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Consent Override Grounds Value set

Canonical../ValueSet/nexus-consent-override-grounds
Statusdraft · 1.26.0
SourceFSH · JSON

The reason a user gave when breaking the glass, from HL7 v3 ActReason PurposeOfUse. Carried on the AuditEvent recording the event -- agent.purposeOfUse -- not on the patient's directive.

Three coded grounds, shaped by what primary care actually does: routine treatment by a covering clinician, a genuinely urgent situation, and the patient asking for access. Where none fits, the purpose carries free text and no coding, and a report must count that as its own category rather than dropping it.

Extensible. Ontario's Provincial Consent Override Interface uses a different subset of the same code system for a different act; the crosswalk is in the handbook.

Codes from http://terminology.hl7.org/CodeSystem/v3-ActReason

Code Display
TREAT treatment
BTG break the glass
PATRQT patient requested