R4 Ballot #1 (Mixed Normative/Trial use)

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Contract-example-42cfr-part2.json

Financial Management Work GroupMaturity Level: N/ABallot Status: InformativeCompartments: Not linked to any defined compartments

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42 CFR Part 2 Consent Directive

{
  "resourceType": "Contract",
  "id": "C-2121",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2016-07-19T18:18:42.108-04:00"
  },
  "text": {
    "status": "generated",
    "div": "<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>status</b>: executed</p><p><b>contentDerivative</b>: Content Registration <span>(Details : {http://hl7.org/fhir/contract-content-derivative code 'registration' = 'Content Registration)</span></p><p><b>issued</b>: 01/11/2013 9:18:27 PM</p><p><b>applies</b>: 01/11/2013 9:18:27 PM --&gt; (ongoing)</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>: Health Care Directive <span>(Details : {http://hl7.org/fhir/consentcategorycodes code 'hcd' = 'Health Care Directive)</span></p><blockquote><p><b>term</b></p><h3>Offers</h3><table><tr><td>-</td><td><b>Type</b></td><td><b>Decision</b></td><td><b>Text</b></td></tr><tr><td>*</td><td>statutory <span>(Details : {http://hl7.org/fhir/contract-term-type code 'statutory' = 'statutory)</span></td><td>opt-in <span>(Details : {http://hl7.org/fhir/v3/ActCode code 'OPTIN' = 'opt-in)</span></td><td>Can't refuse</td></tr></table><blockquote><p><b>asset</b></p><p><b>dataPeriod</b>: 01/11/2013 9:18:27 PM --&gt; 01/11/2019 9:18:27 PM</p><h3>Data</h3><table><tr><td>-</td><td><b>Meaning</b></td><td><b>Reference</b></td></tr><tr><td>*</td><td>instance</td><td>Some data</td></tr></table><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/v3/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><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><p><b>action</b>: Action A <span>(Details : {http://www.hl7.org/fhir/contractaction code 'action-a' = 'Action A)</span></p><p><b>actionReason</b>: health program reporting <span>(Details : {http://hl7.org/fhir/v3/ActReason code 'HPRGRP' = 'health program reporting)</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>"
  },
  "status": "executed",
  "contentDerivative": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/contract-content-derivative",
        "code": "registration"
      }
    ]
  },
  "issued": "2013-11-01T21:18:27-04:00",
  "applies": {
    "start": "2013-11-01T21:18:27-04:00"
  },
  "subject": [
    {
      "reference": "Patient/f201"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://org.mdhhs.fhir.consentdirective-type",
        "code": "OPTIN"
      }
    ],
    "text": "Opt-in consent directive"
  },
  "subType": [
    {
      "coding": [
        {
          "system": "http://hl7.org/fhir/consentcategorycodes",
          "code": "hcd"
        }
      ]
    }
  ],
  "term": [
    {
      "offer": {
        "type": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/contract-term-type",
              "code": "statutory"
            }
          ]
        },
        "decision": {
          "coding": [
            {
              "system": "http://hl7.org/fhir/v3/ActCode",
              "code": "OPTIN"
            }
          ]
        },
        "text": "Can't refuse"
      },
      "asset": [
        {
          "dataPeriod": {
            "start": "2013-11-01T21:18:27-04:00",
            "end": "2019-11-01T21:18:27-04:00"
          },
          "data": [
            {
              "meaning": "instance",
              "reference": {
                "display": "Some data"
              }
            }
          ],
          "securityLabel": [
            {
              "system": "http://hl7.org/fhir/v3/Confidentiality",
              "code": "R",
              "display": "Restricted"
            },
            {
              "system": "http://hl7.org/fhir/v3/ActCode",
              "code": "ETH",
              "display": "substance abuse information sensitivity"
            },
            {
              "system": "http://hl7.org/fhir/v3/ActCode",
              "code": "42CFRPart2"
            },
            {
              "system": "http://hl7.org/fhir/v3/ActReason",
              "code": "TREAT",
              "display": "treatment"
            },
            {
              "system": "http://hl7.org/fhir/v3/ActReason",
              "code": "HPAYMT",
              "display": "healthcare payment"
            },
            {
              "system": "http://hl7.org/fhir/v3/ActReason",
              "code": "HOPERAT",
              "display": "healthcare operations"
            },
            {
              "system": "http://hl7.org/fhir/v3/ActCode",
              "code": "PERSISTLABEL",
              "display": "persist security label"
            },
            {
              "system": "http://hl7.org/fhir/v3/ActCode",
              "code": "PRIVMARK",
              "display": "privacy mark"
            },
            {
              "system": "http://hl7.org/fhir/v3/ActCode",
              "code": "NORDSCLCD",
              "display": "no redisclosure without consent directive"
            }
          ]
        }
      ],
      "agent": [
        {
          "actor": {
            "reference": "Organization/f001",
            "display": "VA Ann Arbor Healthcare System"
          },
          "role": [
            {
              "coding": [
                {
                  "system": "http://org.mdhhs.fhir.consent-actor-type",
                  "code": "IR",
                  "display": "Recipient"
                }
              ],
              "text": "Recipient of restricted health information"
            }
          ]
        },
        {
          "actor": {
            "reference": "Organization/2",
            "display": "Community Mental Health Clinic"
          },
          "role": [
            {
              "coding": [
                {
                  "system": "http://org.mdhhs.fhir.consent-actor-type",
                  "code": "IS",
                  "display": "Sender"
                }
              ],
              "text": "Sender of restricted health information"
            }
          ]
        }
      ],
      "action": [
        {
          "coding": [
            {
              "system": "http://www.hl7.org/fhir/contractaction",
              "code": "action-a"
            }
          ]
        }
      ],
      "actionReason": [
        {
          "coding": [
            {
              "system": "http://hl7.org/fhir/v3/ActReason",
              "code": "HPRGRP"
            }
          ]
        }
      ]
    }
  ],
  "signer": [
    {
      "type": {
        "system": "http://org.mdhhs.fhir.consent-signer-type",
        "code": "SELF"
      },
      "party": {
        "reference": "Patient/f201",
        "display": "Alice Recruit"
      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1"
            }
          ],
          "when": "2017-02-08T10:57:34+01:00",
          "whoReference": {
            "reference": "Patient/f201"
          }
        }
      ]
    }
  ],
  "legal": [
    {
      "contentAttachment": {
        "contentType": "application/pdf",
        "language": "en-US",
        "url": "http://org.mihin.ecms/ConsentDirective-2121",
        "title": "MDHHS-5515 Consent To Share Your Health Information"
      }
    }
  ]
}

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.