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Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw XML (canonical form + also see XML Format Specification)
42 CFR Part 2 Consent Directive (id = "C-2121")
<?xml version="1.0" encoding="UTF-8"?> <Contract xmlns="http://hl7.org/fhir"> <id value="C-2121"/> <meta> <versionId value="1"/> <lastUpdated value="2016-07-19T18:18:42.108-04:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> id</b> : C-2121</p> <p> <b> meta</b> : </p> <p> <b> status</b> : executed</p> <p> <b> contentDerivative</b> : <span> Content Registration</span> </p> <p> <b> issued</b> : 02/11/2013 12:18:27 PM</p> <p> <b> applies</b> : 02/11/2013 12:18:27 PM --> (ongoing)</p> <p> <b> subject</b> : <a> Generated Summary: id: f201; BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); ph: +31612345678(MOBILE), ph: +31201234567(HOME); gender: male; birthDate: 1960-03-13; <span> Legally married</span> ; </a> </p> <p> <b> type</b> : <span> Opt-in consent directive</span> </p> <p> <b> subType</b> : <span> Health Care Directive</span> </p> <blockquote> <p> <b> term</b> </p> <h3> Offers</h3> <table> <tr> <td> -</td> <td> <b> Type</b> </td> <td> <b> Decision</b> </td> <td> <b> Text</b> </td> </tr> <tr> <td> *</td> <td> <span> Statutory</span> </td> <td> <span> opt-in</span> </td> <td> Can't refuse</td> </tr> </table> <h3> Assets</h3> <table> <tr> <td> -</td> <td> <b> Period</b> </td> </tr> <tr> <td> *</td> <td> 02/11/2013 12:18:27 PM --> 02/11/2019 12:18:27 PM</td> </tr> </table> <blockquote> <p> <b> action</b> </p> <p> <b> type</b> : <span> Action A</span> </p> <blockquote> <p> <b> subject</b> </p> <p> <b> reference</b> : <a> VA Ann Arbor Healthcare System. Generated Summary: id: f001; id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); <span> University Medical Hospital</span> ; name: Burgers University Medical Center; ph: 022-655 2300(WORK)</a> </p> <p> <b> role</b> : <span> Recipient of restricted health information</span> </p> </blockquote> <blockquote> <p> <b> subject</b> </p> <p> <b> reference</b> : <a> Community Mental Health Clinic. Generated Summary: id: 2; id: 666666; name: XYZ Insurance; alias: ABC Insurance</a> </p> <p> <b> role</b> : <span> Sender of restricted health information</span> </p> </blockquote> <p> <b> intent</b> : <span> health program reporting</span> </p> <p> <b> status</b> : <span> Sample</span> </p> </blockquote> </blockquote> <h3> Signers</h3> <table> <tr> <td> -</td> <td> <b> Type</b> </td> <td> <b> Party</b> </td> <td> <b> Signature</b> </td> </tr> <tr> <td> *</td> <td> <span> SELF</span> </td> <td> <a> Alice Recruit. Generated Summary: id: f201; BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); ph: +31612345678(MOBILE), ph: +31201234567(HOME); gender: male; birthDate: 1960-03-13; <span> Legally married</span> ; </a> </td> <td/> </tr> </table> <h3> Legals</h3> <table> <tr> <td> -</td> <td> <b> Content[x]</b> </td> </tr> <tr> <td> *</td> <td/> </tr> </table> </div> </text> <status value="executed"/> <contentDerivative> <coding> <system value="http://terminology.hl7.org/CodeSystem/contract-content-derivative"/> <code value="registration"/> </coding> </contentDerivative> <issued value="2013-11-01T21:18:27-04:00"/> <applies> <start value="2013-11-01T21:18:27-04:00"/> </applies> <subject> <reference value="Patient/f201"/> </subject> <type> <coding> <system value="http://mdhhs.org/fhir/consentdirective-type"/> <code value="OPTIN"/> </coding> <text value="Opt-in consent directive"/> </type> <subType> <coding> <system value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/> <code value="hcd"/> <!-- <code value="MDHHS-5515"/> <display value="Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes" /> --> </coding> </subType> <term> <offer> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/contracttermtypecodes"/> <code value="statutory"/> </coding> </type> <decision> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="OPTIN"/> </coding> </decision> <text value="Can't refuse"/> </offer> <asset> <period> <start value="2013-11-01T21:18:27-04:00"/> <end value="2019-11-01T21:18:27-04:00"/> </period> <!-- <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/> <code value="R"/> <display value="Restricted"/> </securityLabel> <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="ETH"/> <display value="substance abuse information sensitivity"/> </securityLabel> <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="42CFRPart2"/> </securityLabel> <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="TREAT"/> <display value="treatment"/> </securityLabel> <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HPAYMT"/> <display value="healthcare payment"/> </securityLabel> <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HOPERAT"/> <display value="healthcare operations"/> </securityLabel> <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="PERSISTLABEL"/> <display value="persist security label"/> </securityLabel> <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="PRIVMARK"/> <display value="privacy mark"/> </securityLabel> <securityLabel> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="NORDSCLCD"/> <display value="no redisclosure without consent directive"/> </securityLabel> --> </asset> <action> <type> <coding> <system value="http://terminology.hl7.org/CodeSystem/contractaction"/> <code value="action-a"/> </coding> </type> <subject> <reference> <reference value="Organization/f001"/> <display value="VA Ann Arbor Healthcare System"/> </reference> <role> <coding> <system value="http://mdhhs.org/fhir/consent-actor-type"/> <code value="IR"/> <display value="Recipient"/> </coding> <text value="Recipient of restricted health information"/> </role> </subject> <subject> <reference> <reference value="Organization/2"/> <display value="Community Mental Health Clinic"/> </reference> <role> <coding> <system value="http://mdhhs.org/fhir/consent-actor-type"/> <code value="IS"/> <display value="Sender"/> </coding> <text value="Sender of restricted health information"/> </role> </subject> <intent> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> <code value="HPRGRP"/> </coding> </intent> <status> <text value="Sample"/> </status> </action> </term> <signer> <type> <system value="http://mdhhs.org/fhir/consent-signer-type"/> <code value="SELF"/> </type> <party> <reference value="Patient/f201"/> <display value="Alice Recruit"/> </party> <signature> <type> <system value="urn:iso-astm:E1762-95:2013"/> <code value="1.2.840.10065.1.12.1.1"/> </type> <when value="2017-02-08T10:57:34+01:00"/> <who> <reference value="Patient/f201"/> </who> </signature> </signer> <legal> <contentAttachment> <contentType value="application/pdf"/> <language value="en-US"/> <url value="http://org.mihin.ecms/ConsentDirective-2121"/> <title value="MDHHS-5515 Consent To Share Your Health Information"/> </contentAttachment> </legal> </Contract>
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.