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: R5 R4B R4 R3

Contract-example-42cfr-part2.xml

Financial Management Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

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

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42 CFR Part 2 Consent Directive (id = "C-2121")

<?xml version="1.0" encoding="UTF-8"?>

<Contract xmlns="http://hl7.org/fhir">
  <id value="C-2121"/> 
  <meta> 
    <versionId value="1"/> 
    <lastUpdated value="2016-07-19T18:18:42.108-04:00"/> 
  </meta> 
  <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;C-2121&quot; Version &quot;1&quot; Updated &quot;2016-07-19T18:18:42.108-04:00&quot;
           </p> 
      </div> 
      <p> 
        <b> status</b> : executed
      </p> 
      <p> 
        <b> contentDerivative</b> : Content Registration 
        <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
          <a href="http://terminology.hl7.org/3.1.0/CodeSystem-contract-content-derivative.html">Contract Content Derivation Codes</a> #registration)
        </span> 
      </p> 
      <p> 
        <b> issued</b> : 2013-11-01T21:18:27-04:00
      </p> 
      <p> 
        <b> applies</b> : 2013-11-01T21:18:27-04:00 --&gt; (ongoing)
      </p> 
      <p> 
        <b> subject</b> : 
        <a href="patient-f201.html">Patient/f201</a>  &quot;Roel&quot;
      </p> 
      <p> 
        <b> type</b> : Opt-in consent directive 
        <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (consentdirective-type#OPTIN)</span> 
      </p> 
      <p> 
        <b> subType</b> : Health Care Directive 
        <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
          <a href="codesystem-consent-category.html">Consent Category Codes</a> #hcd)
        </span> 
      </p> 
      <blockquote> 
        <p> 
          <b> term</b> 
        </p> 
        <h3> Offers</h3> 
        <table class="grid">
          <tr> 
            <td> -</td> 
            <td> 
              <b> Type</b> 
            </td> 
            <td> 
              <b> Decision</b> 
            </td> 
            <td> 
              <b> Text</b> 
            </td> 
          </tr> 
          <tr> 
            <td> *</td> 
            <td> Statutory 
              <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
                <a href="http://terminology.hl7.org/3.1.0/CodeSystem-contracttermtypecodes.html">Contract Term Type Codes</a> #statutory)
              </span> 
            </td> 
            <td> 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> 
            </td> 
            <td> Can't refuse</td> 
          </tr> 
        </table> 
        <h3> Assets</h3> 
        <table class="grid">
          <tr> 
            <td> -</td> 
            <td> 
              <b> Period</b> 
            </td> 
          </tr> 
          <tr> 
            <td> *</td> 
            <td> 2013-11-01T21:18:27-04:00 --&gt; 2019-11-01T21:18:27-04:00</td> 
          </tr> 
        </table> 
        <blockquote> 
          <p> 
            <b> action</b> 
          </p> 
          <p> 
            <b> type</b> : Action A 
            <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
              <a href="http://terminology.hl7.org/3.1.0/CodeSystem-contractaction.html">Contract Action Codes</a> #action-a)
            </span> 
          </p> 
          <blockquote> 
            <p> 
              <b> subject</b> 
            </p> 
            <p> 
              <b> reference</b> : 
              <a href="organization-f001.html">Organization/f001: VA Ann Arbor Healthcare System</a>  &quot;Burgers University Medical Center&quot;
            </p> 
            <p> 
              <b> role</b> : Recipient of restricted health information 
              <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (consent-actor-type#IR &quot;Recipient&quot;)</span> 
            </p> 
          </blockquote> 
          <blockquote> 
            <p> 
              <b> subject</b> 
            </p> 
            <p> 
              <b> reference</b> : 
              <a href="organization-2.html">Organization/2: Community Mental Health Clinic</a>  &quot;XYZ Insurance&quot;
            </p> 
            <p> 
              <b> role</b> : Sender of restricted health information 
              <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (consent-actor-type#IS &quot;Sender&quot;)</span> 
            </p> 
          </blockquote> 
          <p> 
            <b> intent</b> : health program reporting 
