Recording SCR Consent Preference

All patients have a consent status in their patient record. They can specify a specific consent preference and this can be recorded in their records. Patients without a specific consent have the following details displayed:

• No Preference Expressed - This displays in Consultation Manager - Patient Details - Preference, or National Summary - Preferences. This is assumed by Vision to be Implied Consent and their SCR includes current repeat medication, current acute medication and all allergies and adverse reactions.

During your Go-Live, running the process called Consent Migration sends all locally recorded dissent records to the Spine. It also adds Implied Consent, using the Read code 9Ndl.00 Implied Consent for Core Summary Care Record Data Set Upload to a patients record if the patient has an existing SCR and no previously recorded consent.

The patients consent is then checked each time a patient is selected as part of the patient synchronisation criteria. If the patient has dissented, but there are differences between the spine and the local record, an ACS mismatch message displays and must be resolved.

Note - To record consent a Smartcard login and RBAC business function B0020 are required. An existing consent can be changed whilst offline, although the update is not sent to the ACS until you login with your Smartcard. To preview or print the SCR or view the consent history the business function B0370 is required, this also gives you the same functionality whilst offline.

To change the patients preference:

1. Go to Vision - Consultation Manager, select a patient and start a consultation.
2. Double click on the consent status if displayed in the alert pane, or select Summary - National Summary.

   Alerts Pane

   Summary Menu - National Summary

3. The patients consent preference can be updated via the Preferences button on the National Summary.

   

   Patient Consent Preference

4. Depending on the preference expressed by the patient select one of the following:
   • Express consent for medication, allergies, and adverse reactions only - The following Read code is recorded in the patient record: 9Ndm. Express consent for core Summary Care Record dataset upload. Additional information and withheld items are greyed out.
   • Express consent for medication, allergies, adverse reactions, AND additional information - This is recorded in the patient record with the following Read code:9Ndn. Express consent for core and additional SCR dataset upload. Additional information and withheld items are displayed.
   • Express dissent (opted out) - Patient does not want a Summary Care Record - This is recorded in the patients record with the following Read code: 9Ndo. Express dissent for Summary Care Record dataset upload. No SCR is sent for this patient.
5. Click OK.
6. You are prompted "You are about to change the patient's Summary Care Record consent preference. You should be sure the patient understands the implication of their choice before changing it." Click Proceed to change the preference.

   

   SCR Consent Preference - Confirmation

7. The patients consent preference has now been changed and can be viewed on the National Summary tab, the alerts pane and the Read code has been added to medical history.
8. If you record dissent, this is sent to the Spine (ACS), when the patient is deselected.

In this section Preview and Compare the SCR View Consent History New Consent Preference Read Codes Old Consent Preference Read Codes Confirm Consent Change Recording Consent Prior to the Initial Upload Local Summaries for Dissenting Patients Read Code 9Ndo - Refuse Consent Read Code 9Ndm and 9Ndn - Express Consent Given