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
Community Based Collaborative Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient |
Raw XML (canonical form + also see XML Format Specification)
General Consent Example (id = "consent-example-basic")
<?xml version="1.0" encoding="UTF-8"?> <Consent xmlns="http://hl7.org/fhir"> <id value="consent-example-basic"/> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <p> Authorize Normal access for Treatment </p> <p> Patient "P. van de Heuvel" wishes to have all of the PHI collected at the Good Health Psychiatric Hospital available for normal treatment use. </p> </div> </text> <status value="active"/> <scope> <coding> <system value="http://terminology.hl7.org/CodeSystem/consentscope"/> <code value="patient-privacy"/> </coding> </scope> <category> <coding> <system value="http://loinc.org"/> <code value="59284-0"/> </coding> </category> <patient> <reference value="Patient/f001"/> <display value="P. van de Heuvel"/> </patient> <dateTime value="2016-05-11"/> <organization> <reference value="Organization/f001"/> </organization> <!-- the terms of the consent as signed by the patient in ink --> <sourceAttachment> <title value="The terms of the consent in lawyer speak."/> <!-- likely use url pointer to common text --> </sourceAttachment> <!-- this is plain out opt-in with no exceptions --> <policyRule> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="OPTIN"/> </coding> </policyRule> <provision> <!-- bound by a timeframe between 1964 and 2016 - consent.applies --> <period> <start value="1964-01-01"/> <end value="2016-01-01"/> </period> </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.