Contract-example-42cfr-part2 - FHIR v5.0.0-ballot

Release 5 Ballot

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

Example Contract/C-2121 (Narrative)

Financial Management Work Group

Maturity Level: N/A

Standards Status: Informative

Compartments: Not linked to any defined compartments

This is the narrative for the resource. See also the XML, JSON or Turtle format. This example conforms to the profile Contract.

Generated Narrative: Contract

Resource Contract "C-2121" Version "1" Updated "2016-07-19T18:18:42.108-04:00"

status: executed

contentDerivative: Content Registration (Contract Content Derivation Codes#registration)

issued: 2013-11-01T21:18:27-04:00

applies: 2013-11-01T21:18:27-04:00 --> (ongoing)

subject: Patient/f201 "Roel"

type: Opt-in consent directive (consentdirective-type#OPTIN)

subType: Health Care Directive (Consent Category Codes#hcd)

term
Offers
- Type Decision Text
* Statutory (Contract Term Type Codes#statutory) opt-in (ActCode#OPTIN) Can't refuse
Assets
- Period
* 2013-11-01T21:18:27-04:00 --> 2019-11-01T21:18:27-04:00
action
type: Action A (Contract Action Codes#action-a)
subject
reference: Organization/f001: VA Ann Arbor Healthcare System "Burgers University Medical Center"
role: Recipient of restricted health information (consent-actor-type#IR "Recipient")
subject
reference: Organization/2: Community Mental Health Clinic "XYZ Insurance"
role: Sender of restricted health information (consent-actor-type#IS "Sender")
intent: health program reporting (ActReason#HPRGRP)
status: Sample ()

signer
type: SELF (Details: http://mdhhs.org/fhir/consent-signer-type code SELF = 'SELF', stated as 'null')
party: Patient/f201: Alice Recruit "Roel"
Signatures
- Type When Who
* Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'null') 08/02/2017 8:57:34 PM Patient/f201 "Roel"

Legals

-

Content[x]

*

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.