Release 4B Ballot #1

This page is part of the FHIR Specification (v4.1.0: Release 4B Ballot #1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Consent-example-pkb.json

Community Based Collaborative Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient

Raw JSON (canonical form + also see JSON Format Specification)

Example of Patients Know Best Usage

{
  "resourceType": "Consent",
  "id": "consent-example-pkb",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<p>\n        This example demonstrates how to encode this screen shot in a consent resource:\n\t\t\t</p>\n\t\t\t<p>\n\t\t\t\t<img src=\"pkb.png\" alt=\"Screenshot from Patient Knows Best\"/>\n\t\t\t</p>\n\t\t\t<p>\n        Thanks to <a href=\"https://www.patientsknowbest.com/\">Patients Know Best</a> for contributing this example\n\t\t\t</p>\n\t\t</div>"
  },
  "status": "active",
  "scope": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope",
        "code": "patient-privacy"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "59284-0"
        }
      ]
    }
  ],
  "patient": {
    "reference": "Patient/example",
    "display": "...example patient..."
  },
  "dateTime": "2016-06-16",
  "organization": [
    {
      "reference": "Organization/f001"
    }
  ],
  "policyRule": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "OPTOUT"
      }
    ]
  },
  "provision": {
    "actor": [
      {
        "role": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "PRCP"
            }
          ]
        },
        "reference": {
          "reference": "Organization/f001"
        }
      }
    ],
    "action": [
      {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/consentaction",
            "code": "access"
          }
        ]
      }
    ],
    "securityLabel": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N"
      }
    ],
    "provision": [
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "PSY"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SPI"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
            "code": "N"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "PSY"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SPI"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SEX"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
            "code": "N"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "PSY"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SPI"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SEX"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
            "code": "N"
          }
        ]
      }
    ]
  }
}

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.