001package org.hl7.fhir.r4.model.codesystems; 002 003/* 004 Copyright (c) 2011+, HL7, Inc. 005 All rights reserved. 006 007 Redistribution and use in source and binary forms, with or without modification, 008 are permitted provided that the following conditions are met: 009 010 * Redistributions of source code must retain the above copyright notice, this 011 list of conditions and the following disclaimer. 012 * Redistributions in binary form must reproduce the above copyright notice, 013 this list of conditions and the following disclaimer in the documentation 014 and/or other materials provided with the distribution. 015 * Neither the name of HL7 nor the names of its contributors may be used to 016 endorse or promote products derived from this software without specific 017 prior written permission. 018 019 THIS SOFTWARE IS PROVIDED BY THE COPYRIGHT HOLDERS AND CONTRIBUTORS "AS IS" AND 020 ANY EXPRESS OR IMPLIED WARRANTIES, INCLUDING, BUT NOT LIMITED TO, THE IMPLIED 021 WARRANTIES OF MERCHANTABILITY AND FITNESS FOR A PARTICULAR PURPOSE ARE DISCLAIMED. 022 IN NO EVENT SHALL THE COPYRIGHT HOLDER OR CONTRIBUTORS BE LIABLE FOR ANY DIRECT, 023 INDIRECT, INCIDENTAL, SPECIAL, EXEMPLARY, OR CONSEQUENTIAL DAMAGES (INCLUDING, BUT 024 NOT LIMITED TO, PROCUREMENT OF SUBSTITUTE GOODS OR SERVICES; LOSS OF USE, DATA, OR 025 PROFITS; OR BUSINESS INTERRUPTION) HOWEVER CAUSED AND ON ANY THEORY OF LIABILITY, 026 WHETHER IN CONTRACT, STRICT LIABILITY, OR TORT (INCLUDING NEGLIGENCE OR OTHERWISE) 027 ARISING IN ANY WAY OUT OF THE USE OF THIS SOFTWARE, EVEN IF ADVISED OF THE 028 POSSIBILITY OF SUCH DAMAGE. 029 030*/ 031 032// Generated on Wed, Jan 30, 2019 16:19-0500 for FHIR v4.0.0 033 034import org.hl7.fhir.exceptions.FHIRException; 035 036public enum ConsentPolicy { 037 038 /** 039 * 45 CFR part 46 §46.116 General requirements for informed consent; and §46.117 040 * Documentation of informed consent. 041 * https://www.gpo.gov/fdsys/pkg/FR-2017-01-19/pdf/2017-01058.pdf 042 */ 043 CRIC, 044 /** 045 * The consent to the performance of a medical or surgical procedure by a 046 * physician licensed to practice medicine and surgery, a licensed advanced 047 * practice nurse, or a licensed physician assistant executed by a married 048 * person who is a minor, by a parent who is a minor, by a pregnant woman who is 049 * a minor, or by any person 18 years of age or older, is not voidable because 050 * of such minority, and, for such purpose, a married person who is a minor, a 051 * parent who is a minor, a pregnant woman who is a minor, or any person 18 052 * years of age or older, is deemed to have the same legal capacity to act and 053 * has the same powers and obligations as has a person of legal age. Consent by 054 * Minors to Medical Procedures Act. (410 ILCS 210/0.01) (from Ch. 111, par. 055 * 4500) Sec. 0.01. Short title. This Act may be cited as the Consent by Minors 056 * to Medical Procedures Act. (Source: P.A. 86-1324.) 057 * http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1539&ChapterID=35 058 */ 059 ILLINOISMINORPROCEDURE, 060 /** 061 * HIPAA 45 CFR Section 164.508 Uses and disclosures for which an authorization 062 * is required. (a) Standard: Authorizations for uses and disclosures. (1) 063 * Authorization required: General rule. Except as otherwise permitted or 064 * required by this subchapter, a covered entity SHALL not use or disclose 065 * protected health information without an authorization that is valid under 066 * this section. When a covered entity obtains or receives a valid authorization 067 * for its use or disclosure of protected health information, such use or 068 * disclosure must be consistent with such authorization. Usage Note: 069 * Authorizations governed under this regulation meet the definition of an opt 070 * in class of consent directive. 071 */ 072 HIPAAAUTH, 073 /** 074 * 164.520 Notice of privacy practices for protected health information. (1) 075 * Right to notice. Except as provided by paragraph (a)(2) or (3) of this 076 * section, an individual has a right to adequate notice of the uses and 077 * disclosures of protected health information that may be made by the covered 078 * entity, and of the individual's rights and the covered entity's legal duties 079 * with respect to protected health information. Usage Note: Restrictions 080 * governed under this regulation meet the definition of an implied with an 081 * opportunity to dissent class of consent directive. 