{"applies":{"start":"2013-11-01T21:18:27-04:00"},"contentDerivative":{"coding":[{"code":"registration","system":"http://terminology.hl7.org/CodeSystem/contract-content-derivative"}]},"id":"C-2121","issued":"2013-11-01T21:18:27-04:00","legal":[{"contentAttachment":{"contentType":"application/pdf","language":"en-US","title":"MDHHS-5515 Consent To Share Your Health Information","url":"http://org.mihin.ecms/ConsentDirective-2121"}}],"meta":{"lastUpdated":"2016-07-19T18:18:42.108-04:00","versionId":"1"},"resourceType":"Contract","signer":[{"party":{"display":"Alice Recruit","reference":"Patient/f201"},"signature":[{"type":[{"code":"1.2.840.10065.1.12.1.1","system":"urn:iso-astm:E1762-95:2013"}],"when":"2017-02-08T10:57:34+01:00","who":{"reference":"Patient/f201"}}],"type":{"code":"SELF","system":"http://mdhhs.org/fhir/consent-signer-type"}}],"status":"executed","subType":[{"coding":[{"code":"hcd","system":"http://terminology.hl7.org/CodeSystem/consentcategorycodes"}]}],"subject":[{"reference":"Patient/f201"}],"term":[{"action":[{"intent":{"coding":[{"code":"HPRGRP","system":"http://terminology.hl7.org/CodeSystem/v3-ActReason"}]},"status":{"text":"Sample"},"subject":[{"reference":[{"display":"VA Ann Arbor Healthcare System","reference":"Organization/f001"}],"role":{"coding":[{"code":"IR","display":"Recipient","system":"http://mdhhs.org/fhir/consent-actor-type"}],"text":"Recipient of restricted health information"}},{"reference":[{"display":"Community Mental Health Clinic","reference":"Organization/2"}],"role":{"coding":[{"code":"IS","display":"Sender","system":"http://mdhhs.org/fhir/consent-actor-type"}],"text":"Sender of restricted health information"}}],"type":{"coding":[{"code":"action-a","system":"http://terminology.hl7.org/CodeSystem/contractaction"}]}}],"asset":[{"period":[{"end":"2019-11-01T21:18:27-04:00","start":"2013-11-01T21:18:27-04:00"}]}],"offer":{"decision":{"coding":[{"code":"OPTIN","system":"http://terminology.hl7.org/CodeSystem/v3-ActCode"}]},"text":"Can't refuse","type":{"coding":[{"code":"statutory","system":"http://terminology.hl7.org/CodeSystem/contracttermtypecodes"}]}}}],"text":{"div":"

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

-TypeDecisionText
*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

-TypeWhenWho
*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')8 Feb 2017, 8:57:34 pmPatient/f201 "Roel"

Legals

-Content[x]
*
","status":"generated"},"type":{"coding":[{"code":"OPTIN","system":"http://mdhhs.org/fhir/consentdirective-type"}],"text":"Opt-in consent directive"}}