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 2.2.0 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
| Page standards status: Informative |
@prefix fhir: <http://hl7.org/fhir/> .
@prefix loinc: <https://loinc.org/rdf/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .
# - resource -------------------------------------------------------------------
a fhir:Consent ;
fhir:nodeRole fhir:treeRoot ;
fhir:id [ fhir:v "provider-treatment-attestation-1"] ; #
fhir:meta [
( fhir:profile [
fhir:v "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-treatment-relationship-consent"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-treatment-relationship-consent> ] )
] ; #
fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Consent provider-treatment-attestation-1</b></p><a name=\"provider-treatment-attestation-1\"> </a><a name=\"hcprovider-treatment-attestation-1\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-provider-treatment-relationship-consent.html\">Provider Attestation to Treatment Relationship</a></p></div><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)</a></td></tr><tr><td title=\"Who is agreeing to the policy and rules\">Party</td><td><a href=\"Practitioner-4.html\">Dr. Susan Smith</a></td></tr><tr><td title=\"Who manages the consent through its lifecycle.\">Manager</td><td><a href=\"Organization-ProviderOrg1.html\">Provider 1</a></td></tr></table><p>This consent is made under the policy <a href=\"https://example.org/provider-attestation-policy\">https://example.org/provider-attestation-policy</a> .</p><table border=\"1\" cellpadding=\"0\" cellspacing=\"0\" style=\"border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top;\"><tr style=\"border: 2px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align: top\"><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Applicable Rule\">Rule</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Applicable Period\">Time Period</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><a href=\"https://hl7.org/fhir/R4/formats.html#table\" title=\"Applicable Parties\">Who</a></th><th style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; padding-top: 3px; padding-bottom: 3px\" class=\"hierarchy\"><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 style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: white\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck1.png)\" class=\"hierarchy\"><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=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: white; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"></td></tr>#xD;\n<tr style=\"border: 1px #F0F0F0 solid; padding:0px; vertical-align: top; background-color: #F7F7F7\"><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(tbl_bck00.png)\" class=\"hierarchy\"><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\"/> permit</td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><ul><li>Period: 2024-01-15 --> (ongoing)</li></ul></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><ul><li><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType IRCP}\">information recipient</span>: <a href=\"Practitioner-4.html\">Dr. Susan Smith</a></li><li><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-RoleClass PROV}\">healthcare provider</span>: <a href=\"Organization-ProviderOrg1.html\">Provider 1</a></li></ul></td><td style=\"vertical-align: top; text-align : var(--ig-left,left); background-color: #F7F7F7; border: 1px #F0F0F0 solid; padding:0px 4px 0px 4px\" class=\"hierarchy\"><ul><li>Purpose: <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-ActReason.html#v3-ActReason-TREAT\">ActReason: TREAT</a> (treatment)</li><li>Purpose: <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-ActReason.html#v3-ActReason-HPAYMT\">ActReason: HPAYMT</a> (healthcare payment)</li><li>Purpose: <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-ActReason.html#v3-ActReason-HOPERAT\">ActReason: HOPERAT</a> (healthcare operations)</li></ul></td></tr>#xD;\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>"^^rdf:XMLLiteral ]
] ; #
fhir:status [ fhir:v "active"] ; #
fhir:scope [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/consentscope"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/consentscope> ] ;
fhir:code [ fhir:v "treatment" ] ] )
] ; #
fhir:category ( [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActCode"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActCode> ] ;
fhir:code [ fhir:v "IDSCL" ] ;
fhir:display [ fhir:v "Information Disclosure" ] ] )
] [
( fhir:coding [
a loinc:64292-6 ;
fhir:system [
fhir:v "http://loinc.org"^^xsd:anyURI ;
fhir:l <http://loinc.org> ] ;
fhir:code [ fhir:v "64292-6" ] ;
fhir:display [ fhir:v "Release of information consent" ] ] )
] ) ; #
fhir:patient [
fhir:l fhir:Patient/1 ;
fhir:reference [ fhir:v "Patient/1" ]
] ; #
fhir:dateTime [ fhir:v "2024-11-14T10:30:00Z"^^xsd:dateTime] ; #
fhir:performer ( [
fhir:l fhir:Practitioner/4 ;
fhir:reference [ fhir:v "Practitioner/4" ] ;
fhir:display [ fhir:v "Dr. Susan Smith" ]
] ) ; #
fhir:organization ( [
fhir:l fhir:Organization/ProviderOrg1 ;
fhir:reference [ fhir:v "Organization/ProviderOrg1" ] ;
fhir:display [ fhir:v "Provider 1" ]
] ) ; #
fhir:source [
a fhir:Reference ;
fhir:l fhir:DocumentReference/provider-attestation-doc-1 ;
fhir:reference [ fhir:v "DocumentReference/provider-attestation-doc-1" ] ;
fhir:display [ fhir:v "Provider Attestation Form" ]
] ; #
fhir:policy ( [
fhir:authority [
fhir:v "https://example.org/health-authority"^^xsd:anyURI ;
fhir:l <https://example.org/health-authority> ] ;
fhir:uri [
fhir:v "https://example.org/provider-attestation-policy"^^xsd:anyURI ;
fhir:l <https://example.org/provider-attestation-policy> ]
] ) ; #
fhir:verification ( [
fhir:verified [ fhir:v true ] ;
fhir:verifiedWith [
fhir:l fhir:Patient/1 ;
fhir:reference [ fhir:v "Patient/1" ] ;
fhir:display [ fhir:v "Patricia Ann Person" ] ] ;
fhir:verificationDate [ fhir:v "2024-11-14T10:30:00Z"^^xsd:dateTime ]
] ) ; #
fhir:provision [
fhir:type [ fhir:v "permit" ] ;
fhir:period [
fhir:start [ fhir:v "2024-01-15"^^xsd:date ] ] ;
( fhir:actor [
fhir:role [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ParticipationType"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ParticipationType> ] ;
fhir:code [ fhir:v "IRCP" ] ;
fhir:display [ fhir:v "information recipient" ] ] ) ] ;
fhir:reference [
fhir:l fhir:Practitioner/4 ;
fhir:reference [ fhir:v "Practitioner/4" ] ;
fhir:display [ fhir:v "Dr. Susan Smith" ] ] ] [
fhir:role [
( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-RoleClass"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-RoleClass> ] ;
fhir:code [ fhir:v "PROV" ] ;
fhir:display [ fhir:v "healthcare provider" ] ] ) ] ;
fhir:reference [
fhir:l fhir:Organization/ProviderOrg1 ;
fhir:reference [ fhir:v "Organization/ProviderOrg1" ] ;
fhir:display [ fhir:v "Provider 1" ] ] ] ) ;
( fhir:purpose [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActReason> ] ;
fhir:code [ fhir:v "TREAT" ] ;
fhir:display [ fhir:v "treatment" ] ] [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActReason> ] ;
fhir:code [ fhir:v "HPAYMT" ] ;
fhir:display [ fhir:v "healthcare payment" ] ] [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActReason> ] ;
fhir:code [ fhir:v "HOPERAT" ] ;
fhir:display [ fhir:v "healthcare operations" ] ] )
] . #
IG © 2024+ HL7 International / Financial Management. Package hl7.fhir.us.davinci-pdex#2.2.0 based on FHIR 4.0.1. Generated 2026-03-04
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