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Contract-example-42cfr-part2

Example Contract/C-2121 (Narrative)

Maturity Level : N/A
Responsible Owner: Financial Management Work Group Ballot Standards Status : Informative Compartments : Not linked to any defined compartments Patient

This is the narrative for the resource. See also the XML or , JSON or Turtle format. This example conforms to the profile Contract .

Generated Narrative with Details Narrative: Contract C-2121

version: 1; Last updated: 2016-07-19T18:18:42.108-04:00

id status : C-2121 Executed

meta contentDerivative : Content Registration

issued : 01/11/2031 9:18:27 PM 2013-11-01T21:18:27-04:00

applies : 2013-11-01T21:18:27-04:00 --> (ongoing)

subject : Patient/f201 Roel(official) Male, DoB: 1960-03-13 ( BSN: 123456789 (use: official, ))

type : Opt-in consent directive (Details : {http://org.mdhhs.fhir.consentdirective-type code 'OPTIN' = 'OPTIN)

subType : Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes (Details : {http://hl7.org/fhir/consentcategorycodes code 'MDHHS-5515' = 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes', given as 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes'}) Directive

securityLabel term

Offers

- Type Decision Text
* Statutory opt-in Can't refuse

Assets

- Period
* 2013-11-01T21:18:27-04:00 --> 2019-11-01T21:18:27-04:00

action

type : Restricted (Details: http://hl7.org/fhir/v3/Confidentiality code R = 'restricted', stated as 'Restricted'), substance abuse information sensitivity (Details: http://hl7.org/fhir/v3/ActCode code ETH = 'substance abuse information sensitivity', stated as 'substance abuse information sensitivity'), 42 CFR Part2 (Details: http://hl7.org/fhir/v3/ActCode code 42CFRPart2 = '42 CFR Part2', stated as 'null'), treatment (Details: http://hl7.org/fhir/v3/ActReason code TREAT = 'treatment', stated as 'treatment'), healthcare payment (Details: http://hl7.org/fhir/v3/ActReason code HPAYMT = 'healthcare payment', stated as 'healthcare payment'), healthcare operations (Details: http://hl7.org/fhir/v3/ActReason code HOPERAT = 'healthcare operations', stated as 'healthcare operations'), persist security label (Details: http://hl7.org/fhir/v3/ActCode code PERSISTLABEL = 'persist security label', stated as 'persist security label'), privacy mark (Details: http://hl7.org/fhir/v3/ActCode code PRIVMARK = 'privacy mark', stated as 'privacy mark'), no redisclosure without consent directive (Details: http://hl7.org/fhir/v3/ActCode code NORDSCLCD = 'no redisclosure without consent directive', stated as 'no redisclosure without consent directive') Action A

agent subject

actor reference : VA Ann Arbor Healthcare System

role : Recipient of restricted health information (Details : {http://org.mdhhs.fhir.consent-actor-type code 'IR' = 'IR', given as 'Recipient'})

agent subject

actor reference : Community Mental Health Clinic

role : Sender of restricted health information (Details : {http://org.mdhhs.fhir.consent-actor-type code 'IS' = 'IS', given as 'Sender'})

intent : health program reporting

status : Sample

signer

type : consent-signer-type: SELF (SELF)

party : Alice Recruit

Signers Signatures

- Type Party When Signature Who
* ASTM Signature Type Codes: 1.2.840.10065.1.12.1.1 (Author's Signature) SELF (Details: http://org.mdhhs.fhir.consent-signer-type code SELF = 'SELF', stated as 'null') 2017-02-08T10:57:34+01:00 Alice Recruit Roel(official) Male, DoB: 1960-03-13 ( BSN: 123456789 (use: official, ))

Legals

- Content[x]
* application/pdf @ http://org.mihin.ecms/ConsentDirective-2121

 

 

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.