082 */ 083 HIPAANPP, 084 /** 085 * HIPAA 45 CFR 164.510 - Uses and disclosures requiring an opportunity for the 086 * individual to agree or to object. A covered entity may use or disclose 087 * protected health information, provided that the individual is informed in 088 * advance of the use or disclosure and has the opportunity to agree to or 089 * prohibit or restrict the use or disclosure, in accordance with the applicable 090 * requirements of this section. The covered entity may orally inform the 091 * individual of and obtain the individual's oral agreement or objection to a 092 * use or disclosure permitted by this section. Usage Note: Restrictions 093 * governed under this regulation meet the definition of an opt out with 094 * exception class of consent directive. 095 */ 096 HIPAARESTRICTIONS, 097 /** 098 * HIPAA 45 CFR 164.508 - Uses and disclosures for which an authorization is 099 * required. (a) Standard: Authorizations for uses and disclosures. (3) Compound 100 * authorizations. An authorization for use or disclosure of protected health 101 * information SHALL NOT be combined with any other document to create a 102 * compound authorization, except as follows: (i) An authorization for the use 103 * or disclosure of protected health information for a research study may be 104 * combined with any other type of written permission for the same or another 105 * research study. This exception includes combining an authorization for the 106 * use or disclosure of protected health information for a research study with 107 * another authorization for the same research study, with an authorization for 108 * the creation or maintenance of a research database or repository, or with a 109 * consent to participate in research. Where a covered health care provider has 110 * conditioned the provision of research-related treatment on the provision of 111 * one of the authorizations, as permitted under paragraph (b)(4)(i) of this 112 * section, any compound authorization created under this paragraph must clearly 113 * differentiate between the conditioned and unconditioned components and 114 * provide the individual with an opportunity to opt in to the research 115 * activities described in the unconditioned authorization. Usage Notes: See HHS 116 * http://www.hhs.gov/hipaa/for-professionals/special-topics/research/index.html 117 * and OCR 118 * http://www.hhs.gov/hipaa/for-professionals/special-topics/research/index.html 119 */ 120 HIPAARESEARCH, 121 /** 122 * HIPAA 45 CFR 164.522(a) Right To Request a Restriction of Uses and 123 * Disclosures. (vi) A covered entity must agree to the request of an individual 124 * to restrict disclosure of protected health information about the individual 125 * to a health plan if: (A) The disclosure is for the purpose of carrying out 126 * payment or health care operations and is not otherwise required by law; and 127 * (B) The protected health information pertains solely to a health care item or 128 * service for which the individual, or person other than the health plan on 129 * behalf of the individual, has paid the covered entity in full. Usage Note: 130 * Restrictions governed under this regulation meet the definition of an opt out 131 * with exception class of consent directive. Opt out is limited to disclosures 132 * to a payer for payment and operations purpose of use. See HL7 HIPAA Self-Pay 133 * code in ActPrivacyLaw (2.16.840.1.113883.1.11.20426). 134 */ 135 HIPAASELFPAY, 136 /** 137 * On January 1, 2015, the Michigan Department of Health and Human Services 138 * (MDHHS) released a standard consent form for the sharing of health 139 * information specific to behavioral health and substance use treatment in 140 * accordance with Public Act 129 of 2014. In Michigan, while providers are not 141 * required to use this new standard form (MDHHS-5515), they are required to 142 * accept it. Note: Form is available at 143 * http://www.michigan.gov/documents/mdhhs/Consent_to_Share_Behavioral_Health_Information_for_Care_Coordination_Purposes_548835_7.docx 144 * For more information see 145 * http://www.michigan.gov/documents/mdhhs/Behavioral_Health_Consent_Form_Background_Information_548864_7.pdf 146 */ 147 MDHHS5515, 148 /** 149 * The New York State Surgical and Invasive Procedure Protocol (NYSSIPP) applies 150 * to all operative and invasive procedures including endoscopy, general surgery 151 * or interventional radiology. Other procedures that involve puncture or 152 * incision of the skin, or insertion of an instrument or foreign material into 153 * the body are within the scope of the protocol. This protocol also applies to 154 * those anesthesia procedures either prior to a surgical procedure or 155 * independent of a surgical procedure such as spinal facet blocks. Example: 156 * Certain 'minor' procedures such as venipuncture, peripheral IV placement, 157 * insertion of nasogastric tube and foley catheter insertion are not within the 158 * scope of the protocol. From 159 * http://www.health.ny.gov/professionals/protocols_and_guidelines/surgical_and_invasive_procedure/nyssipp_faq.htm 160 * Note: HHC 100B-1 Form is available at 161 * http://www.downstate.edu/emergency_medicine/documents/Consent_CT_with_contrast.pdf 