{
  "package" : "hl7.terminology.r4@6.3.0",
  "definition" : "VA Form 10-0485 Request for and Authorization to Release Protected Health Information to eHealth Exchange enables a veteran to request and authorize a VA health care facility to release protected health information (PHI) for treatment purposes only to the communities that are participating in the eHealth Exchange, VLER Directive, and other Health Information Exchanges with who VA has an agreement. This information may consist of the diagnosis of Sickle Cell Anemia, the treatment of or referral for Drug Abuse, treatment of or referral for Alcohol Abuse or the treatment of or testing for infection with Human Immunodeficiency Virus. This authorization covers the diagnoses that I may have upon signing of the authorization and the diagnoses that I may acquire in the future including those protected by 38 U.S.C. 7332. Comment: Opt-in Consent Directive. Note: Form is available at http://www.va.gov/vaforms/medical/pdf/10-0485-fill.pdf",
  "system" : "http://terminology.hl7.org/CodeSystem/consentpolicycodes",
  "property" : [ ],
  "codesystem" : "520c2ace-ba8d-55db-8c74-d1dbc2247311",
  "concept_id" : "c5134fe4-2797-539f-964e-6a7013a89dd4",
  "ancestors" : {
    "va-10-0485" : 0
  },
  "id" : "ec858828-0691-4ace-8695-0522f135c6f1",
  "code" : "va-10-0485",
  "display" : "VA Form 10-0485",
  "version" : "3.0.1"
}