FHIR © HL7.org  |  Server Home  |  Health Intersections FHIR Server v1.9.374  |  FHIR Version 4.6.0  | User: ANONYMOUS (Unknown)  

History Record

XML or JSON representation

Links: First Previous Next Last  (8 found). Search: http://test.fhir.org/r5/Contract/_history?&_prior=2021-06-24T12:10:21.546Z&_format=text/xhtml&history-id=71f1aafb-2aed-4b3d-bcd7-eb80a178db 

Contract "pcd-example-notThis" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada. The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose. In other jurisdictions, where an express consent model is used (Opt-In), these would examples would contain the phrase "consent to" rather than "withhold" or "withdraw" consent for.

specific to use-case 2. Withhold or withdraw consent for disclosure of a specific record (e.g. Lab Order/Result)

Patient "P. van de Heuvel" Primary Care Provider, Dr. Philip Primary, has ordered a set of lab test which Adam wishes to keep as private as possible. At the sample collection facility, he indicates that he would like withhold consent to disclose the order and all results associated with that specific order from all other providers


{
  "resourceType" : "Contract",
  "id" : "pcd-example-notThis",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:50.735Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The following scenario is based on existing\n jurisdictional policy and are realized in existing systems in Canada. The default policy is\n one of implied consent for the provision of care, so these scenarios all deal with withdrawal\n or withholding consent for that purpose. In other jurisdictions, where an express consent\n model is used (Opt-In), these would examples would contain the phrase \"consent to\" rather than\n \"withhold\" or \"withdraw\" consent for. <p> specific to use-case 2. Withhold or withdraw consent\n for disclosure of a specific record (e.g. Lab Order/Result) </p><p> Patient \"P. van de\n Heuvel\" Primary Care Provider, Dr. Philip Primary, has ordered a set of lab test which Adam\n wishes to keep as private as possible. At the sample collection facility, he indicates that\n he would like withhold consent to disclose the order and all results associated with that\n specific order from all other providers </p>\n </div>"
  },
  "issued" : "2015-11-18",
  "subject" : [
    {
      "reference" : "Patient/f001",
      "display" : "P. van de Heuvel"
    }
  ],
  "authority" : [
    {
      "reference" : "Organization/3",
      "display" : "Michigan Health"
    }
  ],
  "domain" : [
    {
      "reference" : "Location/ukp",
      "display" : "UK Pharmacies"
    }
  ],
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "57016-8"
      }
    ]
  },
  "subType" : [
    {
      "coding" : [
        {
          "system" : "http://www.infoway-inforoute.ca.org/Consent-subtype-codes",
          "code" : "Opt-In",
          "display" : "Default Authorization with exceptions."
        }
      ]
    }
  ],
  "term" : [
    {
      "identifier" : {
        "system" : "http://example.org/fhir/term-items",
        "value" : "3347689"
      },
      "issued" : "2015-11-01",
      "applies" : {
        "start" : "2015-11-18"
      },
      "type" : {
        "coding" : [
          {
            "system" : "http://example.org/fhir/consent-term-type-codes",
            "code" : "withhold-identified-object-and-related",
            "display" : "Withhold the identified object and any other resources that are related to this object."
          }
        ]
      },
      "offer" : {
        "topic" : {
          "reference" : "ServiceRequest/lipid"
        },
        "text" : "Withhold this order and any results or related objects from any provider."
      }
    }
  ],
  "friendly" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in friendly consumer speak."
      }
    }
  ],
  "legal" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in lawyer speak."
      }
    }
  ]
}

Contract "pcd-example-notThem" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada. The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose. In other jurisdictions, where an express consent model is used (Opt-In), these would examples would contain the phrase "consent to" rather than "withhold" or "withdraw" consent for.

specific to use-case 4) Withhold or withdraw consent for disclosure to a specific provider agent (an individual within an organization)

Patient "P. van de Heuvel" ex-spouse, Bill T Lookafter is a Nurse that is employed by Good Health Hospital. P. realizes that she may receive treatment at GHH, however she does not want her ex-spouse to have any access to her IIHI. She indicates that she would like to withdraw/withhold consent to disclose any instance of her health information to her ex-spouse as a result of his employment at Good Health Clinic.


