The following policy from Himss 2009 interoperabily throws a IAE

==============
<?xml version="1.0" encoding="utf-8"?>
<PolicySet xmlns="urn:oasis:names:tc:xacml:2.0:policy:schema:os"
xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:schemaLocation="urn:oasis:names:tc:xacml:2.0:policy:schema:os http://docs.oasis-open.org/xacml/access_control-xacml-2.0-policy-schema-os.xsd"
PolicySetId="urn:oasis:names:tc:xspa:1.0"
PolicyCombiningAlgId="urn:oasis:names:tc:xacml:1.0:policy-combining-algorithm:deny-overrides">
<Target />
<PolicySet PolicySetId="urn:oasis:names:tc:xspa:1.0:org" PolicyCombiningAlgId="urn:oasis:names:tc:xacml:1.0:policy-combining-algorithm:deny-overrides">
<Description>Contains all organizational policies which are evaluated on all requests.</Description>
<Target />
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:org:allowed:organizations" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
The organization denies the request if the subject is attempting to access
a resource and is not a member of the allowed organizations.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:org:allowed:organizations:deny" Effect="Deny">
<Description>Evaluates the allowed-organizations (if available) against the subject's locality.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:org:allowed-organizations" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:2.0:subject:locality" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:org:allowed-organizations" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Apply>
</Condition>
</Rule>
</Policy>
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:org:hoursofoperations" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
The organization denies the request if the subject is attempting to access
the resource outside of the alloted time.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:org:hoursofoperation:deny" Effect="Deny">
<Description>Evaluates the environment time against the hours of operation start and end.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:or">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:time-greater-than-or-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:time-one-and-only">
<EnvironmentAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:1.0:environment:current-time" DataType="http://www.w3.org/2001/XMLSchema#time" />
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:time-one-and-only">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:org:hoursofoperation:start" DataType="http://www.w3.org/2001/XMLSchema#time" />
</Apply>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:time-less-than-or-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:time-one-and-only">
<EnvironmentAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:1.0:environment:current-time" DataType="http://www.w3.org/2001/XMLSchema#time" />
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:time-one-and-only">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:org:hoursofoperation:end" DataType="http://www.w3.org/2001/XMLSchema#time" />
</Apply>
</Apply>
</Apply>
</Apply>
</Condition>
</Rule>
</Policy>

<!-- SUBJECT.STRUCTURED-ROLE NOT IN ORG.REQUIRED-ROLES -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:org:required:roles" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
The organization denies the request if the subject is attempting to access
a resource and they are not a member of the required role(s).
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:org:required:roles:deny" Effect="Deny">
<Description>Evaluates the organization roles (if available) against the subject's role.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:org:role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<!-- MAY NEED TO SWITCH ~~ Is this a one to many relationship? Are all roles required or does the subject just need to be included? -->
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:2.0:subject:role" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:org:role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Apply>
</Condition>
</Rule>
</Policy>

<!-- SUBJECT.PERMISSIONS NOT IN ORG.RESOURCE.PERMISSIONS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:org.resource.permissions" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
The organization denies the request if the subject does not have adequate
permissions to access the resource.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:org:resource.permissions:deny" Effect="Deny">
<Description>Evaluates the required permissions (if available) against the subject's permissions.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:org:required-permissions" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:org:required-permissions" DataType="http://www.w3.org/2001/XMLSchema#string" />
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:subject:hl7:permission" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Apply>
</Condition>
</Rule>
</Policy>
</PolicySet>

<PolicySet PolicySetId="urn:oasis:names:tc:xspa:1.0:patient" PolicyCombiningAlgId="urn:oasis:names:tc:xacml:1.0:policy-combining-algorithm:deny-overrides">
<Description>These policies are patient consent directives and are invoked on medical-record requests.</Description>
<Target />

<!-- SUBJECT.LOCALITY NOT IN PATIENT.ALLOWED-ORGANIZATIONS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:patient:allowed:organizations" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request from the subject if their locality is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:patient:allowed:organizations:deny" Effect="Deny">
<Description>Evaluates the allowed-organizations (if available) against the subject's locality.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:hl7:patient:allowed-organizations" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:2.0:subject:locality" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:hl7:patient:allowed-organizations" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Apply>
</Condition>
</Rule>
</Policy>

<!-- SUBJECT.ROLE IN PATIENT.DISSENTING-ROLES -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting:role" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request from the subject if their role is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:patient:dissenting:roles:deny" Effect="Deny">
<Description>Evaluates the dissenting-role (if available) against the subject's role.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:2.0:subject:role" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
</Policy>

<!-- SUBJECT.ID IN PATIENT.DISSENTING-ID -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting-subject-ids" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-subject-ids:deny" Effect="Deny">
<Description>Evaluates the dissenting-subject-id (if available) against the subject's NPI.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:subject:npi" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
</Policy>

