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Example Consent/consent-example-Emergency (XML)

Community Based Collaborative Care Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Patient

Raw XML (canonical form + also see XML Format Specification)

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Consent withholding access to data for Treatment exept for Emergency Treatment (id = "consent-example-Emergency")

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

<Consent xmlns="http://hl7.org/fhir">
  <id value="consent-example-Emergency"/> 
  <text> 
    <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Withhold Authorization for Treatment rule for except for Emergency Treatment</p> 
      <p> Patient &quot;Pieter van de Heuvel&quot; wishes to have no data at the Artis University
         Medical Center available except for Emergency treatment use. 
      An overall Deny consent directive, with an exception &quot;Permit&quot; for
         purposeOfUse &quot;ETREAT&quot; at Artis University Medical Center.</p> 
    </div> 
  </text> 
  <status value="active"/> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="INFA"/> 
    </coding> 
  </category> 
  <subject> 
    <reference value="Patient/f001"/> 
    <display value="Pieter van de Heuvel"/> 
  </subject> 
  <date value="2018-12-24"/> 
  <!--   The example given is Organization wide   -->
  <controller> 
    <reference value="Organization/f201"/> 
  </controller> 
  <!--   the text terms of the consent in lawyer speak   -->
  <!--   likely use url pointer to common text   -->
  <sourceAttachment> 
    <title value="The patient [grantor] declines to agree to the provider's [grantee's] consent directive
     form, which lists permissible collection, access, use, or disclosure activities,
     purposes of use, handling caveats, revocation policies, and consequences of not
     assenting."/> 
  </sourceAttachment> 
  <regulatoryBasis> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="INFA"/> 
    </coding> 
  </regulatoryBasis> 
  <decision value="deny"/> 
  <provision> 
    <!--   deny Artis University Medical Center specifically   -->
    <actor> 
      <role> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
          <code value="CST"/> 
        </coding> 
      </role> 
      <reference> 
        <reference value="Organization/f201"/> 
      </reference> 
    </actor> 
    <provision> 
      <!--   permit Artis University Medical Center for Emergency Treatment   -->
      <actor> 
        <role> 
          <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
            <code value="CST"/> 
          </coding> 
        </role> 
        <reference> 
          <reference value="Organization/f201"/> 
        </reference> 
      </actor> 
      <purpose> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
        <code value="ETREAT"/> 
      </purpose> 
    </provision> 
  </provision> 
</Consent> 

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.