---
type: "example"
title: "Consent Example: consent-example-No-Emergency"
resource: "Consent"
example: "consent-example-No-Emergency"
---
# Consent Example: consent-example-No-Emergency

## Narrative

Withhold Authorization for Treatment and for Emergency Treatment

Patient "Donald D Duck" wishes to have no data at the Burgers University Medical Center available and not allow Emergency treatment use. An overall Deny consent Directive, with an "Deny" of purposeOfUse "TREAT" and "Deny" purposeOfUse "ETREAT".

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<Consent xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="http://hl7.org/fhir" xmlns:xhtml="http://www.w3.org/1999/xhtml" xsi:schemaLocation="http://hl7.org/fhir ../../schema/consent.xsd">
  <id value="consent-example-No-Emergency"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>Withhold Authorization for Treatment and for Emergency Treatment</p>
      <p>Patient "Donald D Duck" wishes to have no data at the Burgers University Medical Center available and not allow Emergency treatment use.
        An overall Deny consent Directive, with an "Deny" of purposeOfUse "TREAT" and "Deny" purposeOfUse "ETREAT". </p>
    </div>
  </text>
  <status value="active"/>

  <category>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
      <code value="INFA"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/f002"/>
    <display value="Donald D Duck"/>
  </subject>
  <date value="2018-12-28"/>
  <sourceAttachment>
    <title value="The Patient has expressed both deny Treatment and deny Emergency."/>
    <url value="https://uhin.org/wp-content/uploads/2017/06/cHIE_Patient_Participation_Form.pdf"/>
  </sourceAttachment>
  <decision value="permit"/>
  <provision>

    <actor>
      <role>
        <coding>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
          <code value="PRCP"/>
        </coding>
      </role>
      <reference>
        <reference value="Organization/f201"/>
      </reference>
    </actor>
    <purpose>
      <system value="http://hl7.org/fhir/v3/ActReason"/>
      <code value="TREAT"/>
    </purpose>
    <purpose>
      <system value="http://hl7.org/fhir/v3/ActReason"/>
      <code value="ETREAT"/>
    </purpose>
  </provision>
</Consent>
```