<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><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><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>