Privacy Directive Profile

Canonical	../StructureDefinition/nexus-privacy-directive
Status	draft (experimental) · 1.26.0
Base	Consent (constraint)
Source	FSH · JSON

A patient's standing restriction on the collection, use or disclosure of their own personal health information -- the instruction PHIPA calls a lockbox.

Examples

Nexus privacy directive lockbox named record · Nexus privacy directive lockbox whole record

Nexus privacy directive lockbox named record

Consent/nexus-privacy-directive-lockbox-named-record — claims conformance to Privacy Directive Profile

{
  "resourceType": "Consent",
  "id": "nexus-privacy-directive-lockbox-named-record",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-privacy-directive"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Privacy directive - one document - DISCLOSURE RESTRICTED, no exception</b></p><p><strong>Avery Linwood</strong> has instructed Cedarbrook Clinic not to disclose her anemia consult of 8 April 2025 to anyone outside her direct care. Recorded by Dr. Emil Navarro from what the patient said; the patient is named as the decision-maker and the clinician's entry is the audit trail.</p><p><strong>No nested provision.</strong> This restriction carries no break-glass carve-out, so nothing permits an override of it - contrast the whole-record directive in this set, which does.</p><p><strong>A first-pass limit worth seeing.</strong> Because this directive names a record, it covers THAT record. It does not extend to a future document about the same episode. A restriction meant to cover future information is expressed by naming no data at all.</p></div>"
  },
  "identifier": [
    {
      "system": "../NamingSystem/nexus-privacy-directive-identifier",
      "value": "avery-linwood-2026-06-12-02"
    }
  ],
  "status": "active",
  "scope": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope",
        "code": "patient-privacy",
        "display": "Privacy Consent"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "../CodeSystem/nexus-consent-family",
          "code": "privacy-directive",
          "display": "Privacy directive"
        }
      ]
    }
  ],
  "patient": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "dateTime": "2026-06-12T14:32:00-04:00",
  "performer": [
    {
      "reference": "Patient/avery-linwood",
      "display": "Avery Linwood"
    },
    {
      "reference": "Practitioner/dr-emil-navarro",
      "display": "Dr. Emil Navarro (recorded the instruction)"
    }
  ],
  "organization": [
    {
      "reference": "Organization/cedarbrook-clinic",
      "display": "Cedarbrook Clinic"
    }
  ],
  "policy": [
    {
      "uri": "https://www.ontario.ca/laws/statute/04p03#BK37"
    }
  ],
  "sourceReference": {
    "reference": "DocumentReference/nexus-emr-consent-evidence-document",
    "display": "Signed privacy directive form"
  },
  "provision": {
    "type": "deny",
    "period": {
      "start": "2026-06-12"
    },
    "action": [
      {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/consentaction",
            "code": "disclose",
            "display": "Disclose"
          }
        ]
      }
    ],
    "data": [
      {
        "meaning": "instance",
        "reference": {
          "reference": "DocumentReference/anemia-consult-20250408",
          "display": "Anemia consult, 8 April 2025"
        }
      }
    ]
  }
}