treatment-attestation-ex1
type: Consent
node role: treeRoot
resource.id:
  value: treatment-attestation-ex1
domain resource.text:
  narrative.status:
    value: generated
  narrative.div: Treatment Attestation by Dr. Susan Smith for Robert Johnson - Treatment relationship since 2024-01-15
consent.status:
  value: active
consent.scope:
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/consentscope
    coding.code:
      value: patient-privacy
consent.category:
  index: 0
  codeable concept.coding:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-ActCode
    coding.code:
      value: IDSCL
    coding.display:
      value: Information Disclosure
consent.category:
  index: 1
  codeable concept.coding: http://loinc.org/rdf#64292-6
    index: 0
    coding.system:
      value: http://loinc.org
    coding.code:
      value: 64292-6
    coding.display:
      value: Release of information consent
consent.patient:
  link: http://hl7.org/fhir/us/davinci-pdex/Patient/patient-prov-001
  reference.reference:
    value: Patient/patient-prov-001
consent.date time:
  value: 2024-12-10T14:30:00Z
consent.performer:
  index: 0
  reference.identifier:
    identifier.system:
      value: http://hl7.org/fhir/sid/us-npi
    identifier.value:
      value: 1234567893
  reference.display:
    value: Dr. Susan Smith, MD
consent.organization:
  index: 0
  reference.identifier:
    identifier.system:
      value: http://hl7.org/fhir/sid/us-npi
    identifier.value:
      value: 1982947230
  reference.display:
    value: Springfield Medical Center
consent.source reference:
  link: http://hl7.org/fhir/us/davinci-pdex/DocumentReference/treatment-attestation-form-001
  reference.reference:
    value: DocumentReference/treatment-attestation-form-001
  reference.display:
    value: Provider Attestation Form
consent.policy:
  index: 0
  consent.policy.authority:
    value: https://example.org/compliance
  consent.policy.uri:
    value: https://example.org/provider-attestation-policy
consent.provision:
  consent.provision.type:
    value: permit
  consent.provision.period:
    period.start:
      value: 2024-01-15
  consent.provision.actor:
    index: 0
    consent.provision.actor.role:
      codeable concept.coding:
        index: 0
    consent.provision.actor.reference:
      reference.display:
        value: Dr. Susan Smith
  consent.provision.purpose:
    index: 0
    coding.system:
      value: http://terminology.hl7.org/CodeSystem/v3-ActReason
    coding.code:
      value: TREAT
    coding.display:
      value: treatment

value: IRCP

value: information recipient

value: 1234567893