            <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (
              <a href="http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html">ActReason</a> #HPRGRP)
            </span> 
          </p> 
          <p> 
            <b> status</b> : Sample 
            <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> ()</span> 
          </p> 
        </blockquote> 
      </blockquote> 
      <blockquote> 
        <p> 
          <b> signer</b> 
        </p> 
        <p> 
          <b> type</b> : SELF (Details: http://mdhhs.org/fhir/consent-signer-type code SELF = 'SELF', stated
           as 'null')
        </p> 
        <p> 
          <b> party</b> : 
          <a href="patient-f201.html">Patient/f201: Alice Recruit</a>  &quot;Roel&quot;
        </p> 
      </blockquote> 
      <h3> Legals</h3> 
      <table class="grid">
        <tr> 
          <td> -</td> 
          <td> 
            <b> Content[x]</b> 
          </td> 
        </tr> 
        <tr> 
          <td> *</td> 
          <td/>  
        </tr> 
      </table> 
    </div> 
  </text> 
  <status value="executed"/> 
  <contentDerivative> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/contract-content-derivative"/> 
      <code value="registration"/> 
    </coding> 
  </contentDerivative> 
  <issued value="2013-11-01T21:18:27-04:00"/> 
  <applies> 
    <start value="2013-11-01T21:18:27-04:00"/> 
  </applies> 
  <subject> 
    <reference value="Patient/f201"/> 
  </subject> 
  <type> 
    <coding> 
      <system value="http://mdhhs.org/fhir/consentdirective-type"/> 
      <code value="OPTIN"/> 
    </coding> 
    <text value="Opt-in consent directive"/> 
  </type> 
  <subType> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/> 
      <code value="hcd"/> 
    </coding> 
  </subType> 
  <term> 
    <offer> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/contracttermtypecodes"/> 
          <code value="statutory"/> 
        </coding> 
      </type> 
      <decision> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
          <code value="OPTIN"/> 
        </coding> 
      </decision> 
      <text value="Can't refuse"/> 
    </offer> 
    <asset> 
      <period> 
        <start value="2013-11-01T21:18:27-04:00"/> 
        <end value="2019-11-01T21:18:27-04:00"/> 
      </period> 
    </asset> 
    <action> 
      <type> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/contractaction"/> 
          <code value="action-a"/> 
        </coding> 
      </type> 
      <subject> 
        <reference> 
          <reference value="Organization/f001"/> 
          <display value="VA Ann Arbor Healthcare System"/> 
        </reference> 
        <role> 
          <coding> 
            <system value="http://mdhhs.org/fhir/consent-actor-type"/> 
            <code value="IR"/> 
            <display value="Recipient"/> 
          </coding> 
          <text value="Recipient of restricted health information"/> 
        </role> 
      </subject> 
      <subject> 
        <reference> 
          <reference value="Organization/2"/> 
          <display value="Community Mental Health Clinic"/> 
        </reference> 
        <role> 
          <coding> 
            <system value="http://mdhhs.org/fhir/consent-actor-type"/> 
            <code value="IS"/> 
            <display value="Sender"/> 
          </coding> 
          <text value="Sender of restricted health information"/> 
        </role> 
      </subject> 
      <intent> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
          <code value="HPRGRP"/> 
        </coding> 
      </intent> 
      <status> 
        <text value="Sample"/> 
      </status> 
    </action> 
  </term> 
  <signer> 
    <type> 
      <system value="http://mdhhs.org/fhir/consent-signer-type"/> 
      <code value="SELF"/> 
    </type> 
    <party> 
      <reference value="Patient/f201"/> 
      <display value="Alice Recruit"/> 
    </party> 
    <signature> 
      <type> 
        <system value="urn:iso-astm:E1762-95:2013"/> 
        <code value="1.2.840.10065.1.12.1.1"/> 
      </type> 
      <when value="2017-02-08T10:57:34+01:00"/> 
      <who> 
        <reference value="Patient/f201"/> 
      </who> 
    </signature> 
  </signer> 
  <legal> 
    <contentAttachment> 
      <contentType value="application/pdf"/> 
      <language value="en-US"/> 
      <url value="http://org.mihin.ecms/ConsentDirective-2121"/> 
      <title value="MDHHS-5515 Consent To Share Your Health Information"/> 
    </contentAttachment> 
  </legal> 
</Contract>

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.