Da Vinci Payer Data Exchange
2.2.1 - STU 2.2 United States of America flag

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 2.2.1 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

: PDex Provider Access Consent Permit Example - JSON Representation

Page standards status: Informative

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{
  "resourceType" : "Consent",
  "id" : "consent-permit-1",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Consent consent-permit-1</b></p><a name=\"consent-permit-1\"> </a><a name=\"hcconsent-permit-1\"> </a><h2>Participants</h2><table class=\"grid\"><tr><td><b>Role</b></td><td><b>Details</b></td></tr><tr><td title=\"Who the consent applies to\">Patient</td><td><a href=\"Patient-1.html\">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number: https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901)</a></td></tr><tr><td title=\"Who is agreeing to the policy and rules\">Party</td><td><a href=\"Patient-1.html\">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number: https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901)</a></td></tr><tr><td title=\"Who manages the consent through its lifecycle.\">Manager</td><td><a href=\"Organization-Payer1-1.html\">Payer 1 (Provider number: NPI#3939079547)</a></td></tr></table><p>This consent is made under the regulation <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentpolicycodes cric}\">Common Rule Informed Consent</span> .</p><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" class=\"xhtTableBorder1\"><tr class=\"xhtRowBorder2\"><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Applicable Rule\">Rule</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Applicable Period\">Time Period</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Applicable Parties\">Who</a></th><th scope=\"col\" style=\"\" class=\"hierarchy xhtCellBorder1\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Applicable Data\">What</a><span style=\"float: right\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/></a></span></th></tr><tr class=\"xhtRowBorder1 xhtRowEven\"><td style=\"background-image: url(tbl_bck1.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension.png\" alt=\"\" style=\"background-color: white; background-color: inherit\" title=\"Consent Provision\" class=\"hierarchy\"/> permit</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"></td></tr>\r\n<tr class=\"xhtRowBorder1 xhtRowOdd\"><td style=\"background-image: url(tbl_bck00.png)\" class=\"hierarchy xhtCellBorder1 xhtCellNoWrap\"><img src=\"tbl_spacer.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"tbl_vjoin_end.png\" alt=\"\" style=\"background-color: inherit\" class=\"hierarchy\"/><img src=\"icon_extension.png\" alt=\"\" style=\"background-color: #F7F7F7; background-color: inherit\" title=\"Consent Provision\" class=\"hierarchy\"/> <span style=\"position: absolute; width: 1px; height: 1px; padding: 0; margin: -1px; overflow: hidden; clip: rect(0, 0, 0, 0); white-space: nowrap; border: 0\" class=\"sr-only\">permit / </span>permit</td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><ul><li>Period: 2024-06-11 --&gt; (ongoing)</li></ul></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><ul><li><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type performer}\">Performer</span>: My Health Plan (Identifier: <a href=\"http://terminology.hl7.org/3.1.0/NamingSystem-npi.html\" title=\"National Provider Identifier\">NPI</a>/0123456789)</li></ul></td><td style=\"\" class=\"hierarchy xhtCellBorder1\"><ul><li>For action: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentaction disclose}\">Disclose</span></li></ul></td></tr>\r\n<tr><td colspan=\"4\" class=\"hierarchy\"><br/><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Legend for this format\"><img src=\"data:image/png;base64,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\" alt=\"doco\" style=\"background-color: inherit\"/> Documentation for this format</a></td></tr></table></div>"
  },
  "status" : "active",
  "scope" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "patient-privacy"
      }
    ]
  },
  "category" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "IDSCL"
        }
      ]
    },
    {
      "coding" : [
        {
          "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/pdex-consent-api-purpose",
          "code" : "provider-access"
        }
      ]
    }
  ],
  "patient" : {
    🔗 "reference" : "Patient/1"
  },
  "performer" : [
    {
      🔗 "reference" : "Patient/1"
    }
  ],
  "organization" : [
    {
      🔗 "reference" : "Organization/Payer1-1"
    }
  ],
  "policyRule" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
        "code" : "cric",
        "display" : "Common Rule Informed Consent"
      }
    ]
  },
  "provision" : {
    "type" : "permit",
    "period" : {
      "start" : "2024-06-11"
    },
    "actor" : [
      {
        "role" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
              "code" : "performer"
            }
          ]
        },
        "reference" : {
          "identifier" : {
            "system" : "http://hl7.org/fhir/sid/us-npi",
            "value" : "0123456789"
          },
          "display" : "My Health Plan"
        }
      }
    ],
    "action" : [
      {
        "extension" : [
          {
            "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-access-use-case",
            "valueBoolean" : true
          }
        ],
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/consentaction",
            "code" : "disclose",
            "display" : "Disclose"
          }
        ]
      }
    ]
  }
}