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Example Consent/consent-example-grantor (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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Patient grants access to a specified individual for read-only access (id = "consent-example-grantor")

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

<Consent xmlns="http://hl7.org/fhir">
  <id value="consent-example-grantor"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p> Consent given to authorized representative</p> 
      <p> This is a case where a Patient is giving a limited (read-only) access to an individual.</p> 
      <p> Patient &quot;Roel&quot; wishes to provide Dr. Simone Heps with read-only access
         to the data at Blijdorp Medisch Centrum available for patient requested access
         use.</p> 
    </div> 
  </text> 
  <status value="active"/> 
  <category> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="INFAO"/> 
    </coding> 
  </category> 
  <subject> 
    <reference value="Patient/f201"/> 
    <display value="Roel"/> 
  </subject> 
  <date value="2018-12-24"/> 
  <grantor> 
    <reference value="Patient/pat1"/> 
  </grantor> 
  <grantee> 
    <reference value="Practitioner/f007"/> 
    <display value="Simone Heps"/> 
  </grantee> 
  <controller> 
    <reference value="Organization/f203"/> 
  </controller> 
    <!--   the text terms of the consent in lawyer speak   -->
  <sourceAttachment> 
    <title value="The terms of the consent in lawyer speak."/> 
      <!--   likely use url pointer to common text   -->
  </sourceAttachment> 
    <!--   this is opt-out - e.g. nothing approved unless otherwise stated   -->
  <regulatoryBasis> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> 
      <code value="INFAO"/> 
    </coding> 
  </regulatoryBasis> 
  <decision value="deny"/> 
  <provision> 
    <actor> 
      <role> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
          <code value="CST"/> 
        </coding> 
      </role> 
      <reference> 
        <reference value="Organization/f203"/> 
      </reference> 
    </actor> 
    <actor> 
      <role> 
        <coding> 
          <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
          <code value="PRCP"/> 
        </coding> 
      </role> 
      <reference> 
        <reference value="Practitioner/f007"/> 
        <display value="Simone Heps"/> 
      </reference> 
    </actor> 
    <action> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/consentaction"/> 
        <code value="access"/> 
      </coding> 
    </action> 
  </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.