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.json

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

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

Consent Example with a signature

{
  "resourceType": "Consent",
  "id": "consent-example-signature",
  "text": {
    "status": "generated",
    "div": "<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>"
  },
  "identifier": [
    {
      "system": "urn:oid:2.16.840.1.113883.3.72.5.9.1",
      "value": "494e0c7a-a69e-4fb4-9d02-6aae747790d7"
    }
  ],
  "status": "active",
  "scope": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope",
        "code": "patient-privacy"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
          "code": "npp"
        }
      ]
    }
  ],
  "patient": {
    "reference": "Patient/72"
  },
  "dateTime": "2016-05-26T00:41:10-04:00",
  "performer": [
    {
      "reference": "Patient/72"
    }
  ],
  "organization": [
    {
      "reference": "Organization/f001"
    }
  ],
  "policyRule": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "OPTIN"
      }
    ]
  },
  "provision": {
    "period": {
      "start": "2015-10-10",
      "end": "2016-10-10"
    },
    "actor": [
      {
        "role": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "PRCP"
            }
          ]
        },
        "reference": {
          "reference": "Practitioner/13"
        }
      }
    ],
    "provision": [
      {
        "type": "permit",
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "AUT"
                }
              ]
            },
            "reference": {
              "reference": "Practitioner/xcda-author"
            }
          }
        ],
        "class": [
          {
            "system": "urn:ietf:bcp:13",
            "code": "application/hl7-cda+xml"
          }
        ],
        "code": [
          {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "34133-9"
              }
            ]
          },
          {
            "coding": [
              {
                "system": "http://loinc.org",
                "code": "18842-5"
              }
            ]
          }
        ]
      }
    ]
  }
}

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.