Release 5 Draft Ballot
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| Financial Management Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Not linked to any defined compartments |
Raw JSON (canonical form + also see JSON Format Specification)
42 CFR Part 2 Consent Directive
Financial
{
"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</b></p><p><b>status</b>: executed</p><p><b>contentDerivative</b>: <span>Content Registration</span></p><p><b>issued</b>: 2 Nov. 2013, 12:18:27 pm</p><p><b>applies</b>: 2 Nov. 2013, 12:18:27 pm --> (ongoing)</p><p><b>subject</b>: <a>Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span>Legally married</span>; </a></p><p><b>type</b>: <span>Opt-in consent directive</span></p><p><b>subType</b>: <span>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><span>Statutory</span></td><td><span>opt-in</span></td><td>Can't refuse</td></tr></table><h3>Assets</h3><table><tr><td>-</td><td><b>Period</b></td></tr><tr><td>*</td><td>2 Nov. 2013, 12:18:27 pm --> 2 Nov. 2019, 12:18:27 pm</td></tr></table><blockquote><p><b>action</b></p><p><b>type</b>: <span>Action A</span></p><blockquote><p><b>subject</b></p><p><b>reference</b>: <a>VA Ann Arbor Healthcare System. 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>role</b>: <span>Recipient of restricted health information</span></p></blockquote><blockquote><p><b>subject</b></p><p><b>reference</b>: <a>Community Mental Health Clinic. Generated Summary: id: 666666; name: XYZ Insurance; alias: ABC Insurance</a></p><p><b>role</b>: <span>Sender of restricted health information</span></p></blockquote><p><b>intent</b>: <span>health program reporting</span></p><p><b>status</b>: <span>Sample</span></p></blockquote></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: <span>SELF</span></p><p><b>party</b>: <a>Alice Recruit. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span>Legally married</span>; </a></p><h3>Signatures</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><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://terminology.hl7.org/CodeSystem/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://mdhhs.org/fhir/consentdirective-type",
"code": "OPTIN"
}
],
"text": "Opt-in consent directive"
},
"subType": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
"code": "hcd"
}
]
}
],
"term": [
{
"offer": {
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/contracttermtypecodes",
"code": "statutory"
}
]
},
"decision": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "OPTIN"
}
]
},
"text": "Can't refuse"
},
"asset": [
{
"period": [
{
"start": "2013-11-01T21:18:27-04:00",
"end": "2019-11-01T21:18:27-04:00"
}
]
}
],
"action": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/contractaction",
"code": "action-a"
}
]
},
"subject": [
{
"reference": [
{
"reference": "Organization/f001",
"display": "VA Ann Arbor Healthcare System"
}
],
"role": {
"coding": [
{
"system": "http://mdhhs.org/fhir/consent-actor-type",
"code": "IR",
"display": "Recipient"
}
],
"text": "Recipient of restricted health information"
}
},
{
"reference": [
{
"reference": "Organization/2",
"display": "Community Mental Health Clinic"
}
],
"role": {
"coding": [
{
"system": "http://mdhhs.org/fhir/consent-actor-type",
"code": "IS",
"display": "Sender"
}
],
"text": "Sender of restricted health information"
}
}
],
"intent": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
"code": "HPRGRP"
}
]
},
"status": {
"text": "Sample"
}
}
]
}
],
"signer": [
{
"type": {
"system": "http://mdhhs.org/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",
"who": {
"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.
FHIR ®© HL7.org 2011+. FHIR R5 Draft Ballot hl7.fhir.core#4.6.0 generated on Thu, Apr 15, 2021 12:28+1000.
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