SDOH Clinical Care
2.1.0 - STU 2.1 United States of America flag

This page is part of the SDOH Clinical Care for Multiple Domains (v2.1.0: STU 2.1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Example Consent: SDOHCC Consent Information Disclosure Example

Attachment

An example of a Consent for information disclosure related to SDOH information with a PDF attachment.

Generated Narrative: Consent

Resource Consent "SDOHCC-ConsentInformationDisclosureExample"

Profile: SDOHCC Consent

status: active

scope: Privacy Consent (Consent Scope Codes#patient-privacy)

category: information disclosure (ActCode#IDSCL)

patient: Patient/pat-53234: Colin Abbas " ABBAS"

dateTime: 2021-05-01

organization: Organization/SDOHCC-OrganizationPayerExample "CDE Payer"

source:

policyRule: HIPAA Authorization (Consent PolicyRule Codes#hipaa-auth)