<!-- (RESOURCE.RESOURCETYPE IN PATIENT.MASKEDOBJECT) AND (SUBJECT.ROLE IN PATIENT.MA.DISSENTING-ROLES) -->
<!-- PROBLEMS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-roles" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request for problems from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-roles:permit" Effect="Permit">
<Description>Evaluates the dissenting-roles for problems (if available) against the subject's role.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Problems:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:2.0:subject:role" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Problems:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
<Obligations>
<Obligation ObligationId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Problems:dissenting-role" FulfillOn="Permit"></Obligation>
</Obligations>
</Policy>
<!-- MEDICATIONS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medications:dissenting-roles" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request for medications from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medications:dissenting-roles:permit" Effect="Permit">
<Description>Evaluates the dissenting-roles for medications (if available) against the subject's role.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Medications:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:2.0:subject:role" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Medications:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
<Obligations>
<Obligation ObligationId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Medications:dissenting-role" FulfillOn="Permit"></Obligation>
</Obligations>
</Policy>
<!-- ALERTS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:alerts:dissenting-roles" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request alerts from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:alerts:dissenting-roles:permit" Effect="Permit">
<Description>Evaluates the dissenting-roles for alerts (if available) against the subject's role.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Alerts:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:2.0:subject:role" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Alerts:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
<Obligations>
<Obligation ObligationId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Alerts:dissenting-role" FulfillOn="Permit"></Obligation>
</Obligations>
</Policy>

<!-- IMMUNIZATIONS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:immunizations:dissenting-roles" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request for immunizations from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:immunizations:dissenting-roles:permit" Effect="Permit">
<Description>Evaluates the dissenting-roles for immunizations (if available) against the subject's role.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Immunizations:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xacml:2.0:subject:role" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Immunizations:dissenting-role" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
<Obligations>
<Obligation ObligationId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Immunizations:dissenting-role" FulfillOn="Permit"></Obligation>
</Obligations>
</Policy>

<!-- (RESOURCE.RESOURCETYPE IN PATIENT.MASKEDOBJECT) AND (SUBJECT.ROLE IN PATIENT.MA.DISSENTING-ROLES) -->
<!-- PROBLEMS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-subject-ids" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request for problems from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:problems:dissenting-subject-ids:permit" Effect="Permit">
<Description>Evaluates the dissenting-subject-id's for problems (if available) against the subject's NPI.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Problems:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:subject:npi" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Problems:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
<Obligations>
<Obligation ObligationId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Problems:dissenting-subject-id" FulfillOn="Permit"></Obligation>
</Obligations>
</Policy>
<!-- MEDICATIONS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medications:dissenting-subject-ids" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request for medications from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:medications:dissenting-subject-ids:permit" Effect="Permit">
<Description>Evaluates the dissenting-subject-id's for medications (if available) against the subject's NPI.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Medications:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:subject:npi" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Medications:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
<Obligations>
<Obligation ObligationId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Medications:dissenting-subject-id" FulfillOn="Permit"></Obligation>
</Obligations>
</Policy>
<!-- ALERTS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:alerts:dissenting-subject-ids" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request for alerts from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:alerts:dissenting-subject-ids:permit" Effect="Permit">
<Description>Evaluates the dissenting-subject-id's for alerts (if available) against the subject's NPI.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Alerts:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:subject:npi" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Alerts:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
<Obligations>
<Obligation ObligationId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Alerts:dissenting-subject-id" FulfillOn="Permit"></Obligation>
</Obligations>
</Policy>
<!-- IMMUNIZATIONS -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:immunizations:dissenting-subject-ids" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request for immunizations from the subject if the NPI is not permitted by the patient.
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:immunizations:dissenting-subject-ids:permit" Effect="Permit">
<Description>Evaluates the dissenting-subject-id's for immunizations (if available) against the subject's NPI.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Immunizations:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-subset">
<SubjectAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:subject:npi" DataType="http://www.w3.org/2001/XMLSchema#string" />
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Immunizations:dissenting-subject-id" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
</Apply>
</Condition>
</Rule>
<Obligations>
<Obligation ObligationId="urn:oasis:names:tc:xspa:1.0:resource:patient:masked:Immunizations:dissenting-subject-id" FulfillOn="Permit"></Obligation>
</Obligations>
</Policy>

<!-- CONFIDENTIALITY -->
<Policy PolicyId="urn:oasis:names:tc:xspa:1.0.resource:patient:hl7:confidentiality-codes" RuleCombiningAlgId="urn:oasis:names:tc:xacml:1.0:rule-combining-algorithm:deny-overrides">
<Description>
Denies the request from the subject if the confidentiality code is set to "Sensitive". This policy
is acting as the "Catch-All".
</Description>
<Target />
<Rule RuleId="urn:oasis:names:tc:xspa:1.0.resource:patient:hl7:confidentiality-code:deny" Effect="Deny">
<Description>Evaluates the HL7 confidentiality-code.</Description>
<Target />
<Condition>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:and">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:not">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:integer-equal">
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-bag-size">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0.resource:patient:hl7:confidentiality-code" DataType="http://www.w3.org/2001/XMLSchema#string" />
</Apply>
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#integer">0</AttributeValue>
</Apply>
</Apply>
<Apply FunctionId="urn:oasis:names:tc:xacml:1.0:function:string-equal">
<ResourceAttributeDesignator AttributeId="urn:oasis:names:tc:xspa:1.0.resource:patient:hl7:confidentiality-code" DataType="http://www.w3.org/2001/XMLSchema#string" />
<AttributeValue DataType="http://www.w3.org/2001/XMLSchema#string">S</AttributeValue>
</Apply>
</Apply>
</Condition>
</Rule>
</Policy>
</PolicySet>
</PolicySet>