Bidirectional Services eReferral (BSeR)
2.0.0-ballot - STU2 United States of America flag

Bidirectional Services eReferral (BSeR), published by HL7 Public Health Working Group. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/bser/ and changes regularly. See the Directory of published versions

Resource Profile: BSeR Patient Consent

Official URL: http://hl7.org/fhir/us/bser/StructureDefinition/BSeR-PatientConsent Version: 2.0.0-ballot
Active as of 2024-04-17 Computable Name: BSeRPatientConsent
Other Identifiers: OID:2.16.840.1.113883.4.642.40.33.42.2

This Consent profile represents the consent status of the patient with regard to treatment authorization or protected health information sharing.

Usage:

Formal Views of Profile Content

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

This structure is derived from Consent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... category 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
... patient 1..1 Reference(US Core Patient Profile) Who the consent applies to
... dateTime 1..1 dateTime When this Consent was created or indexed
... provision 1..1 BackboneElement Constraints to the base Consent.policyRule
.... type 1..1 code deny | permit

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* Consent 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.

... category Σ 1..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(US Core Patient Profile) Who the consent applies to
... dateTime Σ 1..1 dateTime When this Consent was created or indexed
... performer Σ 1..1 Reference(US Core Patient Profile | US Core RelatedPerson Profile) Who is agreeing to the policy and rules
... provision Σ 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensibleConsentScopeCodes
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
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* Consent 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.

... category Σ 1..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(US Core Patient Profile) Who the consent applies to
... dateTime Σ 1..1 dateTime When this Consent was created or indexed
... performer Σ 1..1 Reference(US Core Patient Profile | US Core RelatedPerson Profile) Who is agreeing to the policy and rules
... organization Σ 0..* Reference(Organization) Custodian of the consent
... source[x] Σ 0..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 0..1 uri Specific policy covered by this consent
... policyRule ΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.

... verification Σ 0..* BackboneElement Consent Verified by patient or family
.... 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
.... verified Σ 1..1 boolean Has been verified
.... verifiedWith 0..1 Reference(Patient | RelatedPerson) Person who verified
.... verificationDate 0..1 dateTime When consent verified
... provision Σ 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 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 Σ 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 Σ 0..1 Period Timeframe for data controlled by this rule
.... data 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.

..... reference Σ 1..1 Reference(Resource) The actual data reference
.... provision 0..* See provision (Consent) Nested Exception Rules

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.scopeextensibleConsentScopeCodes
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.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action
from the FHIR Standard
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

Differential View

This structure is derived from Consent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... category 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
... patient 1..1 Reference(US Core Patient Profile) Who the consent applies to
... dateTime 1..1 dateTime When this Consent was created or indexed
... provision 1..1 BackboneElement Constraints to the base Consent.policyRule
.... type 1..1 code deny | permit

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* Consent 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.

... category Σ 1..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(US Core Patient Profile) Who the consent applies to
... dateTime Σ 1..1 dateTime When this Consent was created or indexed
... performer Σ 1..1 Reference(US Core Patient Profile | US Core RelatedPerson Profile) Who is agreeing to the policy and rules
... provision Σ 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.


doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensibleConsentScopeCodes
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

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* Consent 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.

... category Σ 1..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(US Core Patient Profile) Who the consent applies to
... dateTime Σ 1..1 dateTime When this Consent was created or indexed
... performer Σ 1..1 Reference(US Core Patient Profile | US Core RelatedPerson Profile) Who is agreeing to the policy and rules
... organization Σ 0..* Reference(Organization) Custodian of the consent
... source[x] Σ 0..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 0..1 uri Specific policy covered by this consent
... policyRule ΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.

... verification Σ 0..* BackboneElement Consent Verified by patient or family
.... 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
.... verified Σ 1..1 boolean Has been verified
.... verifiedWith 0..1 Reference(Patient | RelatedPerson) Person who verified
.... verificationDate 0..1 dateTime When consent verified
... provision Σ 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 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 Σ 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 Σ 0..1 Period Timeframe for data controlled by this rule
.... data 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.

..... reference Σ 1..1 Reference(Resource) The actual data reference
.... provision 0..* See provision (Consent) Nested Exception Rules

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
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.scopeextensibleConsentScopeCodes
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.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action
from the FHIR Standard
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

 

Other representations of profile: CSV, Excel, Schematron