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When did Anna give her consent?

Watch how Anna gives consent, or doesn't she?
5
MELANIA TUDORICA: As you may remember, we saw Anna in pain during her run. It looked like she had very bad cramps. Let’s find out how she’s doing.
15
ANNA: Hi, this is Anna. I would like to make an appointment with my GP.
21
Yeah, I went running this morning, and I had really bad cramps. I was nauseous, and lightheaded still. OK.
31.5
My date of birth is 8 March 1992. Last name Petersen. All right. Have a good day. Thank you. Bye.
47
GP: Anna, I heard you had pains in your abdomen during running. Could you explain to me exactly how that went?
53.9
ANNA: I went running, and suddenly I had really bad cramps. I still don’t feel OK. I’m very nauseous and lightheaded. I don’t know what’s wrong.
63.1
GP: OK. In that regard, I would like to check your temperature and your heart rate.
67.7
ANNA: OK.
70.1
GP: Yes. Mhm. You have an elevated heart rate and also a bit of a temperature. [GROANING] What are you feeling?
80.1
ANNA: I don’t know. It’s like something is stabbing me in the stomach.
84.7
GP: When’s the last time you had your period, if I may ask?
88.5
ANNA: I don’t know. I’ve been so busy.
91
GP: Might there be a possibility that you’re pregnant?
94.5
ANNA: It might be. I don’t know.
97.5
GP: We could run a few tests, just to make sure. And we’ll return to that later.
106.4
So, Anna, I think congratulations are in order.
109.3
ANNA: Thank you, but I’m still a little bit in shock.
111.8
GP: Yeah. And as regards your elevated heart rate and your temperature, I think it’s wise if you meet the gynaecologist. They will do some further tests just to make sure. And I’m writing you a reference letter.
140
If you pass this on to the gynaecologist, they will know everything they need to know.
151.3
Take care, Anna.
161.3
ANNA: Hi.
162
RECEPTIONIST: Hi. [INTERPOSING VOICES]
163.9
ANNA: Hi. I’m Anna. I got a reference letter from my GP.
167.9
RECEPTIONIST: OK. Do you have a hospital form already from this hospital?
172.2
ANNA: No, I don’t have one yet.
173.7
RECEPTIONIST: OK. I’ll make one for you. Do you have an insurance card and ID card with you?
181
ANNA: I do.
185.4
RECEPTIONIST: Yeah. I’ll get you registered.
187.6
ANNA: Thank you.
203.4
RECEPTIONIST: OK, very good.
210.7
This is the patient card. You need to– every time you visit here in the hospital, you need these cards.
219
Here you are.
219.7
ANNA: Thank you so much.
220.8
RECEPTIONIST: OK, if you go here around the corner, you go straight ahead, then you see number 10. Now you have to go for your appointments.
228.3
ANNA: OK, thank you so much.
229.6
RECEPTIONIST: You’re welcome.
230.8
ANNA: OK, bye.
231.6
RECEPTIONIST: Bye.
234.9
ANNA: Hey.
235.6
RECEPTIONIST: Hi.
236.3
ANNA: I have an appointment here.
238.2
RECEPTIONIST: Oh, let me see.
243.3
CHANTAL: Hey, hi.
244.2
ANNA: Oh, hi.
247.3
RECEPTIONIST: Card back. The doctor will be with you in one moment. So you can take a seat over there.
252
ANNA: OK, thank you.
257.6
DOCTOR: Well, twin pregnancy. Congratulations. This is the one baby, and this is the other one.
262.9
ANNA: Yeah. Thank you so much. I’m still a little bit in shock. I mean pregnant with twins?
269
DOCTOR: It’s exciting, and it’s double the fun. It’s worth the effort. Regarding the cramps that you came in with, these are normal in pregnancy, especially during exercise, but I would advise to take it a bit easy. And enjoy your pregnancy and get prepare for those twins.
Take another look at the first part of Anna’s medical voyage. Can you identify if Anna gave consent to processing her health data to her GP, at the hospital or when downloading the running app?
Discuss with other learners and explain your reasoning on the following questions:
  • Is informed consent for the running app enough or is explicit consent necessary for processing health data?
  • Is explicit consent valid if privacy policies are not read?
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