Consent/ConsentExample

Cross-version Extension for R5.Consent.grantee for use in FHIR R4: RelatedPerson Robert Miren (official)

Cross-version Extension for R5.Consent.manager for use in FHIR R4: Organization FAST Consent RI

identifier: http://example.org/identifiers/ec63290f-1f93-4ed3-b531-0d86e2791165

status: Active

scope: Privacy Consent

category: information access

patient: Lara Miren (official) Female, DoB: 1980-01-01 ( http://example.org/identifiers#patient-lara-miren)

dateTime: 2025-08-08 16:47:10-0400

performer: Lara Miren (official) Female, DoB: 1980-01-01 ( http://example.org/identifiers#patient-lara-miren)

source: DocumentReference: identifier = http://example.org/identifiers#docref-fileconsent; status = current; type = Release of information consent Document; category = Privacy policy acknowledgment Document; date = 2025-08-01 00:00:00-0400

policyRule: HIPAA Authorization

provision

type: Opt In

period: 2025-08-01 00:00:00-0400 --> (ongoing)

Actors

-	Role	Reference
*	information recipient	RelatedPerson Robert Miren (official)

DocumentReference/docref-fileconsent

identifier: http://example.org/identifiers/docref-fileconsent

status: Current

type: Release of information consent Document

category: Privacy policy acknowledgment Document

subject: Lara Miren (official) Female, DoB: 1980-01-01 ( http://example.org/identifiers#patient-lara-miren)

date: 2025-08-01 00:00:00-0400

author: Lara Miren (official) Female, DoB: 1980-01-01 ( http://example.org/identifiers#patient-lara-miren)

content

Attachments

-	ContentType	Data
*	text/plain; charset=utf-8	SSwgTGFyYSBNaXJlbiwgcGVybWl0IFJvYmVydCBNaXJlbiBhY2Nlc3MgdG8gbXkgbWVkaWNhbCByZWNvcmRzLg==