Release 4

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 with Details</b></p><p><b>id</b>: consent-example-signature</p><p><b>identifier</b>: 494e0c7a-a69e-4fb4-9d02-6aae747790d7</p><p><b>status</b>: active</p><p><b>scope</b>: Privacy Consent <span>(Details : {http://terminology.hl7.org/CodeSystem/consentscope code 'patient-privacy' = 'Privacy Consent)</span></p><p><b>category</b>: Notice of Privacy Practices <span>(Details : {http://terminology.hl7.org/CodeSystem/consentcategorycodes code 'npp' = 'Notice of Privacy Practices)</span></p><p><b>patient</b>: <a>Patient/72</a></p><p><b>dateTime</b>: May 26, 2016 12:41:10 AM</p><p><b>performer</b>: <a>Patient/72</a></p><p><b>organization</b>: <a>Organization/f001</a></p><p><b>policyRule</b>: opt-in <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'OPTIN' = 'opt-in)</span></p><blockquote><p><b>provision</b></p><p><b>period</b>: Oct 10, 2015 --&gt; Oct 10, 2016</p><h3>Actors</h3><table><tr><td>-</td><td><b>Role</b></td><td><b>Reference</b></td></tr><tr><td>*</td><td>primary information recipient <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ParticipationType code 'PRCP' = 'primary information recipient)</span></td><td><a>Practitioner/13</a></td></tr></table><h3>Provisions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></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.