<!-- likely use url pointer to common text --> </sourceAttachment> <!-- this is opt-out - e.g. nothing approved unless otherwise stated --> <policyRule> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/> <code value="OPTOUT"/> </coding> </policyRule> <provision> <actor> <role> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="CST"/> </coding> </role> <reference> <reference value="Organization/f001"/> </reference> </actor> <actor> <role> <coding> <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> <code value="PRCP"/> </coding> </role> <reference> <reference value="Patient/example"/> <display value="Good Health Clinic"/> </reference> </actor> <action> <coding> <system value="http://terminology.hl7.org/CodeSystem/consentaction"/> <code value="access"/> </coding> </action> </provision> </Consent>