FHIR Release 3 (STU)
This page is part of the FHIR Specification (v3.0.2: STU 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
Contract-example-42cfr-part2.xml

Financial Management Work Group
Maturity Level: N/A
Ballot Status: Informative
Compartments: Not linked to any defined compartments
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42 CFR Part 2 Consent Directive (id = "C-2121")
<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 with Details</b> </p> <p> <b> id</b> : C-2121</p> <p> <b> meta</b> : </p> <p> <b> issued</b> : 01/11/2031 9:18:27 PM</p> <p> <b> subject</b> : <a> Patient/f201</a> </p> <p> <b> type</b> : Opt-in consent directive <span> (Details : {http://org.mdhhs.fhir.consentdirective-type code 'OPTIN' = 'OPTIN)</span> </p> <p> <b> subType</b> : Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination
         Purposes <span> (Details : {http://hl7.org/fhir/consentcategorycodes code 'MDHHS-5515' = 'Michigan MDHHS-5515
           Consent to Share Behavioral Health Information for Care Coordination Purposes', given
           as 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination
           Purposes'})</span> </p> <p> <b> securityLabel</b> : Restricted (Details: http://hl7.org/fhir/v3/Confidentiality code R = 'restricted', stated
         as 'Restricted'), substance abuse information sensitivity (Details: http://hl7.org/fhir/v3/ActCode
         code ETH = 'substance abuse information sensitivity', stated as 'substance abuse information
         sensitivity'), 42 CFR Part2 (Details: http://hl7.org/fhir/v3/ActCode code 42CFRPart2 =
         '42 CFR Part2', stated as 'null'), treatment (Details: http://hl7.org/fhir/v3/ActReason
         code TREAT = 'treatment', stated as 'treatment'), healthcare payment (Details: http://hl7.org/fhir/v
        3/ActReason code HPAYMT = 'healthcare payment', stated as 'healthcare payment'), healthcare
         operations (Details: http://hl7.org/fhir/v3/ActReason code HOPERAT = 'healthcare operations',
         stated as 'healthcare operations'), persist security label (Details: http://hl7.org/fhir/v3/ActCode
         code PERSISTLABEL = 'persist security label', stated as 'persist security label'), privacy
         mark (Details: http://hl7.org/fhir/v3/ActCode code PRIVMARK = 'privacy mark', stated as
         'privacy mark'), no redisclosure without consent directive (Details: http://hl7.org/fhir/v3/ActCode
         code NORDSCLCD = 'no redisclosure without consent directive', stated as 'no redisclosure
         without consent directive')</p> <blockquote> <p> <b> agent</b> </p> <p> <b> actor</b> : <a> VA Ann Arbor Healthcare System</a> </p> <p> <b> role</b> : Recipient of restricted health information <span> (Details : {http://org.mdhhs.fhir.consent-actor-type code 'IR' = 'IR', given as 'Recipient'})</span> </p> </blockquote> <blockquote> <p> <b> agent</b> </p> <p> <b> actor</b> : <a> Community Mental Health Clinic</a> </p> <p> <b> role</b> : Sender of restricted health information <span> (Details : {http://org.mdhhs.fhir.consent-actor-type code 'IS' = 'IS', given as 'Sender'})</span> </p> </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> SELF (Details: http://org.mdhhs.fhir.consent-signer-type code SELF = 'SELF', stated as
             'null')</td> <td> <a> Alice Recruit</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> <issued value="2031-11-01T21:18:27-04:00"/> 
  <subject> 
    <reference value="Patient/f201"/> 
  </subject> 
  <type> 
    <coding> 
      <system value="http://org.mdhhs.fhir.consentdirective-type"/> 
      <code value="OPTIN"/> 
    </coding> 
    <text value="Opt-in consent directive"/> 
  </type> 
  <subType> 
    <coding> 
      <system value="http://hl7.org/fhir/consentcategorycodes"/> 
      <code value="MDHHS-5515"/> 
      <display value="Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination
       Purposes"/> 
    </coding> 
  </subType> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/Confidentiality"/> 
    <code value="R"/> 
    <display value="Restricted"/> 
  </securityLabel> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/ActCode"/> 
    <code value="ETH"/> 
    <display value="substance abuse information sensitivity"/> 
  </securityLabel> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/ActCode"/> 
    <code value="42CFRPart2"/> 
  </securityLabel> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/ActReason"/> 
    <code value="TREAT"/> 
    <display value="treatment"/> 
  </securityLabel> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/ActReason"/> 
    <code value="HPAYMT"/> 
    <display value="healthcare payment"/> 
  </securityLabel> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/ActReason"/> 
    <code value="HOPERAT"/> 
    <display value="healthcare operations"/> 
  </securityLabel> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/ActCode"/> 
    <code value="PERSISTLABEL"/> 
    <display value="persist security label"/> 
  </securityLabel> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/ActCode"/> 
    <code value="PRIVMARK"/> 
    <display value="privacy mark"/> 
  </securityLabel> 
  <securityLabel> 
    <system value="http://hl7.org/fhir/v3/ActCode"/> 
    <code value="NORDSCLCD"/> 
    <display value="no redisclosure without consent directive"/> 
  </securityLabel> 
  <agent> 
    <actor> 
      <reference value="Organization/f001"/> 
      <display value="VA Ann Arbor Healthcare System"/> 
    </actor> 
    <role> 
      <coding> 
        <system value="http://org.mdhhs.fhir.consent-actor-type"/> 
        <code value="IR"/> 
        <display value="Recipient"/> 
      </coding> 
      <text value="Recipient of restricted health information"/> 
    </role> 
  </agent> 
  <agent> 
    <actor> 
      <reference value="Organization/2"/> 
      <display value="Community Mental Health Clinic"/> 
    </actor> 
    <role> 
      <coding> 
        <system value="http://org.mdhhs.fhir.consent-actor-type"/> 
        <code value="IS"/> 
        <display value="Sender"/> 
      </coding> 
      <text value="Sender of restricted health information"/> 
    </role> 
  </agent> 
  <signer> 
    <type> 
      <system value="http://org.mdhhs.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"/> 
      <whoReference> 
        <reference value="Patient/f201"/> 
      </whoReference> 
    </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.