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Contract-example-42cfr-part2.json

Example Contract/C-2121 (JSON)

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

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

42 CFR Part 2 Consent Directive

{
  "resourceType": "Contract",
  "id": "C-2121",
  "meta": {
    "versionId": "1",
    "lastUpdated": "2016-07-19T18:18:42.108-04:00"
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: C-2121</p><p><b>meta</b>: </p><p><b>status</b>: executed</p><p><b>contentDerivative</b>: Content Registration <span>(Details : {http://terminology.hl7.org/CodeSystem/contract-content-derivative code 'registration' = 'Content Registration)</span></p><p><b>issued</b>: 01/11/2013 9:18:27 PM</p><p><b>applies</b>: 01/11/2013 9:18:27 PM --&gt; (ongoing)</p><p><b>subject</b>: <a>Patient/f201</a></p><p><b>type</b>: Opt-in consent directive <span>(Details : {http://mdhhs.org/fhir/consentdirective-type code 'OPTIN' = 'OPTIN)</span></p><p><b>subType</b>: Health Care Directive <span>(Details : {http://terminology.hl7.org/CodeSystem/consentcategorycodes code 'hcd' = 'Health Care Directive)</span></p><blockquote><p><b>term</b></p><h3>Offers</h3><table><tr><td>-</td><td><b>Type</b></td><td><b>Decision</b></td><td><b>Text</b></td></tr><tr><td>*</td><td>Statutory <span>(Details : {http://terminology.hl7.org/CodeSystem/contracttermtypecodes code 'statutory' = 'Statutory)</span></td><td>opt-in <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'OPTIN' = 'opt-in)</span></td><td>Can't refuse</td></tr></table><h3>Assets</h3><table><tr><td>-</td><td><b>Period</b></td></tr><tr><td>*</td><td>01/11/2013 9:18:27 PM --&gt; 01/11/2019 9:18:27 PM</td></tr></table><blockquote><p><b>action</b></p><p><b>type</b>: Action A <span>(Details : {http://terminology.hl7.org/CodeSystem/contractaction code 'action-a' = 'Action A)</span></p><blockquote><p><b>subject</b></p><p><b>reference</b>: <a>VA Ann Arbor Healthcare System</a></p><p><b>role</b>: Recipient of restricted health information <span>(Details : {http://mdhhs.org/fhir/consent-actor-type code 'IR' = 'IR', given as 'Recipient'})</span></p></blockquote><blockquote><p><b>subject</b></p><p><b>reference</b>: <a>Community Mental Health Clinic</a></p><p><b>role</b>: Sender of restricted health information <span>(Details : {http://mdhhs.org/fhir/consent-actor-type code 'IS' = 'IS', given as 'Sender'})</span></p></blockquote><p><b>intent</b>: health program reporting <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActReason code 'HPRGRP' = 'health program reporting)</span></p><p><b>status</b>: Sample <span>(Details )</span></p></blockquote></blockquote><h3>Signers</h3><table><tr><td>-</td><td><b>Type</b></td><td><b>Party</b></td><td><b>Signature</b></td></tr><tr><td>*</td><td>SELF (Details: http://mdhhs.org/fhir/consent-signer-type code SELF = 'SELF', stated as 'null')</td><td><a>Alice Recruit</a></td><td/></tr></table><h3>Legals</h3><table><tr><td>-</td><td><b>Content[x]</b></td></tr><tr><td>*</td><td/></tr></table></div>"

  "resourceType" : "Contract",
  "id" : "C-2121",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2016-07-19T18:18:42.108-04:00"

  },
  "status": "executed",
  "contentDerivative": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/contract-content-derivative",
        "code": "registration"
      }
    ]

  "status" : "executed",
  "contentDerivative" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/contract-content-derivative",
      "code" : "registration"
    }]

  },
  "issued": "2013-11-01T21:18:27-04:00",
  "applies": {
    "start": "2013-11-01T21:18:27-04:00"

  "issued" : "2013-11-01T21:18:27-04:00",
  "applies" : {
    "start" : "2013-11-01T21:18:27-04:00"

  },
  "subject": [
    {
      "reference": "Patient/f201"
    }
  ],
  "type": {
    "coding": [
      {
        "system": "http://mdhhs.org/fhir/consentdirective-type",
        "code": "OPTIN"
      }
    ],
    "text": "Opt-in consent directive"

  "subject" : [{
    "reference" : "Patient/f201"
  }],
  "type" : {
    "coding" : [{
      "system" : "http://mdhhs.org/fhir/consentdirective-type",
      "code" : "OPTIN"
    }],
    "text" : "Opt-in consent directive"

