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Version: 3.1

Consent

Definition​

A consent in Care is a record of the permission or the refusal that a patient gives for a treatment, for a research study, or for the sharing of information. Each consent belongs to one encounter. Care shows the consents of an encounter on the Consents tab of that encounter, as a list of cards.

Key Attributes​

ComponentsWhat it captures
StatusThe current state of the consent.
CategoryThe subject that the patient gives permission or refusal for.
Consent DecisionWhether the patient permits or denies the subject of the consent.
Consent Given OnThe date and time when the patient gives the consent.
Consent Valid FromThe date and time from which the consent is valid.
Consent Valid UntilThe date and time until which the consent is valid.
NoteFree text that records more information about the consent.
Supporting DocumentsFiles that you attach to the consent, for example a scanned signed consent form.

Consent Decision records the answer of the patient. Select one of these values:

Consent DecisionDescription
PermitThe patient allows the subject of the consent.
DenyThe patient refuses the subject of the consent.

On the consent card, Care shows Permitted for Permit, and Denied for Deny.

Category​

Category records the subject of the consent. The consent form shows these categories, with a short description for each one:

CategoryDescription
ResearchConsent to take part in a research protocol and to share information.
Privacy ConsentConsent to collect, access, use, or share information.
TreatmentConsent to undergo a specific treatment.
Do Not ResuscitateConsent to not receive CPR or resuscitation in a cardiac event.
Advance DirectiveConsent that the patient gives before a possible need for medical treatment.
Advance Care DirectiveConsent for the actions to take if the patient can no longer decide.

Note: Care also holds a Comfort Care category, but the consent form has no option for it. You cannot select Comfort Care. This is a known gap in the product.

Verification​

Care can hold a verification for a consent. A verification records who confirmed the consent, when they confirmed it, and the type of the confirmation. The type is Family for a confirmation by a family member or a representative. The type is Validation for a confirmation by the patient.

Note: The current version of Care has no screen to add, show, or remove a verification. This is a known gap in the product. For more information, see Verify a consent.

Changes after creation​

Care fixes the Category, the Consent Decision, the Consent Given On date, and the validity period when you record the consent. The edit form does not show these fields. After creation, you can change the Status and the Note.

Status​

StatusDescription
DraftYou prepared the consent, but it is not in effect.
ActiveThe consent is in effect.
InactiveThe consent is no longer in effect.
Not DoneThe consent did not happen.
Entered in ErrorSomeone recorded the consent by mistake.

Permissions​

ActionPermission
View a consentCan view clinical data about patients, or Can Read encounter related clinical data.
Record a consentUpdate Encounter related clinical data.
Update a consentUpdate Encounter related clinical data.

The Admin, Doctor, Nurse, and Facility Admin roles hold the Update Encounter related clinical data permission.

Note: Care shows the buttons that record and change a consent only when the encounter is active, and only when you open the encounter from the facility.