<?xml version="1.0" encoding="UTF-8"?>

<Consent xmlns="http://hl7.org/fhir">
  <id value="Example-Smith-Johnson-HealthcareAgentConsent-Deny"/>
  <meta>
    <profile value="http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-ADIConsentDeny"/>
  </meta>
  <text>
    <status value="additional"/><div xmlns="http://www.w3.org/1999/xhtml"><p>I am consenting for my son Charles to be my primary healthcare agent and I am denying him to make decisions on my behalf about nutrition.</p></div>
  </text>
  <status value="active"/>
  <scope>
    <coding>
      <system value="http://loinc.org"/>
      <code value="81377-4"/>
      <display value="Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported"/>
    </coding>
  </scope>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
      <version value="1.0.0"/>
      <code value="acd"/>
    </coding>
  </category>
  <patient>
    <reference value="Patient/Example-Smith-Johnson-Patient1"/>
  </patient>
  <policy>
    <uri value="http://example.org/healthcare-agent-policy"/>
  </policy>
  <provision>
    <type value="deny"/>
    <actor>
      <role>
        <coding>
          <system value="http://loinc.org"/>
          <code value="75783-1"/>
          <display value="Primary healthcare agent [Reported]"/>
        </coding>
      </role>
      <reference>
        <reference value="RelatedPerson/Example-Smith-Johnson-HealthcareAgent1"/>
      </reference>
    </actor>
  </provision>
</Consent>