42 CFR Part 2 Consent Directive

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  "id" : "C-2121",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2016-07-19T18:18:42.108-04:00"
  },
  "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"
    }
  }]
}