Polaris FHIR Implementation Guide
1.9.7 - ci-build

Polaris FHIR Implementation Guide - Local Development build (v1.9.7) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: Polaris App Consent - PROPOSED Example - XML Representation

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<Consent xmlns="http://hl7.org/fhir">
  <id value="avery-research-consent-proposed"/>
  <meta>
    <profile
             value="https://fhir.apps.health/StructureDefinition/polaris-core-app-consent"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Proposed App Consent</b></p><p>Patient: <strong>Avery Linwood</strong> - <strong>MORE INFORMATION REQUESTED</strong> regarding data sharing with <strong>Alberta Diabetes Research Portal</strong>.</p><p>Date: April 8, 2025 at 2:15 PM</p><p>Status: Awaiting patient decision after reviewing research study details.</p></div>
  </text>
  <identifier>
    <system
            value="https://fhir.apps.health/NamingSystem/cedarbrook-clinic-app-consent-identifier"/>
    <value value="app-consent-research-avery-proposed-20250408"/>
  </identifier>
  <status value="proposed"/>
  <scope>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/consentscope"/>
      <code value="patient-privacy"/>
      <display value="Privacy Consent"/>
    </coding>
  </scope>
  <category>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
      <code value="infa"/>
      <display value="Information Access"/>
    </coding>
  </category>
  <patient>
    <identifier>
      <system
              value="https://fhir.apps.health/NamingSystem/cedarbrook-clinic-patient-identifier"/>
      <value value="1234567890"/>
    </identifier>
    <display value="Avery Linwood"/>
  </patient>
  <dateTime value="2025-04-08T14:15:00-06:00"/>
  <policyRule>
    <coding>
      <system
              value="http://terminology.hl7.org/CodeSystem/consentpolicycodes"/>
      <code value="cric"/>
      <display value="Common Rule Informed Consent"/>
    </coding>
  </policyRule>
  <provision>
    <actor>
      <role>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
          <code value="IRCP"/>
          <display value="information recipient"/>
        </coding>
      </role>
      <reference>
        <identifier>
          <system
                  value="https://fhir.apps.health/NamingSystem/polaris-appdevice-identifier"/>
          <value value="diabetes-research-portal"/>
        </identifier>
        <display value="Alberta Diabetes Research Portal"/>
      </reference>
    </actor>
  </provision>
</Consent>