Data+Segmentation+User+Story+1.1A

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User Story 1.1 A- Title 38 (Push/ Share Partial) 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 Specialist outside of the VA for further care. Upon discharge, the VA staff request a 38 CFR Part 1 compliant consent form authorizing the disclosure of 38 CFR part 1 protected ToC clinical data to the Patient’s outside 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 electronically captures the Patient consent data. The VA electronically sends (pushes) data for which the Patient has consented to the Specialist (excluding the set of data for which the Patient did not consent to share) with an accompanying compliant 38 CFR Part 1 prohibition on re-disclosure notification. The Specialist EHR system receives the Patient’s subset data and prohibition on re-disclosure notification.



Base Flow Table:
 * = **Step #** ||= **Actor** ||= **Role** ||= **Event/Description** ||= **Inputs** ||= **Outputs** ||
 * 1 || Patient || N/A || Patient consults with ADATP staff or VAMC staff || 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 || Provider/ Healthcare Provider Organization 1 || Data Source || Event triggers Patient data to be sent to Provider/ Healthcare Provider Organization 2 || Send Clinical data and prohibition on re-disclosure || Received clinical data and prohibition on re- disclosure ||
 * 4 || Provider/ Healthcare Provider Organization 2 || Data requester & Receiver || Provider/ Healthcare Provider Organization 2 electronically incorporates 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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