同意書實作指引(Consent Form IG)
0.1.0 - CI Build

This page is part of the 同意書實作指引 (v0.1.0: Releases Ballot 1) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

: Consent-受試者同意書(7足歲-20足歲) - XML Representation

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<Consent xmlns="http://hl7.org/fhir">
  <id value="con-informed-example"/>
  <meta>
    <profile
             value="http://hitstdio.ntunhs.edu.tw/consentForm/StructureDefinition/Consent-hpa-cfs7-20y"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><h3><b>切結書</b></h3><p><b>同意書識別碼</b>:urn:uuid:94013711-6bbe-4bfa-b31e-a77bfba2f73b (https://www.tph.mohw.gov.tw/)</p><p><b>同意書的狀態</b>:active <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">(<a href="http://hl7.org/fhir/R4/valueset-consent-state-codes.html">ConsentState</a>#active)</span></p><p><b>同意書的規模</b>:Privacy Consent <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://terminology.hl7.org/5.0.0/CodeSystem-consentscope.html">Consent Scope Codes</a>#patient-privacy)</span></p><p><b>同意書的類別</b>:受試者同意書(7足歲-20足歲) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-consent-category.html">Consent Category</a>#CFS7-20Y)</span></p><p><b>病人</b>:<a href="Patient-pat-example.html">Patient/pat-example</a> "陳加玲"</p><p><b>日期</b>:2021-12-01</p><p><b>同意政策和規則的機構</b>:<a href="Organization-hpa-example.html">Organization/hpa-example</a> "衛生福利部國民健康署"</p><p><b>參照的文件</b>:<a href="DocumentReference-doc-example.html">DocumentReference/doc-example</a></p><p><b>政策規則</b>:國民營養健康調查 <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="CodeSystem-policy-rule.html">同意書政策依據</a>#NAHSIT)</span></p><h4>Provisions</h4><p><b>類型</b>:Opt In <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="http://hl7.org/fhir/R4/valueset-consent-provision-type.html">ConsentProvisionType</a>#permit)</span></p><p><b>Action</b>:Collect <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://terminology.hl7.org/5.0.0/CodeSystem-consentaction.html">Consent Action Codes</a>#collect)</span></p><p><b>SecurityLabel</b>:normal (Details: http://terminology.hl7.org/CodeSystem/v3-Confidentiality code N = 'normal', stated as 'null')</p><p><b>Class</b>:ITI BPPC (Details: http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode code urn:ihe:iti:bppc:2007 = 'urn:ihe:iti:bppc:2007', stated as 'ITI BPPC')</p><p><b>Code</b>:Consent Document <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki">( <a href="https://loinc.org/">LOINC</a>#59284-0)</span></p></div>
  </text>
  <identifier>
    <system value="https://www.tph.mohw.gov.tw/"/>
    <value value="urn:uuid:93d3fb7c-7e19-4d19-b71b-38fbe9dbf607"/>
  </identifier>
  <status value="active"/>
  <scope>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/>
      <code value="patient-privacy"/>
    </coding>
  </scope>
  <category>
    <coding>
      <system
              value="http://hitstdio.ntunhs.edu.tw/consentForm/CodeSystem/consent-category"/>
      <code value="CFS7-20Y"/>
    </coding>
  </category>
  <patient>
    <reference value="Patient/pat-example"/>
  </patient>
  <dateTime value="2021-12-01"/>
  <performer>
    <reference value="Organization/hpa-example"/>
  </performer>
  <sourceReference>
    <reference value="DocumentReference/doc-example"/>
  </sourceReference>
  <policyRule>
    <coding>
      <system
              value="http://hitstdio.ntunhs.edu.tw/consentForm/CodeSystem/policy-rule"/>
      <code value="NAHSIT"/>
    </coding>
  </policyRule>
  <provision>
    <type value="permit"/>
    <action>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/consentaction"/>
        <code value="collect"/>
      </coding>
    </action>
    <securityLabel>
      <system
              value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
      <code value="N"/>
    </securityLabel>
    <code>
      <coding>
        <system value="http://loinc.org"/>
        <code value="59284-0"/>
      </coding>
    </code>
  </provision>
</Consent>