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

## : Treatment Attestation Example 1 - JSON Representation

Page standards status: Informative

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    {
      "resourceType" : "Consent",
      "id" : "treatment-attestation-ex1",
      "meta" : {
        "profile" : [
          🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-treatment-relationship-consent"
        ]
      },
      "text" : {
        "status" : "generated",
        "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Consent treatment-attestation-ex1</b></p><a name=\"treatment-attestation-ex1\"> </a><a name=\"hctreatment-attestation-ex1\"> </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><p><b>status</b>: Active</p><p><b>scope</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentscope treatment}\">Treatment</span></p><p><b>category</b>: <span title=\"Codes:{http://terminology.hl7.org/CodeSystem/consentcategorycodes treat}\">Treatment</span>, <span title=\"Codes:{http://loinc.org 64292-6}\">Release of information consent</span></p><p><b>patient</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/Patient/patient-prov-001\">Patient/patient-prov-001</a></p><p><b>dateTime</b>: 2024-12-10 14:30:00+0000</p><p><b>performer</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/Practitioner/provider-001\">Dr. Susan Smith, MD</a></p><p><b>organization</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/Organization/provider-org-001\">Springfield Medical Center</a></p><p><b>source</b>: <a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/DocumentReference/treatment-attestation-form-001\">Provider Attestation Form</a></p><h3>Policies</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Authority</b></td><td><b>Uri</b></td></tr><tr><td style=\"display: none\">*</td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=https://example.org/compliance\">https://example.org/compliance</a></td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=https://example.org/provider-attestation-policy\">https://example.org/provider-attestation-policy</a></td></tr></table><blockquote><p><b>provision</b></p><p><b>type</b>: Opt In</p><p><b>period</b>: 2024-01-15 --&gt; (ongoing)</p><h3>Actors</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Role</b></td><td><b>Reference</b></td></tr><tr><td style=\"display: none\">*</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ParticipationType IRCP}\">information recipient</span></td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.3.1.1@3.1.1&amp;canonical=http://hl7.org/fhir/us/core/Practitioner/provider-001\">Dr. Susan Smith</a></td></tr></table><p><b>purpose</b>: <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-ActReason.html#v3-ActReason-TREATMENT\">ActReason: TREATMENT</a> (Treatment)</p></blockquote></div>"
      },
      "status" : "active",
      "scope" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
            "code" : "treatment"
          }
        ]
      },
      "category" : [
        {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
              "code" : "treat",
              "display" : "Treatment"
            }
          ]
        },
        {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "64292-6",
              "display" : "Release of information consent"
            }
          ]
        }
      ],
      "patient" : {
        "reference" : "Patient/patient-prov-001"
      },
      "dateTime" : "2024-12-10T14:30:00Z",
      "performer" : [
        {
          "reference" : "Practitioner/provider-001",
          "display" : "Dr. Susan Smith, MD"
        }
      ],
      "organization" : [
        {
          "reference" : "Organization/provider-org-001",
          "display" : "Springfield Medical Center"
        }
      ],
      "sourceReference" : {
        "reference" : "DocumentReference/treatment-attestation-form-001",
        "display" : "Provider Attestation Form"
      },
      "policy" : [
        {
          "authority" : "https://example.org/compliance",
          "uri" : "https://example.org/provider-attestation-policy"
        }
      ],
      "provision" : {
        "type" : "permit",
        "period" : {
          "start" : "2024-01-15"
        },
        "actor" : [
          {
            "role" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
                  "code" : "IRCP",
                  "display" : "information recipient"
                }
              ]
            },
            "reference" : {
              "reference" : "Practitioner/provider-001",
              "display" : "Dr. Susan Smith"
            }
          }
        ],
        "purpose" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code" : "TREATMENT",
            "display" : "Treatment"
          }
        ]
      }
    }