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Example Contract/C-2121 (JSON)

Financial Management Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Not linked to any defined compartments

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: Contract</b><a name=\"C-2121\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Contract &quot;C-2121&quot; Version &quot;1&quot; Updated &quot;2016-07-19T18:18:42.108-04:00&quot; </p></div><p><b>status</b>: executed</p><p><b>contentDerivative</b>: Content Registration <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-contract-content-derivative.html\">Contract Content Derivation Codes</a>#registration)</span></p><p><b>issued</b>: 2013-11-01T21:18:27-04:00</p><p><b>applies</b>: 2013-11-01T21:18:27-04:00 --&gt; (ongoing)</p><p><b>subject</b>: <a href=\"patient-example-f201-roel.html\">Patient/f201</a> &quot;Roel&quot;</p><p><b>type</b>: Opt-in consent directive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (consentdirective-type#OPTIN)</span></p><p><b>subType</b>: Health Care Directive <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-consentcategorycodes.html\">Consent Category Codes</a>#hcd)</span></p><blockquote><p><b>term</b></p><h3>Offers</h3><table class=\"grid\"><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 style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-contracttermtypecodes.html\">Contract Term Type Codes</a>#statutory)</span></td><td>opt-in <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActCode.html\">ActCode</a>#OPTIN)</span></td><td>Can't refuse</td></tr></table><h3>Assets</h3><table class=\"grid\"><tr><td>-</td><td><b>Period</b></td></tr><tr><td>*</td><td>2013-11-01T21:18:27-04:00 --&gt; 2019-11-01T21:18:27-04:00</td></tr></table><blockquote><p><b>action</b></p><p><b>type</b>: Action A <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-contractaction.html\">Contract Action Codes</a>#action-a)</span></p><blockquote><p><b>subject</b></p><p><b>reference</b>: <a href=\"organization-example-f001-burgers.html\">Organization/f001: VA Ann Arbor Healthcare System</a> &quot;Burgers University Medical Center&quot;</p><p><b>role</b>: Recipient of restricted health information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (consent-actor-type#IR &quot;Recipient&quot;)</span></p></blockquote><blockquote><p><b>subject</b></p><p><b>reference</b>: <a href=\"organization-example-insurer.html\">Organization/2: Community Mental Health Clinic</a> &quot;XYZ Insurance&quot;</p><p><b>role</b>: Sender of restricted health information <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (consent-actor-type#IS &quot;Sender&quot;)</span></p></blockquote><p><b>intent</b>: health program reporting <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/4.0.0/CodeSystem-v3-ActReason.html\">ActReason</a>#HPRGRP)</span></p><p><b>status</b>: Sample <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> ()</span></p></blockquote></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: SELF (Details: http://mdhhs.org/fhir/consent-signer-type code SELF = 'SELF', stated as 'null')</p><p><b>party</b>: <a href=\"patient-example-f201-roel.html\">Patient/f201: Alice Recruit</a> &quot;Roel&quot;</p><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>Author's Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.1 = 'Author's Signature', stated as 'null')</td><td>Feb 8, 2017, 9:57:34 AM</td><td><a href=\"patient-example-f201-roel.html\">Patient/f201</a> &quot;Roel&quot;</td></tr></table></blockquote><h3>Legals</h3><table class=\"grid\"><tr><td>-</td><td><b>Content[x]</b></td></tr><tr><td>*</td><td/></tr></table></div>"
  },
  "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"
  },
  "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"
      },
      "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"
      },
      "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.