{ "resourceType": "Contract", "id": "C-2121", "meta": { "versionId": "1", "lastUpdated": "2016-07-19T18:18:42.108-04:00" }, "text": { "status": "generated", "div": "

Generated Narrative with Details

id: C-2121

meta:

issued: Nov 1, 2031 9:18:27 PM

subject: Patient/f201

type: Opt-in consent directive (Details : {http://org.mdhhs.fhir.consentdirective-type code 'OPTIN' = 'OPTIN)

subType: Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes (Details : {http://hl7.org/fhir/consentcategorycodes code 'MDHHS-5515' = 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes', given as 'Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes'})

securityLabel: Restricted (Details: http://hl7.org/fhir/v3/Confidentiality code R = 'restricted', stated as 'Restricted'), substance abuse information sensitivity (Details: http://hl7.org/fhir/v3/ActCode code ETH = 'substance abuse information sensitivity', stated as 'substance abuse information sensitivity'), 42 CFR Part2 (Details: http://hl7.org/fhir/v3/ActCode code 42CFRPart2 = '42 CFR Part2', stated as 'null'), treatment (Details: http://hl7.org/fhir/v3/ActReason code TREAT = 'treatment', stated as 'treatment'), healthcare payment (Details: http://hl7.org/fhir/v3/ActReason code HPAYMT = 'healthcare payment', stated as 'healthcare payment'), healthcare operations (Details: http://hl7.org/fhir/v3/ActReason code HOPERAT = 'healthcare operations', stated as 'healthcare operations'), persist security label (Details: http://hl7.org/fhir/v3/ActCode code PERSISTLABEL = 'persist security label', stated as 'persist security label'), privacy mark (Details: http://hl7.org/fhir/v3/ActCode code PRIVMARK = 'privacy mark', stated as 'privacy mark'), no redisclosure without consent directive (Details: http://hl7.org/fhir/v3/ActCode code NORDSCLCD = 'no redisclosure without consent directive', stated as 'no redisclosure without consent directive')

agent

actor: VA Ann Arbor Healthcare System

role: Recipient of restricted health information (Details : {http://org.mdhhs.fhir.consent-actor-type code 'IR' = 'IR', given as 'Recipient'})

agent

actor: Community Mental Health Clinic

role: Sender of restricted health information (Details : {http://org.mdhhs.fhir.consent-actor-type code 'IS' = 'IS', given as 'Sender'})

Signers

-TypePartySignature
*SELF (Details: http://org.mdhhs.fhir.consent-signer-type code SELF = 'SELF', stated as 'null')Alice Recruit

Legals

-Content[x]
*
" }, "issued": "2031-11-01T21:18:27-04:00", "subject": [ { "reference": "Patient/f201" } ], "type": { "coding": [ { "system": "http://org.mdhhs.fhir.consentdirective-type", "code": "OPTIN" } ], "text": "Opt-in consent directive" }, "subType": [ { "coding": [ { "system": "http://hl7.org/fhir/consentcategorycodes", "code": "MDHHS-5515", "display": "Michigan MDHHS-5515 Consent to Share Behavioral Health Information for Care Coordination Purposes" } ] } ], "securityLabel": [ { "system": "http://hl7.org/fhir/v3/Confidentiality", "code": "R", "display": "Restricted" }, { "system": "http://hl7.org/fhir/v3/ActCode", "code": "ETH", "display": "substance abuse information sensitivity" }, { "system": "http://hl7.org/fhir/v3/ActCode", "code": "42CFRPart2" }, { "system": "http://hl7.org/fhir/v3/ActReason", "code": "TREAT", "display": "treatment" }, { "system": "http://hl7.org/fhir/v3/ActReason", "code": "HPAYMT", "display": "healthcare payment" }, { "system": "http://hl7.org/fhir/v3/ActReason", "code": "HOPERAT", "display": "healthcare operations" }, { "system": "http://hl7.org/fhir/v3/ActCode", "code": "PERSISTLABEL", "display": "persist security label" }, { "system": "http://hl7.org/fhir/v3/ActCode", "code": "PRIVMARK", "display": "privacy mark" }, { "system": "http://hl7.org/fhir/v3/ActCode", "code": "NORDSCLCD", "display": "no redisclosure without consent directive" } ], "agent": [ { "actor": { "reference": "Organization/f001", "display": "VA Ann Arbor Healthcare System" }, "role": [ { "coding": [ { "system": "http://org.mdhhs.fhir.consent-actor-type", "code": "IR", "display": "Recipient" } ], "text": "Recipient of restricted health information" } ] }, { "actor": { "reference": "Organization/2", "display": "Community Mental Health Clinic" }, "role": [ { "coding": [ { "system": "http://org.mdhhs.fhir.consent-actor-type", "code": "IS", "display": "Sender" } ], "text": "Sender of restricted health information" } ] } ], "signer": [ { "type": { "system": "http://org.mdhhs.fhir.consent-signer-type", "code": "SELF" }, "party": { "reference": "Patient/f201", "display": "Alice Recruit" }, "signature": [ { "type": [ { "system": "urn:iso-astm:E1762-95:2013", "code": "1.2.840.10065.1.12.1.1" } ], "when": "2017-02-08T10:57:34+01:00", "whoReference": { "reference": "Patient/f201" } } ] } ], "legal": [ { "contentAttachment": { "contentType": "application/pdf", "language": "en-US", "url": "http://org.mihin.ecms/ConsentDirective-2121", "title": "MDHHS-5515 Consent To Share Your Health Information" } } ] }