---
type: "example"
title: "Consent Example: consent-example-signature"
resource: "Consent"
example: "consent-example-signature"
---
# Consent Example: consent-example-signature

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<!-- 
  this is an example of a signed consent resource
  
  1. Consent
  
    The patient opts in to sharing CDA documents from a specific 
    author to a specific recipient for a limited period
    
  2. Signature 
  
    The patient signs this with a digital signature. In FHIR,
    signatures are stored in a provenance resource. To see
    that, go the provenance examples, and look for the 
    consent signature example
-->
<Consent xmlns="http://hl7.org/fhir">
	<id value="consent-example-signature"/>
	<identifier>
		<system value="urn:oid:2.16.840.1.113883.3.72.5.9.1"/>
		<value value="urn:uuid:494e0c7a-a69e-4fb4-9d02-6aae747790d7" />
		<!-- consent GUID generated by application -->
	</identifier>
	<status value="active"/>

	<category>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/consentcategorycodes"/>
			<code value="npp"/>
		</coding>
	</category>
	<subject>
		<reference value="Patient/72"/>
		<!-- one of the stock examples -->
	</subject>
	<date value="2016-05-26"/>
	<performer>
		<reference value="Patient/72"/>
		<!-- author is patient themselves, and they sign -->
	</performer>
	<!-- this consent relates to sharing data with a specific recipient -->
	<controller>
		<reference value="Organization/f001"/>
	</controller>
	<!-- no source for this one - it is the signed master -->
	<regulatoryBasis>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
			<code value="OPTIN"/>
		</coding>
	</regulatoryBasis>
	<!-- here's an opt-in: share CDA documents of type Discharge Summary 
    + Summarization of Episode Note from a specific author -->
	<provision>
		<period>
			<start value="2015-10-10"/>
			<end value="2016-10-10"/>
		</period>
		<actor>
			<role>
				<coding>
					<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
					<code value="PRCP"/>
				</coding>
			</role>
			<reference>
				<reference value="Practitioner/13"/>
				<!-- Stock practitioner -->
			</reference>
		</actor>
		<provision>
			<actor>
				<role>
					<coding>
						<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
						<code value="AUT"/>
					</coding>
				</role>
				<reference>
					<reference value="Practitioner/xcda-author"/>
				</reference>
			</actor>
			<!-- CDA documents -->
			<class>
				<system value="urn:ietf:bcp:13"/>
				<code value="application/hl7-cda+xml"/>
			</class>
			<!-- code rules -->
			<code>
				<coding>
					<system value="http://loinc.org"/>
					<code value="34133-9"/>
				</coding>
			</code>
			<code>
				<coding>
					<system value="http://loinc.org"/>
					<code value="18842-5"/>
				</coding>
			</code>
		</provision>
	</provision>
</Consent>
```