SMART PH4H
0.1.0 - ci-build

SMART PH4H, published by WHO. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/WorldHealthOrganization/smart-ph4h/tree/main and changes regularly. See the Directory of published versions

Resource Profile: SMART Consent

Official URL: http://smart.who.int/ph4h/StructureDefinition/SmartConsent Version: 0.1.0
Draft as of 2024-10-07 Computable Name: SmartConsent

A profile of the consent resource to track consent of a pilgrim to participate

FHIR R5 upgrade notes (need this implemented as a structure map):

  • make cardinality of decision 1.. and should stop using it in lieu of verification.verified
  • use verification.verifiedBy instead of Consent.organization
  • the period extenion should be replaced by Consent.period
  • the Consent.patient should be replaced by Consent.subject
  • Consent.verification.verifiedBy should be used instead of Consent.organization

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from IntermediateConsent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* IntermediateConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... provision
.... period 1..1 Period Timeframe for this rule
.... purpose 1..* Coding Context of activities covered by this rule

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* IntermediateConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
ppc-1: Either a Policy or PolicyRule
ppc-2: IF Scope=privacy, there must be a patient
ppc-3: IF Scope=research, there must be a patient
ppc-4: IF Scope=adr, there must be a patient
ppc-5: IF Scope=treatment, there must be a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: patient-privacy
... category Σ 1..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient Σ 1..1 Reference(Patient) Who the consent applies to
... dateTime Σ 1..1 dateTime When this Consent was created or indexed
... performer Σ 1..* Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Who is agreeing to the policy and rules
... organization Σ 1..* Reference(Organization) Custodian of the consent
... source[x] Σ 1..1 Source from which this consent is taken
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... provision SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period SΣ 1..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: IRCP
..... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
.... purpose SΣ 1..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


.... dataPeriod SΣ 0..1 Period Timeframe for data controlled by this rule
.... Slices for data SΣ 0..* BackboneElement Data controlled by this rule
Slice: Unordered, Closed by value:meaning
..... data:All Slices Content/Rules for all slices
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

...... reference Σ 1..1 Reference(Resource) The actual data reference
..... data:iData Σ 0..* BackboneElement Data controlled by this rule
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: instance
...... reference Σ 1..1 Reference(Resource) The actual data reference
..... data:rData Σ 0..* BackboneElement Data controlled by this rule
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: related
...... reference Σ 1..1 Reference(Encounter | CarePlan | EpisodeOfCare) The actual data reference
..... data:aData Σ 0..* BackboneElement Data controlled by this rule
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: authoredby
...... reference Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Device | Group | CareTeam | Patient | RelatedPerson) The actual data reference
.... provision S 0..* BackboneElement Nested Exception Rules
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... purpose SΣ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


..... dataPeriod SΣ 0..1 Period Timeframe for data controlled by this rule
..... Slices for data SΣ 0..* BackboneElement Data controlled by this rule
Slice: Unordered, Closed by value:meaning
...... data:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

....... reference Σ 1..1 Reference(Resource) The actual data reference
...... data:iDataP Σ 0..1 BackboneElement Data controlled by this rule
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: instance
....... reference Σ 1..1 Reference(Resource) The actual data reference
...... data:rDataP Σ 0..1 BackboneElement Data controlled by this rule
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: related
....... reference Σ 1..1 Reference(Encounter | CarePlan | EpisodeOfCare) The actual data reference
...... data:aDataP Σ 0..1 BackboneElement Data controlled by this rule
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: authoredby
....... reference Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Device | Group | CareTeam | Patient | RelatedPerson) The actual data reference

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: patient-privacy
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.roleextensiblePattern: IRCP
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:iData.meaningrequiredPattern: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:rData.meaningrequiredPattern: related
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:aData.meaningrequiredPattern: authoredby
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:iDataP.meaningrequiredPattern: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:rDataP.meaningrequiredPattern: related
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:aDataP.meaningrequiredPattern: authoredby
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* IntermediateConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
ppc-1: Either a Policy or PolicyRule
ppc-2: IF Scope=privacy, there must be a patient
ppc-3: IF Scope=research, there must be a patient
ppc-4: IF Scope=adr, there must be a patient
ppc-5: IF Scope=treatment, there must be a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
... status ?!Σ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

... scope ?!Σ 1..1 CodeableConcept Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: patient-privacy
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 1..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient Σ 1..1 Reference(Patient) Who the consent applies to
... dateTime Σ 1..1 dateTime When this Consent was created or indexed
... performer Σ 1..* Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Who is agreeing to the policy and rules
... organization Σ 1..* Reference(Organization) Custodian of the consent
... source[x] Σ 1..1 Source from which this consent is taken
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... policy 0..* BackboneElement Policies covered by this consent
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... authority C 0..1 uri Enforcement source for policy
.... uri C 1..1 uri Specific policy covered by this consent
... policyRule ΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.