{
  "resourceType" : "Contract",
  "id" : "pcd-example-notThem",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:50.672Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The following scenario is based on existing\n jurisdictional policy and are realized in existing systems in Canada. The default policy is\n one of implied consent for the provision of care, so these scenarios all deal with withdrawal\n or withholding consent for that purpose. In other jurisdictions, where an express consent\n model is used (Opt-In), these would examples would contain the phrase \"consent to\" rather than\n \"withhold\" or \"withdraw\" consent for. <p> specific to use-case 4) Withhold or withdraw consent\n for disclosure to a specific provider agent (an individual within an organization) </p><p>\n Patient \"P. van de Heuvel\" ex-spouse, Bill T Lookafter is a Nurse that is employed by Good\n Health Hospital. P. realizes that she may receive treatment at GHH, however she does not\n want her ex-spouse to have any access to her IIHI. She indicates that she would like to\n withdraw/withhold consent to disclose any instance of her health information to her\n ex-spouse as a result of his employment at Good Health Clinic. </p>\n </div>"
  },
  "issued" : "2015-11-18",
  "subject" : [
    {
      "reference" : "Patient/f001",
      "display" : "P. van de Heuvel"
    }
  ],
  "authority" : [
    {
      "reference" : "Organization/3",
      "display" : "Michigan Health"
    }
  ],
  "domain" : [
    {
      "reference" : "Location/ukp",
      "display" : "UK Pharmacies"
    }
  ],
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "57016-8"
      }
    ]
  },
  "subType" : [
    {
      "coding" : [
        {
          "system" : "http://www.infoway-inforoute.ca.org/Consent-subtype-codes",
          "code" : "Opt-In",
          "display" : "Default Authorization with exceptions."
        }
      ]
    }
  ],
  "term" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://example.org/fhir/consent-term-type-codes",
            "code" : "withhold-from",
            "display" : "Withhold all data from specified actor entity."
          }
        ]
      },
      "offer" : {
        "topic" : {
          "reference" : "Practitioner/f204",
          "display" : "Fictive Nurse"
        },
        "text" : "Withhold this order and any results or related objects from specified nurse provider."
      }
    }
  ],
  "signer" : [
    {
      "type" : {
        "system" : "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
        "code" : "COVPTY"
      },
      "party" : {
        "reference" : "Patient/f001"
      },
      "signature" : [
        {
          "type" : [
            {
              "system" : "urn:iso-astm:E1762-95:2013",
              "code" : "1.2.840.10065.1.12.1.1"
            }
          ],
          "when" : "2013-06-08T10:57:34-07:00",
          "who" : {
            "reference" : "Patient/f001"
          }
        }
      ]
    }
  ],
  "friendly" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in friendly consumer speak."
      }
    }
  ],
  "legal" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in lawyer speak."
      }
    }
  ]
}

Contract "pcd-example-notOrg" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada. The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose. In other jurisdictions, where an express consent model is used (Opt-In), these would examples would contain the phrase "consent to" rather than "withhold" or "withdraw" consent for.

specific to use-case 3) Withhold or withdraw consent for disclosure to a specific provider organization

Patient "P. van de Heuvel" ex-spouse is a Physician that is employed by Good Health Clinic. P. decides that he would like to withdraw/withhold consent to disclose any instance of his health information to Good Health Clinic.


