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 - XML Representation

Page standards status: Informative

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<Consent xmlns="http://hl7.org/fhir">
  <id value="consent-permit-1"/>
  <text>
    <status value="generated"/>
    <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>
<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>
<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>
  </text>
  <status value="active"/>
  <scope>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/>
      <code value="patient-privacy"/>
    </coding>
  </scope>
  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="IDSCL"/>
    </coding>
  </category>
  <category>
    <coding>
      <system
              value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/pdex-consent-api-purpose"/>
      <code value="provider-access"/>
    </coding>
  </category>
  <patient>🔗 
    <reference value="Patient/1"/>
  </patient>
  <performer>🔗 
    <reference value="Patient/1"/>
  </performer>
  <organization>🔗 
    <reference value="Organization/Payer1-1"/>
  </organization>
  <policyRule>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/consentpolicycodes"/>
      <code value="cric"/>
      <display value="Common Rule Informed Consent"/>
    </coding>
  </policyRule>
  <provision>
    <type value="permit"/>
    <period>
      <start value="2024-06-11"/>
    </period>
    <actor>
      <role>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
          <code value="performer"/>
        </coding>
      </role>
      <reference>
        <identifier>
          <system value="http://hl7.org/fhir/sid/us-npi"/>
          <value value="0123456789"/>
        </identifier>
        <display value="My Health Plan"/>
      </reference>
    </actor>
    <action>
      <extension
                 url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-access-use-case">
        <valueBoolean value="true"/>
      </extension>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/consentaction"/>
        <code value="disclose"/>
        <display value="Disclose"/>
      </coding>
    </action>
  </provision>
</Consent>