... provision SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period SΣ 1..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: IRCP
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
.... purpose SΣ 1..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


.... dataPeriod SΣ 0..1 Period Timeframe for data controlled by this rule
.... Slices for data SΣ 0..* BackboneElement Data controlled by this rule
Slice: Unordered, Closed by value:meaning
..... data:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

...... reference Σ 1..1 Reference(Resource) The actual data reference
..... data:iData Σ 0..* BackboneElement Data controlled by this rule
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: instance
...... reference Σ 1..1 Reference(Resource) The actual data reference
..... data:rData Σ 0..* BackboneElement Data controlled by this rule
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: related
...... reference Σ 1..1 Reference(Encounter | CarePlan | EpisodeOfCare) The actual data reference
..... data:aData Σ 0..* BackboneElement Data controlled by this rule
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: authoredby
...... reference Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Device | Group | CareTeam | Patient | RelatedPerson) The actual data reference
.... provision S 0..* BackboneElement Nested Exception Rules
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 0..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

..... period Σ 0..1 Period Timeframe for this rule
..... actor 0..* BackboneElement Who|what controlled by this rule (or group, by role)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

...... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
..... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.


..... securityLabel Σ 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... purpose SΣ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


..... class Σ 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.


..... code Σ 0..* CodeableConcept e.g. LOINC or SNOMED CT code, etc. in the content
Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.


..... dataPeriod SΣ 0..1 Period Timeframe for data controlled by this rule
..... Slices for data SΣ 0..* BackboneElement Data controlled by this rule
Slice: Unordered, Closed by value:meaning
...... data:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

....... reference Σ 1..1 Reference(Resource) The actual data reference
...... data:iDataP Σ 0..1 BackboneElement Data controlled by this rule
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: instance
....... reference Σ 1..1 Reference(Resource) The actual data reference
...... data:rDataP Σ 0..1 BackboneElement Data controlled by this rule
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: related
....... reference Σ 1..1 Reference(Encounter | CarePlan | EpisodeOfCare) The actual data reference
...... data:aDataP Σ 0..1 BackboneElement Data controlled by this rule
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: authoredby
....... reference Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Device | Group | CareTeam | Patient | RelatedPerson) The actual data reference

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: patient-privacy
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensibleConsentPolicyRuleCodes
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.roleextensiblePattern: IRCP
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:iData.meaningrequiredPattern: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:rData.meaningrequiredPattern: related
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:aData.meaningrequiredPattern: authoredby
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.provision.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action
from the FHIR Standard
Consent.provision.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:iDataP.meaningrequiredPattern: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:rDataP.meaningrequiredPattern: related
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:aDataP.meaningrequiredPattern: authoredby
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

This structure is derived from IntermediateConsent

Summary

Mandatory: 2 elements

Differential View

This structure is derived from IntermediateConsent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* IntermediateConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... provision
.... period 1..1 Period Timeframe for this rule
.... purpose 1..* Coding Context of activities covered by this rule

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* IntermediateConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
ppc-1: Either a Policy or PolicyRule
ppc-2: IF Scope=privacy, there must be a patient
ppc-3: IF Scope=research, there must be a patient
ppc-4: IF Scope=adr, there must be a patient
ppc-5: IF Scope=treatment, there must be a patient
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!Σ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: patient-privacy
... category Σ 1..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient Σ 1..1 Reference(Patient) Who the consent applies to
... dateTime Σ 1..1 dateTime When this Consent was created or indexed
... performer Σ 1..* Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Who is agreeing to the policy and rules
... organization Σ 1..* Reference(Organization) Custodian of the consent
... source[x] Σ 1..1 Source from which this consent is taken
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... provision SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period SΣ 1..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.


Required Pattern: At least the following
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: IRCP
..... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
.... purpose SΣ 1..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


.... dataPeriod SΣ 0..1 Period Timeframe for data controlled by this rule
.... Slices for data SΣ 0..* BackboneElement Data controlled by this rule
Slice: Unordered, Closed by value:meaning
..... data:All Slices Content/Rules for all slices
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

...... reference Σ 1..1 Reference(Resource) The actual data reference
..... data:iData Σ 0..* BackboneElement Data controlled by this rule
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: instance
...... reference Σ 1..1 Reference(Resource) The actual data reference
..... data:rData Σ 0..* BackboneElement Data controlled by this rule
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: related
...... reference Σ 1..1 Reference(Encounter | CarePlan | EpisodeOfCare) The actual data reference
..... data:aData Σ 0..* BackboneElement Data controlled by this rule
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: authoredby
...... reference Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Device | Group | CareTeam | Patient | RelatedPerson) The actual data reference
.... provision S 0..* BackboneElement Nested Exception Rules
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... purpose SΣ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


..... dataPeriod SΣ 0..1 Period Timeframe for data controlled by this rule
..... Slices for data SΣ 0..* BackboneElement Data controlled by this rule
Slice: Unordered, Closed by value:meaning
...... data:All Slices Content/Rules for all slices
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

