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See the Directory of published versions . Page versions: R5 R4B R4 R3

Consent-example-pkb.json

Example Consent/consent-example-pkb (JSON)

Maturity Level : N/A
Responsible Owner: Community Based Collaborative Care Work Group Standards Status : Informative Compartments : Group , Patient

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

Example of Patients Know Best Usage

{
  "resourceType": "Consent",
  "id": "consent-example-pkb",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n\t\t\t<p>\n        This example demonstrates how to encode this screen shot in a consent resource:\n\t\t\t</p>\n\t\t\t<p>\n\t\t\t\t<img src=\"pkb.png\" alt=\"Screenshot from Patient Knows Best\"/>\n\t\t\t</p>\n\t\t\t<p>\n        Thanks to <a href=\"https://www.patientsknowbest.com/\">Patients Know Best</a> for contributing this example\n\t\t\t</p>\n\t\t</div>"

  "resourceType" : "Consent",
  "id" : "consent-example-pkb",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n      <p>This example demonstrates how to encode this screen shot in a consent resource:</p>\n      <p>\n        <img src=\"pkb.png\" alt=\"Screenshot from Patient Knows Best\"/>\n      </p>\n      <p>Thanks to <a href=\"https://www.patientsknowbest.com/\">Patients Know Best</a> for contributing this example</p>\n      <p>Example uses SecurityLabels to define data types</p>\n    </div>"

  },
  "status": "active",
  "scope": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope",
        "code": "patient-privacy"
      }
    ]

  "status" : "active",
  "category" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "59284-0"
    }]
  }],
  "subject" : {
    "reference" : "Patient/example",
    "display" : "Peter James Chalmers"

  },
  "category": [

  "date" : "2018-12-28",
  "controller" : [{
    "reference" : "Organization/f001"
  }],
  "regulatoryBasis" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "INFA"
    }]
  }],
  "decision" : "deny",
  "provision" : [{
    "actor" : [{
      "role" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
          "code" : "PRCP"
        }]
      },
      "reference" : {
        "reference" : "Organization/f001"
      }
    }],
    "action" : [{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
        "code" : "access"
      }]
    }],
    "securityLabel" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
      "code" : "N"
    }],
    "provision" : [{
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "PSY"
      }]
    },

    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "59284-0"

      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"

        }
      ]
    }
  ],
  "patient": {
    "reference": "Patient/example",
    "display": "...example patient..."
  },
  "dateTime": "2016-06-16",
  "organization": [

      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "SPI"
      }]
    },

    {
      "reference": "Organization/f001"
    }
  ],
  "policyRule": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "OPTOUT"
      }
    ]
  },
  "provision": {
    "actor": [
      {
        "role": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
              "code": "PRCP"
            }
          ]

      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]

        },
        "reference": {
          "reference": "Organization/f001"

        "reference" : {
          "reference" : "Organization/f001"

        }
      }
    ],
    "action": [
      {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/consentaction",
            "code": "access"
          }
        ]
      }
    ],
    "securityLabel": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "N"
      }
    ],
    "provision": [
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "PSY"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SPI"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
            "code": "N"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "PSY"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SPI"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SEX"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
            "code": "N"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "PSY"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SPI"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "SEX"
          }
        ]
      },
      {
        "actor": [
          {
            "role": {
              "coding": [
                {
                  "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code": "PRCP"
                }
              ]
            },
            "reference": {
              "reference": "Organization/f001"
            }
          }
        ],
        "action": [
          {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/consentaction",
                "code": "access"
              }
            ]
          }
        ],
        "securityLabel": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
            "code": "N"
          }
        ]
      }
    ]
  }

      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "N"
      }]
    },
    {
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "PSY"
      }]
    },
    {
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "SPI"
      }]
    },
    {
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "SEX"
      }]
    },
    {
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "N"
      }]
    },
    {
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "PSY"
      }]
    },
    {
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "SPI"
      }]
    },
    {
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code" : "SEX"
      }]
    },
    {
      "actor" : [{
        "role" : {
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code" : "PRCP"
          }]
        },
        "reference" : {
          "reference" : "Organization/f001"
        }
      }],
      "action" : [{
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
          "code" : "access"
        }]
      }],
      "securityLabel" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code" : "N"
      }]
    }]
  }]

}

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.