Da Vinci Payer Data Exchange
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This page is part of the Da Vinci Payer Data Exchange (v2.1.0-ballot: STU2.1 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 2.0.0. For a full list of available versions, see the Directory of published versions

: PDex Provider Access Consent Example - XML Representation

Page standards status: Informative

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<Consent xmlns="http://hl7.org/fhir">
  <id value="no-consent-1"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-consent"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: Consent no-consent-1</b></p><a name="no-consent-1"> </a><a name="hcno-consent-1"> </a><a name="no-consent-1-en-US"> </a><p><b>status</b>: Active</p><p><b>scope</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/consentscope patient-privacy}">Privacy Consent</span></p><p><b>category</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode IDSCL}">information disclosure</span></p><p><b>patient</b>: <a href="Patient-1.html">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number)</a></p><p><b>performer</b>: <a href="Patient-1.html">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number)</a></p><p><b>organization</b>: <a href="Organization-Payer1-1.html">Organization Payer 1</a></p><p><b>policyRule</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/consentpolicycodes cric}">Common Rule Informed Consent</span></p><blockquote><p><b>provision</b></p><p><b>type</b>: Opt Out</p><p><b>period</b>: 2024-06-11 --&gt; (ongoing)</p><h3>Actors</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Role</b></td><td><b>Reference</b></td></tr><tr><td style="display: none">*</td><td><span title="Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type performer}">Performer</span></td><td>My Health Plan (Identifier: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-npi.html" title="National Provider Identifier">United States National Provider Identifier</a>/0123456789)</td></tr></table><p><b>action</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/consentaction disclose}">Disclose</span></p></blockquote></div>
  </text>
  <status value="active"/>
  <scope>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/>
      <code value="patient-privacy"/>
    </coding>
  </scope>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="IDSCL"/>
    </coding>
  </category>
  <patient>🔗 
    <reference value="Patient/1"/>
  </patient>
  <performer>🔗 
    <reference value="Patient/1"/>
  </performer>
  <organization>🔗 
    <reference value="Organization/Payer1-1"/>
  </organization>
  <policyRule>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/consentpolicycodes"/>
      <code value="cric"/>
      <display value="Common Rule Informed Consent"/>
    </coding>
  </policyRule>
  <provision>
    <type value="deny"/>
    <period>
      <start value="2024-06-11"/>
    </period>
    <actor>
      <role>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
          <code value="performer"/>
        </coding>
      </role>
      <reference>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="0123456789"/>
        </identifier>
        <display value="My Health Plan"/>
      </reference>
    </actor>
    <action>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/consentaction"/>
        <code value="disclose"/>
      </coding>
    </action>
  </provision>
</Consent>