Release 5 R6 Ballot (3rd Draft)
This page is part of the FHIR Specification (v5.0.0: R5 - STU ). This is the current published version in it's permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3

Publish-box (todo)

Example Consent/consent-example-basic (XML)

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

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

Jump past Narrative

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;Peter James Chalmers (&quot;Jim&quot;)&quot; wishes to have
         all of the PHI collected at the Burgers University Medical Center available for
         normal treatment use.

         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.