....... reference Σ 1..1 Reference(Resource) The actual data reference
...... data:iDataP Σ 0..1 BackboneElement Data controlled by this rule
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: instance
....... reference Σ 1..1 Reference(Resource) The actual data reference
...... data:rDataP Σ 0..1 BackboneElement Data controlled by this rule
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: related
....... reference Σ 1..1 Reference(Encounter | CarePlan | EpisodeOfCare) The actual data reference
...... data:aDataP Σ 0..1 BackboneElement Data controlled by this rule
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: authoredby
....... reference Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Device | Group | CareTeam | Patient | RelatedPerson) The actual data reference

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: patient-privacy
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.roleextensiblePattern: IRCP
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:iData.meaningrequiredPattern: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:rData.meaningrequiredPattern: related
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:aData.meaningrequiredPattern: authoredby
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:iDataP.meaningrequiredPattern: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:rDataP.meaningrequiredPattern: related
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:aDataP.meaningrequiredPattern: authoredby
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* IntermediateConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
ppc-1: Either a Policy or PolicyRule
ppc-2: IF Scope=privacy, there must be a patient
ppc-3: IF Scope=research, there must be a patient
ppc-4: IF Scope=adr, there must be a patient
ppc-5: IF Scope=treatment, there must be a patient
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
... status ?!Σ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

... scope ?!Σ 1..1 CodeableConcept Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: patient-privacy
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category Σ 1..* CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient Σ 1..1 Reference(Patient) Who the consent applies to
... dateTime Σ 1..1 dateTime When this Consent was created or indexed
... performer Σ 1..* Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Who is agreeing to the policy and rules
... organization Σ 1..* Reference(Organization) Custodian of the consent
... source[x] Σ 1..1 Source from which this consent is taken
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... policy 0..* BackboneElement Policies covered by this consent
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... authority C 0..1 uri Enforcement source for policy
.... uri C 1..1 uri Specific policy covered by this consent
... policyRule ΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.

... provision SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period SΣ 1..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.


Required Pattern: At least the following
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: IRCP
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
...... text 0..1 string Plain text representation of the concept
..... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
.... purpose SΣ 1..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


.... dataPeriod SΣ 0..1 Period Timeframe for data controlled by this rule
.... Slices for data SΣ 0..* BackboneElement Data controlled by this rule
Slice: Unordered, Closed by value:meaning
..... data:All Slices Content/Rules for all slices
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

...... reference Σ 1..1 Reference(Resource) The actual data reference
..... data:iData Σ 0..* BackboneElement Data controlled by this rule
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: instance
...... reference Σ 1..1 Reference(Resource) The actual data reference
..... data:rData Σ 0..* BackboneElement Data controlled by this rule
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: related
...... reference Σ 1..1 Reference(Encounter | CarePlan | EpisodeOfCare) The actual data reference
..... data:aData Σ 0..* BackboneElement Data controlled by this rule
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: authoredby
...... reference Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Device | Group | CareTeam | Patient | RelatedPerson) The actual data reference
.... provision S 0..* BackboneElement Nested Exception Rules
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... type Σ 0..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

..... period Σ 0..1 Period Timeframe for this rule
..... actor 0..* BackboneElement Who|what controlled by this rule (or group, by role)
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
...... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
...... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

...... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
..... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.


..... securityLabel Σ 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


..... purpose SΣ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


..... class Σ 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.


..... code Σ 0..* CodeableConcept e.g. LOINC or SNOMED CT code, etc. in the content
Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.


..... dataPeriod SΣ 0..1 Period Timeframe for data controlled by this rule
..... Slices for data SΣ 0..* BackboneElement Data controlled by this rule
Slice: Unordered, Closed by value:meaning
...... data:All Slices Content/Rules for all slices
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

....... reference Σ 1..1 Reference(Resource) The actual data reference
...... data:iDataP Σ 0..1 BackboneElement Data controlled by this rule
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: instance
....... reference Σ 1..1 Reference(Resource) The actual data reference
...... data:rDataP Σ 0..1 BackboneElement Data controlled by this rule
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: related
....... reference Σ 1..1 Reference(Encounter | CarePlan | EpisodeOfCare) The actual data reference
...... data:aDataP Σ 0..1 BackboneElement Data controlled by this rule
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
....... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Required Pattern: authoredby
....... reference Σ 1..1 Reference(Practitioner | PractitionerRole | Organization | Device | Group | CareTeam | Patient | RelatedPerson) The actual data reference

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: patient-privacy
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensibleConsentPolicyRuleCodes
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.roleextensiblePattern: IRCP
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:iData.meaningrequiredPattern: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:rData.meaningrequiredPattern: related
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.data:aData.meaningrequiredPattern: authoredby
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.provision.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action
from the FHIR Standard
Consent.provision.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:iDataP.meaningrequiredPattern: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:rDataP.meaningrequiredPattern: related
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard
Consent.provision.provision.data:aDataP.meaningrequiredPattern: authoredby
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

This structure is derived from IntermediateConsent

Summary

Mandatory: 2 elements

 

Other representations of profile: CSV, Excel, Schematron