B

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User Story 1.1B- Title 38 (Pull/ Share All) Patient X is a veteran. Before being discharged the VA staff asks the Patient if they would like to share his/her protected 38 CFR Part 1 treatment data. The Patient indicates that they would like to share all treatment data with their Specialist. The Patient completes a 38 CFR Part 1 compliant consent form authorizing the VA to disclose protected data to the Patient’s external Specialist. 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. Patient X informs the Specialist that they were seen at the VA. The Patient’s Specialist sends an electronic Information request to the VA for the Patient’s clinical summary to provide better quality care. Because the Patient has signed a 38 CFR Part 1 compliant consent, the VA 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.

Base Flow
 * ** Step # ** || **Actor** || **Role** || **Event/Description** || **Inputs** || **Outputs** ||
 * 1 || Patient || N/A || Patient is consulted with ADATP or VAMC || Questionnaire or Patient preference (consent policy/ directive) || Patient Preference ||
 * 2 || Provider/ Healthcare Provider Organization 1 || Data Source || Patient clinical data and authorization to disclose (share all, share partial) is captured electronically || Clinical Data and authorization to disclose || Patient preference in electronic format (consent policy/ directive) ||
 * 3 || Patient || N/A || Patient request Provider/ Healthcare Provider organization 2 obtain clinical data from Provider/ Healthcare organization 1 || Patient request Provider/ Healthcare provider 2 to obtain clinical data || Provider/ healthcare organization request Patient data ||
 * 4 || Provider/ Healthcare Provider Organization 2 || Data requester & Receiver || Provider/ Healthcare Provider Organization 2 request Patient Clinical data || Request Patient data || Query to Provider 1 for Patient data accompanied by Provider 2 security context ||
 * 5 || Provider/ Healthcare Provider Organization 1 || Data Source || Provider/ Healthcare provider organization 1 receives and validates request for patient data accompanied by security context || Query || Requested clinical data and prohibition on re- disclosure ||
 * 6 || Provider/ Healthcare Provider Organization 2 || Data requester & Receiver || Provider/ Healthcare provider Organization 2 receives Patient data and prohibition on re-disclosure || Received clinical data and prohibition on re- disclosure || Display clinical data and prohibition on re- disclosure ||

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