Release 4B

This page is part of the FHIR Specification (v4.3.0: R4B - STU). 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

Consent-example-signature.xml

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

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

Jump past Narrative

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> <div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px
       solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">Resource &quot;consent-example-signature&quot; </p> </div> <p> <b> identifier</b> : id: 494e0c7a-a69e-4fb4-9d02-6aae747790d7</p> <p> <b> status</b> : active</p> <p> <b> scope</b> : Privacy Consent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-consent-scope.html">Consent Scope Codes</a> #patient-privacy)</span> </p> <p> <b> category</b> : Notice of Privacy Practices <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="codesystem-consent-category.html">Consent Category Codes</a> #npp)</span> </p> <p> <b> patient</b> : <a href="todo.html">Patient/72</a> </p> <p> <b> dateTime</b> : 2016-05-26T00:41:10-04:00</p> <p> <b> performer</b> : <a href="todo.html">Patient/72</a> </p> <p> <b> organization</b> : <a href="organization-f001.html">Organization/f001</a>  &quot;Burgers University Medical Center&quot;</p> <p> <b> policyRule</b> : opt-in <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActCode.html">ActCode</a> #OPTIN)</span> </p> <blockquote> <p> <b> provision</b> </p> <p> <b> period</b> : 2015-10-10 --&gt; 2016-10-10</p> <h3> Actors</h3> <table class="grid"><tr> <td> -</td> <td> <b> Role</b> </td> <td> <b> Reference</b> </td> </tr> <tr> <td> *</td> <td> primary information recipient <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html">ParticipationType</a> #PRCP)</span> </td> <td> <a href="todo.html">Practitioner/13</a> </td> </tr> </table> <blockquote> <p> <b> provision</b> </p> <p> <b> type</b> : permit</p> <p> <b> class</b> : application/hl7-cda+xml (Details: urn:ietf:bcp:13 code application/hl7-cda+xml = 'application/hl7-
            cda+xml', stated as 'null')</p> <p> <b> code</b> : Summary of episode note <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #34133-9)</span> , Discharge summary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a> #18842-5)</span> </p> </blockquote> </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.