{
  "resourceType" : "Contract",
  "id" : "pcd-example-notOrg",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:50.610Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The following scenario is based on existing\n jurisdictional policy and are realized in existing systems in Canada. The default policy is\n one of implied consent for the provision of care, so these scenarios all deal with withdrawal\n or withholding consent for that purpose. In other jurisdictions, where an express consent\n model is used (Opt-In), these would examples would contain the phrase \"consent to\" rather than\n \"withhold\" or \"withdraw\" consent for. <p> specific to use-case 3) Withhold or withdraw consent\n for disclosure to a specific provider organization </p><p> Patient \"P. van de Heuvel\"\n ex-spouse is a Physician that is employed by Good Health Clinic. P. decides that he would\n like to withdraw/withhold consent to disclose any instance of his health information to Good\n Health Clinic. </p>\n </div>"
  },
  "issued" : "2015-11-18",
  "subject" : [
    {
      "reference" : "Patient/f001",
      "display" : "P. van de Heuvel"
    }
  ],
  "authority" : [
    {
      "reference" : "Organization/3",
      "display" : "Michigan Health"
    }
  ],
  "domain" : [
    {
      "reference" : "Location/ukp",
      "display" : "UK Pharmacies"
    }
  ],
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "57016-8"
      }
    ]
  },
  "subType" : [
    {
      "coding" : [
        {
          "system" : "http://www.infoway-inforoute.ca.org/Consent-subtype-codes",
          "code" : "Opt-In",
          "display" : "Default Authorization with exceptions."
        }
      ]
    }
  ],
  "term" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://example.org/fhir/consent-term-type-codes",
            "code" : "withhold-from",
            "display" : "Withhold all data from specified actor entity."
          }
        ]
      },
      "offer" : {
        "topic" : {
          "reference" : "Organization/2.16.840.1.113883.19.5",
          "display" : "Good Health Clinic"
        },
        "text" : "Withhold this order and any results or related objects from any provider."
      }
    }
  ],
  "friendly" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in friendly consumer speak."
      }
    }
  ],
  "legal" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in lawyer speak."
      }
    }
  ]
}

Contract "pcd-example-notLabs" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada. The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose. In other jurisdictions, where an express consent model is used (Opt-In), these would examples would contain the phrase "consent to" rather than "withhold" or "withdraw" consent for.

specific to use-case 1. Withhold or withdraw consent for disclosure of records related to specific domain (e.g. DI, LAB, etc.)

Patient "P. van de Heuvel" wishes to withhold disclosure of all of her lab orders and results to any provider.


{
  "resourceType" : "Contract",
  "id" : "pcd-example-notLabs",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:50.547Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The following scenario is based on existing\n jurisdictional policy and are realized in existing systems in Canada. The default policy is\n one of implied consent for the provision of care, so these scenarios all deal with withdrawal\n or withholding consent for that purpose. In other jurisdictions, where an express consent\n model is used (Opt-In), these would examples would contain the phrase \"consent to\" rather than\n \"withhold\" or \"withdraw\" consent for. <p> specific to use-case 1. Withhold or withdraw consent\n for disclosure of records related to specific domain (e.g. DI, LAB, etc.) </p><p> Patient\n \"P. van de Heuvel\" wishes to withhold disclosure of all of her lab orders and results to any\n provider. </p>\n </div>"
  },
  "issued" : "2014-08-17",
  "subject" : [
    {
      "reference" : "Patient/f001",
      "display" : "P. van de Heuvel"
    }
  ],
  "authority" : [
    {
      "reference" : "Organization/3",
      "display" : "Michigan Health"
    }
  ],
  "domain" : [
    {
      "reference" : "Location/ukp",
      "display" : "UK Pharmacies"
    }
  ],
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "57016-8"
      }
    ]
  },
  "subType" : [
    {
      "coding" : [
        {
          "system" : "http://www.infoway-inforoute.ca.org/Consent-subtype-codes",
          "code" : "Opt-In",
          "display" : "Default Authorization with exceptions."
        }
      ]
    }
  ],
  "term" : [
    {
      "offer" : {
        "text" : "sample"
      },
      "group" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://example.org/fhir/consent-term-type-codes",
                "code" : "withhold-object-type"
              }
            ]
          },
          "subType" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/resource-types",
                "code" : "ServiceRequest"
              }
            ]
          },
          "offer" : {
            "text" : "Withhold orders from any provider."
          }
        },
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://example.org/fhir/consent-term-type-codes",
                "code" : "withhold-object-type"
              }
            ]
          },
          "subType" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/resource-types",
                "code" : "DiagnosticReport"
              }
            ]
          },
          "offer" : {
            "text" : "Withhold order results from any provider."
          }
        }
      ]
    }
  ],
  "friendly" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in friendly consumer speak."
      }
    }
  ],
  "legal" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in lawyer speak."
      }
    }
  ]
}

