Release 5 Preview #3

This page is part of the FHIR Specification (v4.5.0: R5 Preview #3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Consent-example-grantor.xml

Community Based Collaborative Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient

Raw XML (canonical form + also see XML Format Specification)

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Patient grants access to a specified individual for read-only access (id = "consent-example-grantor")

<?xml version="1.0" encoding="UTF-8"?>

<Consent xmlns="http://hl7.org/fhir">
  <id value="consent-example-grantor"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Consent given to authorized representative</p> 
      <p> This is a case where a Patient is giving a limited (read-only) access to an individual.</p> 
      <p> Patient &quot;Donald D DUCK&quot; wishes to provide Dr. Simone Heps with read-only access
         to the data at Blijdorp Medisch Centrum available for patient requested access use.</p> 
    </div> 
  </text> 
  <status value="active"/> 
  <scope> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/> 
      <code value="patient-privacy"/> 
    </coding> 
  </scope> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="INFAO"/> 
    </coding> 
  </category> 
  <subject> 
    <reference value="Patient/f002"/> 
    <display value="Donald D DUCK"/> 
  </subject> 
  <dateTime value="2018-12-24"/> 
  <controller> 
    <reference value="Organization/f203"/> 
  </controller> 
  <!--   the text terms of the consent in lawyer speak   -->
  <sourceAttachment> 
    <title value="The terms of the consent in lawyer speak."/> 
    <!--   likely use url pointer to common text   -->
  </sourceAttachment> 
  <!--   this is opt-out - e.g. nothing approved unless otherwise stated   -->
  <policyRule> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="INFAO"/> 
    </coding> 
  </policyRule> 
  <provision> 
    <type value="deny"/> 
    <provision> 
      <type value="permit"/> 
      <actor> 
        <role> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
            <code value="CST"/> 
          </coding> 
        </role> 
        <reference> 
          <reference value="Organization/f203"/> 
        </reference> 
      </actor> 
      <actor> 
        <role> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
            <code value="PRCP"/> 
          </coding> 
        </role> 
        <reference> 
          <reference value="Practitioner/f007"/> 
          <display value="Simone Heps"/> 
        </reference> 
      </actor> 
      <action> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/consentaction"/> 
          <code value="access"/> 
        </coding> 
      </action> 
    </provision> 
  </provision> 
</Consent> 

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.