This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). 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
Community Based Collaborative Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient |
Raw XML (canonical form + also see XML Format Specification)
General Consent Example (id = "consent-example-basic")
<?xml version="1.0" encoding="UTF-8"?> <Consent xmlns="http://hl7.org/fhir"> <id value="consent-example-basic"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p> Authorize Normal access for Treatment </p> <p> Patient "Peter James Chalmers ("Jim")" wishes to have all of the PHI collected at the Burgers University Medical Center available for normal treatment use. </p> </div> </text> <status value="active"/> <category> <coding> <system value="http://loinc.org"/> <code value="59284-0"/> </coding> </category> <subject> <reference value="Patient/example"/> <display value="Peter James Chalmers"/> </subject> <dateTime value="2018-12-28"/> <controller> <reference value="Organization/f001"/> </controller> <!-- the terms of the consent as signed by the patient in ink --> <sourceAttachment> <title value="The terms of the consent in lawyer speak."/> <!-- likely use url pointer to common text --> </sourceAttachment> <!-- this is plain out opt-in with no exceptions --> <regulatoryBasis> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="INFA"/> </coding> </regulatoryBasis> <provision> <type value="deny"/> <provision> <type value="permit"/> <!-- bound by a timeframe between 1964 and 2019 - consent.applies --> <period> <start value="1964-01-01"/> <end value="2019-01-01"/> </period> </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.