162 */ 163 NYSSIPP, 164 /** 165 * VA Form 10-0484 Revocation for Release of Individually-Identifiable Health 166 * Information enables a veteran to revoke authorization for the VA to release 167 * specified copies of individually-identifiable health information with the 168 * non-VA health care provider organizations participating in the eHealth 169 * Exchange and partnering with VA. Comment: Opt-in Consent Directive with 170 * status = rescinded (aka 'revoked'). Note: Form is available at 171 * http://www.va.gov/vaforms/medical/pdf/vha-10-0484-fill.pdf 172 */ 173 VA100484, 174 /** 175 * VA Form 10-0485 Request for and Authorization to Release Protected Health 176 * Information to eHealth Exchange enables a veteran to request and authorize a 177 * VA health care facility to release protected health information (PHI) for 178 * treatment purposes only to the communities that are participating in the 179 * eHealth Exchange, VLER Directive, and other Health Information Exchanges with 180 * who VA has an agreement. This information may consist of the diagnosis of 181 * Sickle Cell Anemia, the treatment of or referral for Drug Abuse, treatment of 182 * or referral for Alcohol Abuse or the treatment of or testing for infection 183 * with Human Immunodeficiency Virus. This authorization covers the diagnoses 184 * that I may have upon signing of the authorization and the diagnoses that I 185 * may acquire in the future including those protected by 38 U.S.C. 7332. 186 * Comment: Opt-in Consent Directive. Note: Form is available at 187 * http://www.va.gov/vaforms/medical/pdf/10-0485-fill.pdf 188 */ 189 VA100485, 190 /** 191 * VA Form 10-5345 Request for and Authorization to Release Medical Records or 192 * Health Information enables a veteran to request and authorize the VA to 193 * release specified copies of protected health information (PHI), such as 194 * hospital summary or outpatient treatment notes, which may include information 195 * about conditions governed under Title 38 Section 7332 (drug abuse, alcoholism 196 * or alcohol abuse, testing for or infection with HIV, and sickle cell anemia). 197 * Comment: Opt-in Consent Directive. Note: Form is available at 198 * http://www.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf 199 */ 200 VA105345, 201 /** 202 * VA Form 10-5345a Individuals' Request for a Copy of Their Own Health 203 * Information enables a veteran to request and authorize the VA to release 204 * specified copies of protected health information (PHI), such as hospital 205 * summary or outpatient treatment notes. Note: Form is available at 206 * http://www.va.gov/vaforms/medical/pdf/vha-10-5345a-fill.pdf 207 */ 208 VA105345A, 209 /** 210 * VA Form 10-5345a-MHV Individual's Request for a Copy of their own health 211 * information from MyHealtheVet enables a veteran to receive a copy of all 212 * available personal health information to be delivered through the veteran's 213 * My HealtheVet account. Note: Form is available at 214 * http://www.va.gov/vaforms/medical/pdf/vha-10-5345a-MHV-fill.pdf 215 */ 216 VA105345AMHV, 217 /** 218 * VA Form 10-10116 Revocation of Authorization for Use and Release of 219 * Individually Identifiable Health Information for Veterans Health 220 * Administration Research. Comment: Opt-in with Restriction Consent Directive 221 * with status = 'completed'. Note: Form is available at 222 * http://www.northerncalifornia.va.gov/northerncalifornia/services/rnd/docs/vha-10-10116.pdf 223 */ 224 VA1010116, 225 /** 226 * VA Form 21-4142 (Authorization and Consent to Release Information to the 227 * Department of Veterans Affairs (VA) enables a veteran to authorize the US 228 * Veterans Administration [VA] to request veteran's health information from 229 * non-VA providers. Aka VA Compensation Application Note: Form is available at 230 * http://www.vba.va.gov/pubs/forms/VBA-21-4142-ARE.pdf . For additional 231 * information regarding VA Form 21-4142, refer to the following website: 232 * www.benefits.va.gov/compensation/consent_privateproviders 233 */ 234 VA214142, 235 /** 236 * SA Form SSA-827 (Authorization to Disclose Information to the Social Security 237 * Administration (SSA)). Form is available at 238 * https://www.socialsecurity.gov/forms/ssa-827-inst-sp.pdf 239 */ 240 SSA827, 241 /** 242 * Michigan DCH-3927 Consent to Share Behavioral Health Information for Care 243 * Coordination Purposes, which combines 42 CFR Part 2 and Michigan Mental 244 * Health Code, Act 258 of 1974. Form is available at 245 * http://www.michigan.gov/documents/mdch/DCH-3927_Consent_to_Share_Health_Information_477005_7.docx 246 */ 247 DCH3927, 248 /** 249 * Squaxin Indian HIPAA and 42 CFR Part 2 Consent for Release and Exchange of 250 * Confidential Information, which permits consenter to select healthcare record 251 * type and types of treatment purposes. This consent requires disclosers and 252 * recipients to comply with 42 C.F.R. Part 2, and HIPAA 45 C.F.R. parts 160 and 253 * 164. It includes patient notice of the refrain policy not to disclose without 254 * consent, and revocation rights. 