Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

• Narrative Content
• XML
• JSON
• TTL

: Treatment Attestation Example 2 - XML Representation

Raw xml | Download

<Consent xmlns="http://hl7.org/fhir">
  <id value="treatment-attestation-ex2"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-treatment-relationship-consent"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p>Treatment Attestation by Dr. James Brown for Sarah Williams - Treatment relationship since 2024-02-01</p></div>
  </text>
  <status value="active"/>
  <scope>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/>
      <code value="treatment"/>
    </coding>
  </scope>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="IDSCL"/>
      <display value="Information Disclosure"/>
    </coding>
  </category>
  <category>
    <coding>
      <system value="http://loinc.org"/>
      <code value="64292-6"/>
      <display value="Release of information consent"/>
    </coding>
  </category>
  <patient>🔗 
    <reference value="Patient/patient-prov-002"/>
  </patient>
  <dateTime value="2024-12-09T10:15:00Z"/>
  <performer>🔗 
    <reference value="Practitioner/provider-002"/>
    <display value="Dr. James Brown, MD"/>
  </performer>
  <organization>🔗 
    <reference value="Organization/provider-org-002"/>
    <display value="Columbus Clinic"/>
  </organization>
  <sourceReference>🔗 
    <reference value="DocumentReference/treatment-attestation-form-002"/>
    <display value="Provider Attestation Form"/>
  </sourceReference>
  <policy>
    <uri value="https://example.org/provider-attestation-policy"/>
  </policy>
  <provision>
    <type value="permit"/>
    <period>
      <start value="2024-02-01"/>
    </period>
    <actor>
      <role>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
          <code value="IRCP"/>
          <display value="information recipient"/>
        </coding>
      </role>
      <reference>🔗 
        <reference value="Practitioner/provider-002"/>
        <display value="Dr. James Brown"/>
      </reference>
    </actor>
    <purpose>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="TREAT"/>
      <display value="treatment"/>
    </purpose>
  </provision>
</Consent>