Contract "pcd-example-notAuthor" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

The following scenario is based on existing jurisdictional policy and are realized in existing systems in Canada. The default policy is one of implied consent for the provision of care, so these scenarios all deal with withdrawal or withholding consent for that purpose. In other jurisdictions, where an express consent model is used (Opt-In), these would examples would contain the phrase "consent to" rather than "withhold" or "withdraw" consent for.

specific to use-case 5) Withhold or withdraw consent for disclosure of records that were authored by a specific organization (or service delivery location).

Patient "P. van de Heuvel" wishes to have all of the PHI collected at the Good Health Psychiatric Hospital restricted from disclosure to every provider.


{
  "resourceType" : "Contract",
  "id" : "pcd-example-notAuthor",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:50:50.485Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">The following scenario is based on existing\n jurisdictional policy and are realized in existing systems in Canada. The default policy is\n one of implied consent for the provision of care, so these scenarios all deal with withdrawal\n or withholding consent for that purpose. In other jurisdictions, where an express consent\n model is used (Opt-In), these would examples would contain the phrase \"consent to\" rather than\n \"withhold\" or \"withdraw\" consent for. <p> specific to use-case 5) Withhold or withdraw consent\n for disclosure of records that were authored by a specific organization (or service delivery\n location). </p><p> Patient \"P. van de Heuvel\" wishes to have all of the PHI collected at the\n Good Health Psychiatric Hospital restricted from disclosure to every provider. </p>\n </div>"
  },
  "issued" : "2015-11-18",
  "subject" : [
    {
      "reference" : "Patient/f001",
      "display" : "P. van de Heuvel"
    }
  ],
  "authority" : [
    {
      "reference" : "Organization/3",
      "display" : "Michigan Health"
    }
  ],
  "domain" : [
    {
      "reference" : "Location/ukp",
      "display" : "UK Pharmacies"
    }
  ],
  "type" : {
    "coding" : [
      {
        "system" : "http://loinc.org",
        "code" : "57016-8"
      }
    ]
  },
  "subType" : [
    {
      "coding" : [
        {
          "system" : "http://www.infoway-inforoute.ca.org/Consent-subtype-codes",
          "code" : "Opt-In",
          "display" : "Default Authorization with exceptions."
        }
      ]
    }
  ],
  "term" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://example.org/fhir/consent-term-type-codes",
            "code" : "withhold-authored-by",
            "display" : "Withhold all data authored by specified actor entity."
          }
        ]
      },
      "offer" : {
        "topic" : {
          "reference" : "Organization/2.16.840.1.113883.19.5",
          "display" : "Good Health Clinic"
        },
        "text" : "Withhold all data authored by Good Health provider."
      }
    }
  ],
  "friendly" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in friendly consumer speak."
      }
    }
  ],
  "legal" : [
    {
      "contentAttachment" : {
        "title" : "The terms of the consent in lawyer speak."
      }
    }
  ]
}