255 * https://www.ncsacw.samhsa.gov/files/SI_ConsentForReleaseAndExchange.PDF 256 */ 257 SQUAXIN, 258 /** 259 * LSP (National Exchange Point) requires that providers, hospitals and pharmacy 260 * obtain explicit permission [opt-in] from healthcare consumers to submit and 261 * retrieve all or only some of a subject of care?s health information collected 262 * by the LSP for purpose of treatment, which can be revoked. Without 263 * permission, a provider cannot access LSP information even in an emergency. 264 * The LSP provides healthcare consumers with accountings of disclosures. 265 * https://www.vzvz.nl/uploaded/FILES/htmlcontent/Formulieren/TOESTEMMINGSFORMULIER.pdf, 266 * https://www.ikgeeftoestemming.nl/en, 267 * https://www.ikgeeftoestemming.nl/en/registration/find-healthcare-provider 268 */ 269 NLLSP, 270 /** 271 * Pursuant to Sec. 2 no. 9 Health Telematics Act 2012, ELGA Health Data ( 272 * ?ELGA-Gesundheitsdaten?) = Medical documents. Austria opted for an opt-out 273 * approach. This means that a person is by default ?ELGA participant? unless 274 * he/she objects. ELGA participants have the following options: General opt 275 * out: No participation in ELGA, Partial opt-out: No participation in a 276 * particular ELGA application, e.g. eMedication and Case-specific opt-out: No 277 * participation in ELGA only regarding a particular case/treatment. There is 278 * the possibility to opt-in again. ELGA participants can also exclude the 279 * access of a particular ELGA healthcare provider to a particular piece of or 280 * all of their ELGA data. 281 * http://ec.europa.eu/health/ehealth/docs/laws_austria_en.pdf 282 */ 283 ATELGA, 284 /** 285 * Guidance and template form 286 * https://privacyruleandresearch.nih.gov/pdf/authorization.pdf 287 */ 288 NIHHIPAA, 289 /** 290 * see 291 * http://ctep.cancer.gov/protocolDevelopment/docs/Informed_Consent_Template.docx 292 */ 293 NCI, 294 /** 295 * Global Rare Disease Patient Registry and Data Repository (GRDR) consent is an 296 * agreement of a healthcare consumer to permit collection, access, use and 297 * disclosure of de-identified rare disease information and collection of 298 * bio-specimens, medical information, family history and other related 299 * information from patients to permit the registry collection of health and 300 * genetic information, and specimens for pseudonymized disclosure for research 301 * purpose of use. 302 * https://rarediseases.info.nih.gov/files/informed_consent_template.pdf 303 */ 304 NIHGRDR, 305 /** 306 * NIH Authorization for the Release of Medical Information is a patient?s 307 * consent for the National Institutes of Health Clinical Center to release 308 * medical information to care providers, which can be revoked. Note: Consent 309 * Form available @ http://cc.nih.gov/participate/_pdf/NIH-527.pdf 310 */ 311 NIH527, 312 /** 313 * Global Alliance for Genomic Health Data Sharing Consent Form is an example of 314 * the GA4GH Population origins and ancestry research consent form. Consenters 315 * agree to permitting a specified research project to collect ancestry and 316 * genetic information in controlled-access databases, and to allow other 317 * researchers to use deidentified information from those databases. 318 * http://www.commonaccord.org/index.php?action=doc&file=Wx/org/genomicsandhealth/REWG/Demo/Roberta_Robinson_US 319 */ 320 GA4GH, 321 /** 322 * added to help the parsers 323 */ 324 NULL; 325 326 public static ConsentPolicy fromCode(String codeString) throws FHIRException { 327 if (codeString == null || "".equals(codeString)) 328 return null; 329 if ("cric".equals(codeString)) 330 return CRIC; 331 if ("illinois-minor-procedure".equals(codeString)) 332 return ILLINOISMINORPROCEDURE; 333 if ("hipaa-auth".equals(codeString)) 334 return HIPAAAUTH; 335 if ("hipaa-npp".equals(codeString)) 336 return HIPAANPP; 337 if ("hipaa-restrictions".equals(codeString)) 338 return HIPAARESTRICTIONS; 339 if ("hipaa-research".equals(codeString)) 340 return HIPAARESEARCH; 341 if ("hipaa-self-pay".equals(codeString)) 342 return HIPAASELFPAY; 343 if ("mdhhs-5515".equals(codeString)) 344 return MDHHS5515; 345 if ("nyssipp".equals(codeString)) 346 return NYSSIPP; 347 if ("va-10-0484".equals(codeString)) 348 return VA100484; 349 if ("va-10-0485".equals(codeString)) 350 return VA100485; 351 if ("va-10-5345".equals(codeString)) 352 return VA105345; 353 if ("va-10-5345a".equals(codeString)) 354 return VA105345A; 355 if ("va-10-5345a-mhv".equals(codeString)) 356 return VA105345AMHV; 357 if ("va-10-10116".equals(codeString)) 358 return VA1010116; 359 if ("va-21-4142".equals(codeString)) 360 return VA214142; 361 if ("ssa-827".equals(codeString)) 362 return SSA827; 363 if ("dch-3927".equals(codeString)) 364 return DCH3927; 365 if ("squaxin".equals(codeString)) 366 return SQUAXIN; 367 if ("nl-lsp".equals(codeString)) 368 return NLLSP; 369 if ("at-elga".equals(codeString)) 370 return ATELGA; 371 if ("nih-hipaa".equals(codeString)) 372 return NIHHIPAA; 373 if ("nci".equals(codeString)) 374 return NCI; 375 if ("nih-grdr".equals(codeString)) 376 return NIHGRDR; 377 if ("nih-527".equals(codeString)) 378 return NIH527; 379 if ("ga4gh".equals(codeString)) 380 return GA4GH; 381 throw new FHIRException("Unknown ConsentPolicy code '" + codeString + "'"); 382 } 383 384 public String toCode() { 385 switch (this) { 386 case CRIC: 387 return "cric"; 388 case ILLINOISMINORPROCEDURE: 389 return "illinois-minor-procedure"; 390 case HIPAAAUTH: 391 return "hipaa-auth"; 392 case HIPAANPP: 393 return "hipaa-npp"; 394 case HIPAARESTRICTIONS: 395 return "hipaa-restrictions"; 396 case HIPAARESEARCH: 397 return "hipaa-research"; 398 case HIPAASELFPAY: 399 return "hipaa-self-pay"; 400 case MDHHS5515: 401 return "mdhhs-5515"; 402 case NYSSIPP: 403 return "nyssipp"; 404 case VA100484: 405 return "va-10-0484"; 406 case VA100485: 407 return "va-10-0485"; 408 case VA105345: 409 return "va-10-5345"; 410 case VA105345A: 411 return "va-10-5345a"; 412 case VA105345AMHV: 413 return "va-10-5345a-mhv"; 414 case VA1010116: 415 return "va-10-10116"; 416 case VA214142: 417 return "va-21-4142"; 418 case SSA827: 419 return "ssa-827"; 420 case DCH3927: 421 return "dch-3927"; 422 case SQUAXIN: 423 return "squaxin"; 424 case NLLSP: 425 return "nl-lsp"; 426 case ATELGA: 427 return "at-elga"; 428 case NIHHIPAA: 429 return "nih-hipaa"; 430 case NCI: 431 return "nci"; 432 case NIHGRDR: 433 return "nih-grdr"; 434 case NIH527: 435 return "nih-527"; 436 case GA4GH: 437 return "ga4gh"; 438 case NULL: 439 return null; 440 default: 441 return "?"; 442 } 443 } 444 445 public String getSystem() { 446 return "http://terminology.hl7.org/CodeSystem/consentpolicycodes"; 447 } 448 449 public String getDefinition() { 450 switch (this) { 451 case CRIC: 452 return "45 CFR part 46 §46.116 General requirements for informed consent; and §46.117 Documentation of informed consent. https://www.gpo.gov/fdsys/pkg/FR-2017-01-19/pdf/2017-01058.pdf"; 453 case ILLINOISMINORPROCEDURE: 454 return "The consent to the performance of a medical or surgical procedure by a physician licensed to practice medicine and surgery, a licensed advanced practice nurse, or a licensed physician assistant executed by a married person who is a minor, by a parent who is a minor, by a pregnant woman who is a minor, or by any person 18 years of age or older, is not voidable because of such minority, and, for such purpose, a married person who is a minor, a parent who is a minor, a pregnant woman who is a minor, or any person 18 years of age or older, is deemed to have the same legal capacity to act and has the same powers and obligations as has a person of legal age. Consent by Minors to Medical Procedures Act. (410 ILCS 210/0.01) (from Ch. 111, par. 4500) Sec. 0.01. Short title. This Act may be cited as the Consent by Minors to Medical Procedures Act. (Source: P.A. 86-1324.) http://www.ilga.gov/legislation/ilcs/ilcs3.asp?ActID=1539&ChapterID=35"; 455 case HIPAAAUTH: 456 return "HIPAA 45 CFR Section 164.508 Uses and disclosures for which an authorization is required. (a) Standard: Authorizations for uses and disclosures. (1) Authorization required: General rule. Except as otherwise permitted or required by this subchapter, a covered entity SHALL not use or disclose protected health information without an authorization that is valid under this section. When a covered entity obtains or receives a valid authorization for its use or disclosure of protected health information, such use or disclosure must be consistent with such authorization. Usage Note: Authorizations governed under this regulation meet the definition of an opt in class of consent directive."; 457 case HIPAANPP: 458 return "164.520 Notice of privacy practices for protected health information. (1) Right to notice. Except as provided by paragraph (a)(2) or (3) of this section, an individual has a right to adequate notice of the uses and disclosures of protected health information that may be made by the covered entity, and of the individual's rights and the covered entity's legal duties with respect to protected health information. Usage Note: Restrictions governed under this regulation meet the definition of an implied with an opportunity to dissent class of consent directive."; 459 case HIPAARESTRICTIONS: 460 return "HIPAA 45 CFR 164.510 - Uses and disclosures requiring an opportunity