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: R4B R4 R3
Community Based Collaborative Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient |
Raw XML (canonical form + also see XML Format Specification)
Consent Example with a signature (id = "consent-example-signature")
<?xml version="1.0" encoding="UTF-8"?> <Consent xmlns="http://hl7.org/fhir"> <id value="consent-example-signature"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"><p> <b> Generated Narrative</b> </p> <p> <b> identifier</b> : id: 494e0c7a-a69e-4fb4-9d02-6aae747790d7</p> <p> <b> status</b> : active</p> <p> <b> scope</b> : <span> Privacy Consent</span> </p> <p> <b> category</b> : <span> Notice of Privacy Practices</span> </p> <p> <b> patient</b> : <a> Patient/72</a> </p> <p> <b> dateTime</b> : 26 May 2016, 2:41:10 pm</p> <p> <b> performer</b> : <a> Patient/72</a> </p> <p> <b> organization</b> : <a> Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); <span> University Medical Hospital</span> ; name: Burgers University Medical Center; Phone: 022-655 2300</a> </p> <p> <b> policyRule</b> : <span> opt-in</span> </p> <blockquote> <p> <b> provision</b> </p> <p> <b> period</b> : 2015-10-10 --> 2016-10-10</p> <h3> Actors</h3> <table> <tr> <td> -</td> <td> <b> Role</b> </td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> <span> primary information recipient</span> </td> <td> <a> Practitioner/13</a> </td> </tr> </table> <h3> Provisions</h3> <table> <tr> <td> -</td> </tr> <tr> <td> *</td> </tr> </table> </blockquote> </div> </text> <identifier> <system value="urn:oid:2.16.840.1.113883.3.72.5.9.1"/> <value value="494e0c7a-a69e-4fb4-9d02-6aae747790d7"/> <!-- consent GUID generated by application --> </identifier> <status value="active"/> <scope> <coding> <system value="http://terminology.hl7.org/CodeSystem/consentscope"/> <code value="patient-privacy"/> </coding> </scope> <category> <coding> <system value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/> <code value="npp"/> </coding> </category> <patient> <reference value="Patient/72"/> <!-- one of the stock examples --> </patient> <dateTime value="2016-05-26T00:41:10-04:00"/> <performer> <reference value="Patient/72"/> <!-- author is patient themselves, and they sign --> </performer> <!-- this consent relates to sharing data with a specific recipient --> <organization> <reference value="Organization/f001"/> </organization> <!-- no source for this one - it is the signed master --> <policyRule> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="OPTIN"/> </coding> </policyRule> <!-- here's an opt-in: share CDA documents of type Discharge Summary + Summarization of Episode Note from a specific author --> <provision> <period> <start value="2015-10-10"/> <end value="2016-10-10"/> </period> <actor> <role> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PRCP"/> </coding> </role> <reference> <reference value="Practitioner/13"/> <!-- Stock practitioner --> </reference> </actor> <provision> <type value="permit"/> <actor> <role> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="AUT"/> </coding> </role> <reference> <reference value="Practitioner/xcda-author"/> </reference> </actor> <!-- CDA documents --> <class> <system value="urn:ietf:bcp:13"/> <code value="application/hl7-cda+xml"/> </class> <!-- code rules --> <code> <coding> <system value="http://loinc.org"/> <code value="34133-9"/> </coding> </code> <code> <coding> <system value="http://loinc.org"/> <code value="18842-5"/> </coding> </code> </provision> </provision> </Consent>
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.