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[Music] my health record has a interesting and slightly more unique approach to consent there are three types of consent essentially implied consent express consent and standing consent so my health record uses standing consent which essentially means that any healthcare professional who has access to my health record can access your health record if you have actually set one up the conversation around how this developed was interesting but essentially the standard consent model was chosen because it was one that was regarded that would lease interfere with workflow and laugh at clinicians to do what they normally do so for the conduct for the healthcare professional to have to say to the consumer every time can I access you my health record is it okay for me to send something up to my health record that would massively interfere with a normal clinical consultation so the standing consent model was developed as a way of overcoming that it doesnt impact upon an individual or patients