for the individual to agree or to object. A covered entity may use or disclose protected health information, provided that the individual is informed in advance of the use or disclosure and has the opportunity to agree to or prohibit or restrict the use or disclosure, in accordance with the applicable requirements of this section. The covered entity may orally inform the individual of and obtain the individual's oral agreement or objection to a use or disclosure permitted by this section. Usage Note: Restrictions governed under this regulation meet the definition of an opt out with exception class of consent directive."; 461 case HIPAARESEARCH: 462 return "HIPAA 45 CFR 164.508 - Uses and disclosures for which an authorization is required. (a) Standard: Authorizations for uses and disclosures. (3) Compound authorizations. An authorization for use or disclosure of protected health information SHALL NOT be combined with any other document to create a compound authorization, except as follows: (i) An authorization for the use or disclosure of protected health information for a research study may be combined with any other type of written permission for the same or another research study. This exception includes combining an authorization for the use or disclosure of protected health information for a research study with another authorization for the same research study, with an authorization for the creation or maintenance of a research database or repository, or with a consent to participate in research. Where a covered health care provider has conditioned the provision of research-related treatment on the provision of one of the authorizations, as permitted under paragraph (b)(4)(i) of this section, any compound authorization created under this paragraph must clearly differentiate between the conditioned and unconditioned components and provide the individual with an opportunity to opt in to the research activities described in the unconditioned authorization. Usage Notes: See HHS http://www.hhs.gov/hipaa/for-professionals/special-topics/research/index.html and OCR http://www.hhs.gov/hipaa/for-professionals/special-topics/research/index.html"; 463 case HIPAASELFPAY: 464 return "HIPAA 45 CFR 164.522(a) Right To Request a Restriction of Uses and Disclosures. (vi) A covered entity must agree to the request of an individual to restrict disclosure of protected health information about the individual to a health plan if: (A) The disclosure is for the purpose of carrying out payment or health care operations and is not otherwise required by law; and (B) The protected health information pertains solely to a health care item or service for which the individual, or person other than the health plan on behalf of the individual, has paid the covered entity in full. Usage Note: Restrictions governed under this regulation meet the definition of an opt out with exception class of consent directive. Opt out is limited to disclosures to a payer for payment and operations purpose of use. See HL7 HIPAA Self-Pay code in ActPrivacyLaw (2.16.840.1.113883.1.11.20426)."; 465 case MDHHS5515: 466 return "On January 1, 2015, the Michigan Department of Health and Human Services (MDHHS) released a standard consent form for the sharing of health information specific to behavioral health and substance use treatment in accordance with Public Act 129 of 2014. In Michigan, while providers are not required to use this new standard form (MDHHS-5515), they are required to accept it. Note: Form is available at http://www.michigan.gov/documents/mdhhs/Consent_to_Share_Behavioral_Health_Information_for_Care_Coordination_Purposes_548835_7.docx For more information see http://www.michigan.gov/documents/mdhhs/Behavioral_Health_Consent_Form_Background_Information_548864_7.pdf"; 467 case NYSSIPP: 468 return "The New York State Surgical and Invasive Procedure Protocol (NYSSIPP) applies to all operative and invasive procedures including endoscopy, general surgery or interventional radiology. Other procedures that involve puncture or incision of the skin, or insertion of an instrument or foreign material into the body are within the scope of the protocol. This protocol also applies to those anesthesia procedures either prior to a surgical procedure or independent of a surgical procedure such as spinal facet blocks. Example: Certain 'minor' procedures such as venipuncture, peripheral IV placement, insertion of nasogastric tube and foley catheter insertion are not within the scope of the protocol. From http://www.health.ny.gov/professionals/protocols_and_guidelines/surgical_and_invasive_procedure/nyssipp_faq.htm Note: HHC 100B-1 Form is available at http://www.downstate.edu/emergency_medicine/documents/Consent_CT_with_contrast.pdf"; 469 case VA100484: 470 return "VA Form 10-0484 Revocation for Release of Individually-Identifiable Health Information enables a veteran to revoke authorization for the VA to release specified copies of individually-identifiable health information with the non-VA health care provider organizations participating in the eHealth Exchange and partnering with VA. Comment: Opt-in Consent Directive with status = rescinded (aka 'revoked'). Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-0484-fill.pdf"; 471 case VA100485: 472 return "VA Form 10-0485 Request for and Authorization to Release Protected Health Information to eHealth Exchange enables a veteran to request and authorize a VA health care facility to release protected health information (PHI) for treatment purposes only to the communities that are participating in the eHealth Exchange, VLER Directive, and other Health Information Exchanges with who VA has an agreement. This information may consist of the diagnosis of Sickle Cell Anemia, the treatment of or referral for Drug Abuse, treatment of or referral for Alcohol Abuse or the treatment of or testing for infection with Human Immunodeficiency Virus. This authorization covers the diagnoses that I may have upon signing of the authorization and the diagnoses that I may acquire in the future including those protected by 38 U.S.C. 7332. Comment: Opt-in Consent Directive. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/10-0485-fill.pdf"; 473 case VA105345: 474 return "VA Form 10-5345 Request for and Authorization to Release Medical Records or Health Information enables a veteran to request and authorize the VA to release specified copies of protected health information (PHI), such as hospital summary or outpatient treatment notes, which may include information about conditions governed under Title 38 Section 7332 (drug abuse, alcoholism or alcohol abuse, testing for or infection with HIV, and sickle cell anemia). Comment: Opt-in Consent Directive. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345-fill.pdf"; 475 case VA105345A: 476 return "VA Form 10-5345a Individuals' Request for a Copy of Their Own Health Information enables a veteran to request and authorize the VA to release specified copies of protected health information (PHI), such as hospital summary or outpatient treatment notes. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345a-fill.pdf"; 477 case VA105345AMHV: 478 return "VA Form 10-5345a-MHV Individual's Request for a Copy of their own health information from MyHealtheVet enables a veteran to receive a copy of all available personal health information to be delivered through the veteran's My HealtheVet account. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/vha-10-5345a-MHV-fill.pdf"; 479 case VA1010116: 480 return "VA Form 10-10116 Revocation of Authorization for Use and Release of Individually Identifiable Health Information for Veterans Health Administration Research. Comment: Opt-in with Restriction Consent Directive with status = 'completed'. Note: Form is available at http://www.northerncalifornia.va.gov/northerncalifornia/services/rnd/docs/vha-10-10116.pdf "; 481 case VA214142: 482 return "VA Form 21-4142 (Authorization and Consent to Release Information to the Department of Veterans Affairs (VA) enables a veteran to authorize the US Veterans Administration [VA] to request veteran's health information from non-VA providers. Aka VA Compensation Application Note: Form is available at http://www.vba.va.gov/pubs/forms/VBA-21-4142-ARE.pdf . For additional information regarding VA Form 21-4142, refer to the following website: www.benefits.va.gov/compensation/consent_privateproviders"; 483 case SSA827: 484 return "SA Form SSA-827 (Authorization to Disclose Information to the Social Security Administration (SSA)). Form is available at https://www.socialsecurity.gov/forms/ssa-827-inst-sp.pdf"; 485 case DCH3927: 486 return "Michigan DCH-3927 Consent to Share Behavioral Health Information for Care Coordination Purposes, which combines 42 CFR Part 2 and Michigan Mental Health Code, Act 258 of 1974. Form is available at http://www.michigan.gov/documents/mdch/DCH-3927_Consent_to_Share_Health_Information_477005_7.docx"; 487 case SQUAXIN: 488 return "Squaxin Indian HIPAA and 42 CFR Part 2 Consent for Release and Exchange of Confidential Information, which permits consenter to select healthcare record type and types of treatment purposes. This consent requires disclosers and recipients to comply with 42 C.F.R. Part 2, and HIPAA 45 C.F.R. parts 160 and 164. It includes patient notice of the refrain policy not to disclose without consent, and revocation rights. https://www.ncsacw.samhsa.gov/files/SI_ConsentForReleaseAndExchange.PDF"; 489 case NLLSP: 490 return "LSP (National Exchange Point) requires that providers, hospitals and pharmacy obtain explicit permission [opt-in] from healthcare