FHIR Release 3 (STU) R4 Ballot #2 (Mixed Normative/Trial use)

This page is part of the FHIR Specification (v3.0.2: STU 3). (v3.5.0: R4 Ballot #2). The current version which supercedes this version is 5.0.0 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Consent-example.xml

Community Based Collaborative Care Work Group Maturity Level : N/A Ballot Status : Informative Compartments : 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"?>


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

      </p> 
    </div> 
  </text> 

  
    

  <status value="in-progress"/> 
  <scope> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/> 
      <code value="patient-privacy"/> 
    </coding> 
  </scope> 
  <category> 
    <coding> 
      <system value="http://loinc.org"/> 
      <code value="59284-0"/> 
    </coding> 
  </category> 
  <patient> 
    <reference value="Patient/f001"/> 
    <display value="P. van de Heuvel"/> 
  </patient> 

 
    
      
      
    
   

  <dateTime value="2016-05-11"/> 


  <organization> 
     
    

    <reference value="Organization/f001"/> 
  </organization> 


  <!--   the terms of the consent as signed by the patient in ink   -->
  <sourceAttachment> 
    <title value="The terms of the consent in lawyer speak."/> 
    <!--   likely use url pointer to common text   -->
  </sourceAttachment> 


  <!--   this is plain out opt-in with no exceptions   -->
    


  <policyRule> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="OPTIN"/> 
    </coding> 
  </policyRule> 
  <provision> 
    <!--   bound by a timeframe between 1964 and 2016 - consent.applies   -->
    <period> 
      <start value="1964-01-01"/> 
      <end value="2016-01-01"/> 
    </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.