Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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 2.1.1 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

## Example Consent: Treatment Attestation Example 2

Page standards status: Informative

Profile: Provider Attestation to Treatment Relationship

status: Active

scope: Treatment

category: Treatment, Release of information consent

patient: Patient/patient-prov-002

dateTime: 2024-12-09 10:15:00+0000

performer: Dr. James Brown, MD

organization: Columbus Clinic

source: Provider Attestation Form

### Policies

- | Uri
* | https://example.org/provider-attestation-policy

> provision

> type: Opt In

> period: 2024-02-01 --> (ongoing)

> ### Actors

> - | Role | Reference
> * | information recipient | Dr. James Brown

> purpose: ActReason: TREATMENT (Treatment)