Contract "C-123" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

A human-readable rendering of the contract

{
  "resourceType" : "Contract",
  "id" : "C-123",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:35.484Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">A human-readable rendering of the contract</div>"
  },
  "identifier" : [
    {
      "system" : "http://happyvalley.com/contract",
      "value" : "12347"
    }
  ],
  "term" : [
    {
      "offer" : {
        "text" : "Can't refuse"
      },
      "asset" : [
        {
          "type" : [
            {
              "coding" : [
                {
                  "system" : "urn:ietf:rfc:3986",
                  "code" : "urn:uuid:3a48c68c-318d-4c68-8471-4a3c10fcb41b",
                  "display" : "RicardianContract"
                }
              ]
            }
          ],
          "subtype" : [
            {
              "text" : "sample"
            }
          ],
          "period" : [
            {
              "start" : "2017-06-01"
            }
          ],
          "valuedItem" : [
            {
              "entityCodeableConcept" : {
                "text" : "Ford Bobcat"
              },
              "identifier" : {
                "system" : "http://somewhere.motor-vehicle.com/vin",
                "value" : "XXSVT34-7665t952236"
              },
              "effectiveTime" : "1995",
              "quantity" : {
                "value" : 1
              },
              "unitPrice" : {
                "value" : 200.00,
                "currency" : "CAD"
              },
              "factor" : 1.0,
              "points" : 1.0,
              "net" : {
                "value" : 200.00,
                "currency" : "CAD"
              }
            }
          ]
        }
      ]
    }
  ],
  "rule" : [
    {
      "contentAttachment" : {
        "contentType" : "application/txt",
        "url" : "http://www.rfc-editor.org/bcp/bcp13.txt"
      }
    }
  ],
  "legallyBindingAttachment" : {
    "contentType" : "application/pdf",
    "url" : "http://www.aws3.com/storage/doc.pdf"
  }
}

Contract "INS-101" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Plan: Your Choice Split Copay (Non-Grandfathered)

Certificate Form Number: YCSCWLN (01-2017)


{
  "resourceType" : "Contract",
  "id" : "INS-101",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:35.437Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">\n <p>Plan: Your Choice Split Copay (Non-Grandfathered)</p>\n <p>Certificate Form Number: YCSCWLN (01-2017)</p>\n </div>"
  },
  "identifier" : [
    {
      "system" : "http://xyz-insurance.com/forms",
      "value" : "YCSCWLN(01-2017)"
    }
  ],
  "applies" : {
    "start" : "2017-01-01"
  },
  "subject" : [
    {
      "reference" : "Patient/1"
    }
  ],
  "type" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/contract-type",
        "code" : "healthinsurance",
        "display" : "Health Insurance"
      }
    ]
  },
  "term" : [
    {
      "offer" : {
        "text" : "The benefits, limitations, exclusions and other coverage provisions in this booklet are subject to the terms of our contract with the Group. This booklet is a part of that contract, which is on file in the Group's office."
      },
      "asset" : [
        {
          "type" : [
            {
              "coding" : [
                {
                  "system" : "urn:ietf:rfc:3986",
                  "code" : "urn:uuid:3a48c68c-318d-4c68-8471-4a3c10fcb41b",
                  "display" : "RicardianContract"
                }
              ]
            }
          ],
          "subtype" : [
            {
              "text" : "sample"
            }
          ],
          "period" : [
            {
              "start" : "2017-06-01"
            }
          ],
          "valuedItem" : [
            {
              "entityCodeableConcept" : {
                "text" : "Ford Bobcat"
              },
              "identifier" : {
                "system" : "http://somewhere.motor-vehicle.com/vin",
                "value" : "XXSVT34-7665t952236"
              },
              "effectiveTime" : "1995",
              "quantity" : {
                "value" : 1
              },
              "unitPrice" : {
                "value" : 200.00,
                "currency" : "CAD"
              },
              "factor" : 1.0,
              "points" : 1.0,
              "net" : {
                "value" : 200.00,
                "currency" : "CAD"
              }
            }
          ]
        }
      ],
      "group" : [
        {
          "offer" : {
            "text" : "Eligible Providers"
          }
        },
        {
          "offer" : {
            "text" : "Responsibility for Payment"
          }
        },
        {
          "offer" : {
            "text" : "List of Benefits"
          },
          "group" : [
            {
              "offer" : {
                "text" : "Copays"
              },
              "group" : [
                {
                  "offer" : {
                    "text" : "Emergency Room Copay"
                  }
                },
                {
                  "offer" : {
                    "text" : "Professional Visit Copay"
                  }
                }
              ]
            },
            {
              "offer" : {
                "text" : "Calendar Year Deductible"
              }
            },
            {
              "offer" : {
                "text" : "Out-Of-Pocket Maximum"
              }
            },
            {
              "offer" : {
                "text" : "Medical Services"
              },
              "group" : [
                {
                  "offer" : {
                    "text" : "Ambulance Services"
                  }
                },
                {
                  "offer" : {
                    "text" : "Dental Services"
                  }
                },
                {
                  "offer" : {
                    "text" : "Diagnostic Services"
                  }
                },
                {
                  "offer" : {
                    "text" : "Emergency Room Services"
                  }
                },
                {
                  "offer" : {
                    "text" : "Hospital Inpatient Care"
                  }
                }
              ]
            }
          ]
        }
      ]
    }
  ]
}

