This page is part of a downloaded copy of this specification. This page is part of the FHIR Specification (v4.0.1: R4 - Mixed Normative and STU). For a full list of available versions, see the Directory of published versions 
| Community Based Collaborative Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient |
Raw JSON (canonical form + also see JSON Format Specification)
Consent Example with a signature
{
"resourceType": "Consent",
"id": "consent-example-signature",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative with Details</b></p><p><b>id</b>: consent-example-signature</p><p><b>identifier</b>: 494e0c7a-a69e-4fb4-9d02-6aae747790d7</p><p><b>status</b>: active</p><p><b>scope</b>: Privacy Consent <span>(Details : {http://terminology.hl7.org/CodeSystem/consentscope code 'patient-privacy' = 'Privacy Consent)</span></p><p><b>category</b>: Notice of Privacy Practices <span>(Details : {http://terminology.hl7.org/CodeSystem/consentcategorycodes code 'npp' = 'Notice of Privacy Practices)</span></p><p><b>patient</b>: <a>Patient/72</a></p><p><b>dateTime</b>: 26/05/2016 12:41:10 AM</p><p><b>performer</b>: <a>Patient/72</a></p><p><b>organization</b>: <a>Organization/f001</a></p><p><b>policyRule</b>: opt-in <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ActCode code 'OPTIN' = 'opt-in)</span></p><blockquote><p><b>provision</b></p><p><b>period</b>: 10/10/2015 --> 10/10/2016</p><h3>Actors</h3><table><tr><td>-</td><td><b>Role</b></td><td><b>Reference</b></td></tr><tr><td>*</td><td>primary information recipient <span>(Details : {http://terminology.hl7.org/CodeSystem/v3-ParticipationType code 'PRCP' = 'primary information recipient)</span></td><td><a>Practitioner/13</a></td></tr></table><h3>Provisions</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote></div>"
},
"identifier": [
{
"system": "urn:oid:2.16.840.1.113883.3.72.5.9.1",
"value": "494e0c7a-a69e-4fb4-9d02-6aae747790d7"
}
],
"status": "active",
"scope": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentscope",
"code": "patient-privacy"
}
]
},
"category": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
"code": "npp"
}
]
}
],
"patient": {
"reference": "Patient/72"
},
"dateTime": "2016-05-26T00:41:10-04:00",
"performer": [
{
"reference": "Patient/72"
}
],
"organization": [
{
"reference": "Organization/f001"
}
],
"policyRule": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "OPTIN"
}
]
},
"provision": {
"period": {
"start": "2015-10-10",
"end": "2016-10-10"
},
"actor": [
{
"role": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "PRCP"
}
]
},
"reference": {
"reference": "Practitioner/13"
}
}
],
"provision": [
{
"type": "permit",
"actor": [
{
"role": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
"code": "AUT"
}
]
},
"reference": {
"reference": "Practitioner/xcda-author"
}
}
],
"class": [
{
"system": "urn:ietf:bcp:13",
"code": "application/hl7-cda+xml"
}
],
"code": [
{
"coding": [
{
"system": "http://loinc.org",
"code": "34133-9"
}
]
},
{
"coding": [
{
"system": "http://loinc.org",
"code": "18842-5"
}
]
}
]
}
]
}
}
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.