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Consent-example.xml

Example Consent/consent-example-basic (XML)

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

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

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General Consent Example (id = "consent-example-basic") 

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


  
  
    
    
      
  Authorize Normal access for Treatment
      
      
    Patient &quot;P. van de Heuvel&quot; wishes to have all of the PHI collected at the
         Good Health Psychiatric Hospital 
   available for normal treatment use.
      
    
  
  
  
    
      
      
    
  
  
    
      
      
    
  
  
    
    
  
  
  
    
  
  
  
    
    
  
  
  
    
      
      
    
  
  
    
    
      
      
    
  

<Consent xmlns="http://hl7.org/fhir">
  <id value="consent-example-basic"/> 
  <text> 
    <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">
      <p> 
        Authorize Normal access for Treatment
      </p>       <p> 
      Patient &quot;Peter James Chalmers (&quot;Jim&quot;)&quot; wishes to have
         all of the PHI (Personal health information) collected at the Burgers University
         Medical Center available for normal treatment use.
      </p>     </div>   </text>   <status value="active"/>   <category>     <coding>       <system value="http://loinc.org"/>       <code value="59284-0"/>     </coding>   </category>   <subject>     <reference value="Patient/example"/>     <display value="Peter James Chalmers"/>   </subject>   <date value="2018-12-28"/>   <controller>     <reference value="Organization/f001"/>   </controller>   <!--   the terms of the consent as signed by the patient in ink   -->  <!--   likely use url pointer to common text   -->  <sourceAttachment>     <title value="The terms of the consent in lawyer speak."/>   </sourceAttachment>   <!--   this is plain out opt-in with no exceptions   -->  <regulatoryBasis>     <coding>       <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>       <code value="INFA"/>     </coding>   </regulatoryBasis>   <decision value="deny"/>   <provision>     <!--   bound by a timeframe between 1964 and 2019 - consent.applies   -->    <period>       <start value="1964-01-01"/>       <end value="2019-01-01"/>     </period>   </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.