Contract "C-2121" Version "1"

Tags: (no tags)  +

This Resource , XML or JSON representation, or the full version history.. provenance for this resource
Updated: by

Generated Narrative

status: executed

contentDerivative: Content Registration

issued: 2 Nov. 2013, 12:18:27 pm

applies: 2 Nov. 2013, 12:18:27 pm --> (ongoing)

subject: Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; Legally married;

type: Opt-in consent directive

subType: Health Care Directive

term

Offers

-TypeDecisionText
*Statutoryopt-inCan't refuse

Assets

-Period
*2 Nov. 2013, 12:18:27 pm --> 2 Nov. 2019, 12:18:27 pm

action

type: Action A

subject

reference: VA Ann Arbor Healthcare System. Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); University Medical Hospital; name: Burgers University Medical Center; Phone: 022-655 2300

role: Recipient of restricted health information

subject

reference: Community Mental Health Clinic. Generated Summary: id: 666666; name: XYZ Insurance; alias: ABC Insurance

role: Sender of restricted health information

intent: health program reporting

status: Sample

signer

type: SELF

party: Alice Recruit. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; Legally married;

Signatures

-
*

Legals

-Content[x]
*

{
  "resourceType" : "Contract",
  "id" : "C-2121",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2021-05-24T10:49:35.390Z",
    "tag" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code" : "HTEST",
        "display" : "test health data"
      }
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative</b></p><p><b>status</b>: executed</p><p><b>contentDerivative</b>: <span>Content Registration</span></p><p><b>issued</b>: 2 Nov. 2013, 12:18:27 pm</p><p><b>applies</b>: 2 Nov. 2013, 12:18:27 pm --&gt; (ongoing)</p><p><b>subject</b>: <a>Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span>Legally married</span>; </a></p><p><b>type</b>: <span>Opt-in consent directive</span></p><p><b>subType</b>: <span>Health Care Directive</span></p><blockquote><p><b>term</b></p><h3>Offers</h3><table><tr><td>-</td><td><b>Type</b></td><td><b>Decision</b></td><td><b>Text</b></td></tr><tr><td>*</td><td><span>Statutory</span></td><td><span>opt-in</span></td><td>Can't refuse</td></tr></table><h3>Assets</h3><table><tr><td>-</td><td><b>Period</b></td></tr><tr><td>*</td><td>2 Nov. 2013, 12:18:27 pm --&gt; 2 Nov. 2019, 12:18:27 pm</td></tr></table><blockquote><p><b>action</b></p><p><b>type</b>: <span>Action A</span></p><blockquote><p><b>subject</b></p><p><b>reference</b>: <a>VA Ann Arbor Healthcare System. Generated Summary: id: 91654 (OFFICIAL), id: 17-0112278 (USUAL); <span>University Medical Hospital</span>; name: Burgers University Medical Center; Phone: 022-655 2300</a></p><p><b>role</b>: <span>Recipient of restricted health information</span></p></blockquote><blockquote><p><b>subject</b></p><p><b>reference</b>: <a>Community Mental Health Clinic. Generated Summary: id: 666666; name: XYZ Insurance; alias: ABC Insurance</a></p><p><b>role</b>: <span>Sender of restricted health information</span></p></blockquote><p><b>intent</b>: <span>health program reporting</span></p><p><b>status</b>: <span>Sample</span></p></blockquote></blockquote><blockquote><p><b>signer</b></p><p><b>type</b>: <span>SELF</span></p><p><b>party</b>: <a>Alice Recruit. Generated Summary: BSN: 123456789 (OFFICIAL), BSN: 123456789 (OFFICIAL); active; Roel(OFFICIAL); Phone: +31612345678, Phone: +31201234567; gender: male; birthDate: 1960-03-13; <span>Legally married</span>; </a></p><h3>Signatures</h3><table><tr><td>-</td></tr><tr><td>*</td></tr></table></blockquote><h3>Legals</h3><table><tr><td>-</td><td><b>Content[x]</b></td></tr><tr><td>*</td><td/></tr></table></div>"
