<?xml version="1.0" encoding="UTF-8"?>

<Contract xmlns="http://hl7.org/fhir">
  <id value="C-2121"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2016-07-19T18:18:42.108-04:00"/>
  </meta>
  <status value="executed"/>
  <contentDerivative>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/contract-content-derivative"/>
      <code value="registration"/>
    </coding>
  </contentDerivative>
  <issued value="2013-11-01T21:18:27-04:00"/>
  <applies>
    <start value="2013-11-01T21:18:27-04:00"/>
  </applies>
  <subject>
    <reference value="Patient/f201"/>
  </subject>
  <type>
    <coding>
      <system value="http://mdhhs.org/fhir/consentdirective-type"/>
      <code value="OPTIN"/>
    </coding>
    <text value="Opt-in consent directive"/>
  </type>
  <subType>
    <!--       <code value="MDHHS-5515"/>
      <display
        value="Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes"
      />  -->
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
      <code value="hcd"/>
    </coding>
  </subType>
  <term>
    <offer>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/contracttermtypecodes"/>
          <code value="statutory"/>
        </coding>
      </type>
      <decision>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="OPTIN"/>
        </coding>
      </decision>
      <text value="Can't refuse"/>
    </offer>
    <!-- 
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
        <code value="R"/>
        <display value="Restricted"/>
      </securityLabel>
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="ETH"/>
        <display value="substance abuse information sensitivity"/>
      </securityLabel>
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="42CFRPart2"/>
      </securityLabel>
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="TREAT"/>
        <display value="treatment"/>
      </securityLabel>
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="HPAYMT"/>
        <display value="healthcare payment"/>
      </securityLabel>
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="HOPERAT"/>
        <display value="healthcare operations"/>
      </securityLabel>
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="PERSISTLABEL"/>
        <display value="persist security label"/>
      </securityLabel>
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="PRIVMARK"/>
        <display value="privacy mark"/>
      </securityLabel>
      <securityLabel>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
        <code value="NORDSCLCD"/>
        <display value="no redisclosure without consent directive"/>
      </securityLabel>
     -->
    <asset>
      <period>
        <start value="2013-11-01T21:18:27-04:00"/>
        <end value="2019-11-01T21:18:27-04:00"/>
      </period>
    </asset>
    <action>
      <type>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/contractaction"/>
          <code value="action-a"/>
        </coding>
      </type>
      <subject>
        <reference>
          <reference value="Organization/f001"/>
          <display value="VA Ann Arbor Healthcare System"/>
        </reference>
        <role>
          <coding>
            <system value="http://mdhhs.org/fhir/consent-actor-type"/>
            <code value="IR"/>
            <display value="Recipient"/>
          </coding>
          <text value="Recipient of restricted health information"/>
        </role>
      </subject>
      <subject>
        <reference>
          <reference value="Organization/2"/>
          <display value="Community Mental Health Clinic"/>
        </reference>
        <role>
          <coding>
            <system value="http://mdhhs.org/fhir/consent-actor-type"/>
            <code value="IS"/>
            <display value="Sender"/>
          </coding>
          <text value="Sender of restricted health information"/>
        </role>
      </subject>
      <intent>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
          <code value="HPRGRP"/>
        </coding>
      </intent>
      <status>
        <text value="Sample"/>
      </status>
    </action>
  </term>
  <signer>
    <type>
      <system value="http://mdhhs.org/fhir/consent-signer-type"/>
      <code value="SELF"/>
    </type>
    <party>
      <reference value="Patient/f201"/>
      <display value="Alice Recruit"/>
    </party>
    <signature>
      <type>
        <system value="urn:iso-astm:E1762-95:2013"/>
        <code value="1.2.840.10065.1.12.1.1"/>
      </type>
      <when value="2017-02-08T10:57:34+01:00"/>
      <who>
        <reference value="Patient/f201"/>
      </who>
    </signature>
  </signer>
  <legal>
    <contentAttachment>
      <contentType value="application/pdf"/>
      <language value="en-US"/>
      <url value="http://org.mihin.ecms/ConsentDirective-2121"/>
      <title value="MDHHS-5515 Consent To Share Your Health Information"/>
    </contentAttachment>
  </legal>
</Contract>