  },
  "subType": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
          "code": "hcd"
        }
      ]
    }
  ],
  "term": [
    {
      "offer": {
        "type": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/contracttermtypecodes",
              "code": "statutory"
            }
          ]
        },
        "decision": {
          "coding": [
            {
              "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code": "OPTIN"
            }
          ]
        },
        "text": "Can't refuse"

  "subType" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
      "code" : "hcd"
    }]
  }],
  "term" : [{
    "offer" : {
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/contracttermtypecodes",
          "code" : "statutory"
        }]

      },
      "asset": [
        {
          "period": [
            {
              "start": "2013-11-01T21:18:27-04:00",
              "end": "2019-11-01T21:18:27-04:00"
            }
          ]
        }
      ],
      "action": [
        {
          "type": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/contractaction",
                "code": "action-a"
              }
            ]
          },
          "subject": [
            {
              "reference": [
                {
                  "reference": "Organization/f001",
                  "display": "VA Ann Arbor Healthcare System"
                }
              ],
              "role": {
                "coding": [
                  {
                    "system": "http://mdhhs.org/fhir/consent-actor-type",
                    "code": "IR",
                    "display": "Recipient"
                  }
                ],
                "text": "Recipient of restricted health information"
              }
            },
            {
              "reference": [
                {
                  "reference": "Organization/2",
                  "display": "Community Mental Health Clinic"
                }
              ],
              "role": {
                "coding": [
                  {
                    "system": "http://mdhhs.org/fhir/consent-actor-type",
                    "code": "IS",
                    "display": "Sender"
                  }
                ],
                "text": "Sender of restricted health information"
              }
            }
          ],
          "intent": {
            "coding": [
              {
                "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "code": "HPRGRP"
              }
            ]
          },
          "status": {
            "text": "Sample"
          }
        }
      ]
    }
  ],
  "signer": [
    {
      "type": {
        "system": "http://mdhhs.org/fhir/consent-signer-type",
        "code": "SELF"

      "decision" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "OPTIN"
        }]

      },
      "party": {
        "reference": "Patient/f201",
        "display": "Alice Recruit"

      "text" : "Can't refuse"
    },
    "asset" : [{
      "period" : [{
        "start" : "2013-11-01T21:18:27-04:00",
        "end" : "2019-11-01T21:18:27-04:00"
      }]
    }],
    "action" : [{
      "type" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/contractaction",
          "code" : "action-a"
        }]

      },
      "signature": [
        {
          "type": [
            {
              "system": "urn:iso-astm:E1762-95:2013",
              "code": "1.2.840.10065.1.12.1.1"
            }
          ],
          "when": "2017-02-08T10:57:34+01:00",
          "who": {
            "reference": "Patient/f201"
          }

      "subject" : [{
        "reference" : [{
          "reference" : "Organization/f001",
          "display" : "VA Ann Arbor Healthcare System"
        }],
        "role" : {
          "coding" : [{
            "system" : "http://mdhhs.org/fhir/consent-actor-type",
            "code" : "IR",
            "display" : "Recipient"
          }],
          "text" : "Recipient of restricted health information"

        }
      ]
    }
  ],
  "legal": [
    {
      "contentAttachment": {
        "contentType": "application/pdf",
        "language": "en-US",
        "url": "http://org.mihin.ecms/ConsentDirective-2121",
        "title": "MDHHS-5515 Consent To Share Your Health Information"

      },
      {
        "reference" : [{
          "reference" : "Organization/2",
          "display" : "Community Mental Health Clinic"
        }],
        "role" : {
          "coding" : [{
            "system" : "http://mdhhs.org/fhir/consent-actor-type",
            "code" : "IS",
            "display" : "Sender"
          }],
          "text" : "Sender of restricted health information"
        }
      }],
      "intent" : {
        "coding" : [{
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code" : "HPRGRP"
        }]
      },
      "status" : {
        "text" : "Sample"
      }
    }]
  }],
  "signer" : [{
    "type" : {
      "system" : "http://mdhhs.org/fhir/consent-signer-type",
      "code" : "SELF"
    },
    "party" : {
      "reference" : "Patient/f201",
      "display" : "Alice Recruit"
    },
    "signature" : [{
      "type" : [{
        "system" : "urn:iso-astm:E1762-95:2013",
        "code" : "1.2.840.10065.1.12.1.1"
      }],
      "when" : "2017-02-08T10:57:34+01:00",
      "who" : {
        "reference" : "Patient/f201"

      }
    }]
  }],
  "legal" : [{
    "contentAttachment" : {
      "contentType" : "application/pdf",
      "language" : "en-US",
      "url" : "http://org.mihin.ecms/ConsentDirective-2121",
      "title" : "MDHHS-5515 Consent To Share Your Health Information"

    }
  ]

  }]

}

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.