  },
  "status" : "executed",
  "contentDerivative" : {
    "coding" : [
      {
        "system" : "http://terminology.hl7.org/CodeSystem/contract-content-derivative",
        "code" : "registration"
      }
    ]
  },
  "issued" : "2013-11-01T21:18:27-04:00",
  "applies" : {
    "start" : "2013-11-01T21:18:27-04:00"
  },
  "subject" : [
    {
      "reference" : "Patient/f201"
    }
  ],
  "type" : {
    "coding" : [
      {
        "system" : "http://mdhhs.org/fhir/consentdirective-type",
        "code" : "OPTIN"
      }
    ],
    "text" : "Opt-in consent directive"
  },
  "subType" : [
    {
      "coding" : [
        {
          "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes",
          "code" : "hcd"
        }
      ]
    }
  ],
  "term" : [
    {
      "offer" : {
        "type" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/contracttermtypecodes",
              "code" : "statutory"
            }
          ]
        },
        "decision" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
              "code" : "OPTIN"
            }
          ]
        },
        "text" : "Can't refuse"
      },
      "asset" : [
        {
          "period" : [
            {
              "start" : "2013-11-01T21:18:27-04:00",
              "end" : "2019-11-01T21:18:27-04:00"
            }
          ]
        }
      ],
      "action" : [
        {
          "type" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/contractaction",
                "code" : "action-a"
              }
            ]
          },
          "subject" : [
            {
              "reference" : [
                {
                  "reference" : "Organization/f001",
                  "display" : "VA Ann Arbor Healthcare System"
                }
              ],
              "role" : {
                "coding" : [
                  {
                    "system" : "http://mdhhs.org/fhir/consent-actor-type",
                    "code" : "IR",
                    "display" : "Recipient"
                  }
                ],
                "text" : "Recipient of restricted health information"
              }
            },
            {
              "reference" : [
                {
                  "reference" : "Organization/2",
                  "display" : "Community Mental Health Clinic"
                }
              ],
              "role" : {
                "coding" : [
                  {
                    "system" : "http://mdhhs.org/fhir/consent-actor-type",
                    "code" : "IS",
                    "display" : "Sender"
                  }
                ],
                "text" : "Sender of restricted health information"
              }
            }
          ],
          "intent" : {
            "coding" : [
              {
                "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
                "code" : "HPRGRP"
              }
            ]
          },
          "status" : {
            "text" : "Sample"
          }
        }
      ]
    }
  ],
  "signer" : [
    {
      "type" : {
        "system" : "http://mdhhs.org/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",
          "who" : {
            "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"
      }
    }
  ]
}