consumers to submit and retrieve all or only some of a subject of care?s health information collected by the LSP for purpose of treatment, which can be revoked. Without permission, a provider cannot access LSP information even in an emergency. The LSP provides healthcare consumers with accountings of disclosures. https://www.vzvz.nl/uploaded/FILES/htmlcontent/Formulieren/TOESTEMMINGSFORMULIER.pdf, https://www.ikgeeftoestemming.nl/en, https://www.ikgeeftoestemming.nl/en/registration/find-healthcare-provider"; 491 case ATELGA: 492 return "Pursuant to Sec. 2 no. 9 Health Telematics Act 2012, ELGA Health Data ( ?ELGA-Gesundheitsdaten?) = Medical documents. Austria opted for an opt-out approach. This means that a person is by default ?ELGA participant? unless he/she objects. ELGA participants have the following options: General opt out: No participation in ELGA, Partial opt-out: No participation in a particular ELGA application, e.g. eMedication and Case-specific opt-out: No participation in ELGA only regarding a particular case/treatment. There is the possibility to opt-in again. ELGA participants can also exclude the access of a particular ELGA healthcare provider to a particular piece of or all of their ELGA data. http://ec.europa.eu/health/ehealth/docs/laws_austria_en.pdf"; 493 case NIHHIPAA: 494 return "Guidance and template form https://privacyruleandresearch.nih.gov/pdf/authorization.pdf"; 495 case NCI: 496 return "see http://ctep.cancer.gov/protocolDevelopment/docs/Informed_Consent_Template.docx"; 497 case NIHGRDR: 498 return "Global Rare Disease Patient Registry and Data Repository (GRDR) consent is an agreement of a healthcare consumer to permit collection, access, use and disclosure of de-identified rare disease information and collection of bio-specimens, medical information, family history and other related information from patients to permit the registry collection of health and genetic information, and specimens for pseudonymized disclosure for research purpose of use. https://rarediseases.info.nih.gov/files/informed_consent_template.pdf"; 499 case NIH527: 500 return "NIH Authorization for the Release of Medical Information is a patient?s consent for the National Institutes of Health Clinical Center to release medical information to care providers, which can be revoked. Note: Consent Form available @ http://cc.nih.gov/participate/_pdf/NIH-527.pdf"; 501 case GA4GH: 502 return "Global Alliance for Genomic Health Data Sharing Consent Form is an example of the GA4GH Population origins and ancestry research consent form. Consenters agree to permitting a specified research project to collect ancestry and genetic information in controlled-access databases, and to allow other researchers to use deidentified information from those databases. http://www.commonaccord.org/index.php?action=doc&file=Wx/org/genomicsandhealth/REWG/Demo/Roberta_Robinson_US"; 503 case NULL: 504 return null; 505 default: 506 return "?"; 507 } 508 } 509 510 public String getDisplay() { 511 switch (this) { 512 case CRIC: 513 return "Common Rule Informed Consent"; 514 case ILLINOISMINORPROCEDURE: 515 return "Illinois Consent by Minors to Medical Procedures"; 516 case HIPAAAUTH: 517 return "HIPAA Authorization"; 518 case HIPAANPP: 519 return "HIPAA Notice of Privacy Practices"; 520 case HIPAARESTRICTIONS: 521 return "HIPAA Restrictions"; 522 case HIPAARESEARCH: 523 return "HIPAA Research Authorization"; 524 case HIPAASELFPAY: 525 return "HIPAA Self-Pay Restriction"; 526 case MDHHS5515: 527 return "Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes"; 528 case NYSSIPP: 529 return "New York State Surgical and Invasive Procedure Protocol"; 530 case VA100484: 531 return "VA Form 10-0484"; 532 case VA100485: 533 return "VA Form 10-0485"; 534 case VA105345: 535 return "VA Form 10-5345"; 536 case VA105345A: 537 return "VA Form 10-5345a"; 538 case VA105345AMHV: 539 return "VA Form 10-5345a-MHV"; 540 case VA1010116: 541 return "VA Form 10-10-10116"; 542 case VA214142: 543 return "VA Form 21-4142"; 544 case SSA827: 545 return "SSA Authorization to Disclose"; 546 case DCH3927: 547 return "Michigan behavior and mental health consent"; 548 case SQUAXIN: 549 return "Squaxin Indian behavioral health and HIPAA consent"; 550 case NLLSP: 551 return "NL LSP Permission"; 552 case ATELGA: 553 return "AT ELGA Opt-in Consent"; 554 case NIHHIPAA: 555 return "HHS NIH HIPAA Research Authorization"; 556 case NCI: 557 return "NCI Cancer Clinical Trial consent"; 558 case NIHGRDR: 559 return "NIH Global Rare Disease Patient Registry and Data Repository consent"; 560 case NIH527: 561 return "NIH Authorization for the Release of Medical Information"; 562 case GA4GH: 563 return "Population origins and ancestry research consent"; 564 case NULL: 565 return null; 566 default: 567 return "?"; 568 } 569 } 570 571}