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Packagehl7.fhir.us.davinci-pdex
Resource TypeConsent
IdConsent-treatment-attestation-ex1.json
FHIR VersionR4

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Narrative

Note: links and images are rebased to the (stated) source

Treatment Attestation by Dr. Susan Smith for Robert Johnson - Treatment relationship since 2024-01-15


Source1

{
  "resourceType": "Consent",
  "id": "treatment-attestation-ex1",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/provider-treatment-relationship-consent"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "status": "active",
  "scope": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope",
        "code": "treatment"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code": "IDSCL",
          "display": "Information Disclosure"
        }
      ]
    },
    {
      "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": "TREAT",
        "display": "treatment"
      }
    ]
  }
}