National Healthcare Directory Attestation and Verification, published by HL7 Patient Administration Working Group. This is not an authorized publication; it is the continuous build for version 1.0.0-ballot). This version is based on the current content of https://github.com/HL7/fhir-directory-attestation/ and changes regularly. See the Directory of published versions

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Resource Profile: NatlDirEx Restriction

Restriction on use/release of exchanged information

Usage:

• Examples for this Resource Profile: Consent/PatientConsent

Formal Views of Profile Content

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

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints
Consent		0..*	Consent	A policy may permit or deny recipients or roles to perform actions for specific purposes and periods of time
identifier	S	0..0
status	S	1..1	code	Indicates the current state of this restriction
scope	S	1..1	CodeableConcept	Which of the four areas this resource covers (extensible)
category	S	1..*	CodeableConcept	Type of restriction
patient	S	0..0
dateTime	S	0..1	dateTime	date/time of last update for this restriction
performer	S	0..0
organization	S	0..0
source[x]	S	0..0
policy	S	0..*	BackboneElement	Policies covered by this consent
authority	S	0..0
uri	S	0..1	uri	Specific policy covered by this restriction
verification	S	0..0
provision	S	0..1	BackboneElement	Access rights
type	S	0..1	code	deny | permit Fixed Value: permit
period	S	0..0
actor	S	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
role	S	1..1	CodeableConcept	How the actor is involved
reference	S	1..1	Reference(Organization | CareTeam | Practitioner)	definedUserOrGroup
action	S	0..1	CodeableConcept	reasonType
securityLabel	S	0..*	Coding	userType
purpose	S	0..*	Coding	reasonName
class	S	0..0
code	S	0..0
dataPeriod	S	0..0
data	S	0..0
provision	S	0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	A policy may permit or deny recipients or roles to perform actions for specific purposes and periods of time
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	Indicates the current state of this restriction Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
category	SΣ	1..*	CodeableConcept	Type of restriction Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
dateTime	SΣ	0..1	dateTime	date/time of last update for this restriction
policy	S	0..*	BackboneElement	Policies covered by this consent
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uri	SC	0..1	uri	Specific policy covered by this restriction
provision	SΣ	0..1	BackboneElement	Access rights
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. Fixed Value: permit
actor	S	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	S	1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference	S	1..1	Reference(Organization | CareTeam | Practitioner)	definedUserOrGroup
action	SΣ	0..1	CodeableConcept	reasonType Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	SΣ	0..*	Coding	userType Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	SΣ	0..*	Coding	reasonName 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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Consent.status	required	ConsentState
Consent.scope	extensible	ConsentScopeCodes
Consent.category	extensible	ConsentCategoryCodes
Consent.provision.type	required	Fixed Value: permit
Consent.provision.actor.role	extensible	SecurityRoleType
Consent.provision.action	example	ConsentActionCodes
Consent.provision.securityLabel	extensible	All Security Labels
Consent.provision.purpose	extensible	PurposeOfUse
Consent.provision.data.meaning	required	ConsentDataMeaning

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	A policy may permit or deny recipients or roles to perform actions for specific purposes and periods of time
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
status	?!SΣ	1..1	code	Indicates the current state of this restriction Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
category	SΣ	1..*	CodeableConcept	Type of restriction Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
dateTime	SΣ	0..1	dateTime	date/time of last update for this restriction
policy	S	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
uri	SC	0..1	uri	Specific policy covered by this restriction
policyRule	ΣC	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
provision	SΣ	0..1	BackboneElement	Access rights
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	SΣ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. Fixed Value: permit
actor	S	1..*	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	S	1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference	S	1..1	Reference(Organization | CareTeam | Practitioner)	definedUserOrGroup
action	SΣ	0..1	CodeableConcept	reasonType Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	SΣ	0..*	Coding	userType Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	SΣ	0..*	Coding	reasonName 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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Consent.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Consent.status	required	ConsentState
Consent.scope	extensible	ConsentScopeCodes
Consent.category	extensible	ConsentCategoryCodes
Consent.policyRule	extensible	ConsentPolicyRuleCodes
Consent.provision.type	required	Fixed Value: permit
Consent.provision.actor.role	extensible	SecurityRoleType
Consent.provision.action	example	ConsentActionCodes
Consent.provision.securityLabel	extensible	All Security Labels
Consent.provision.purpose	extensible	PurposeOfUse
Consent.provision.data.meaning	required	ConsentDataMeaning

This structure is derived from Consent

Summary

Mandatory: 0 element (1 nested mandatory element)
Must-Support: 32 elements
Fixed Value: 1 element
Prohibited: 13 elements

Differential View

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints
Consent		0..*	Consent	A policy may permit or deny recipients or roles to perform actions for specific purposes and periods of time
identifier	S	0..0
status	S	1..1	code	Indicates the current state of this restriction
scope	S	1..1	CodeableConcept	Which of the four areas this resource covers (extensible)
category	S	1..*	CodeableConcept	Type of restriction
patient	S	0..0
dateTime	S	0..1	dateTime	date/time of last update for this restriction
performer	S	0..0
organization	S	0..0
source[x]	S	0..0
policy	S	0..*	BackboneElement	Policies covered by this consent
authority	S	0..0
uri	S	0..1	uri	Specific policy covered by this restriction
verification	S	0..0
provision	S	0..1	BackboneElement	Access rights
type	S	0..1	code	deny | permit Fixed Value: permit
period	S	0..0
actor	S	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
role	S	1..1	CodeableConcept	How the actor is involved
reference	S	1..1	Reference(Organization | CareTeam | Practitioner)	definedUserOrGroup
action	S	0..1	CodeableConcept	reasonType
securityLabel	S	0..*	Coding	userType
purpose	S	0..*	Coding	reasonName
class	S	0..0
code	S	0..0
dataPeriod	S	0..0
data	S	0..0
provision	S	0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	A policy may permit or deny recipients or roles to perform actions for specific purposes and periods of time
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	Indicates the current state of this restriction Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
category	SΣ	1..*	CodeableConcept	Type of restriction Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
dateTime	SΣ	0..1	dateTime	date/time of last update for this restriction
policy	S	0..*	BackboneElement	Policies covered by this consent
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
uri	SC	0..1	uri	Specific policy covered by this restriction
provision	SΣ	0..1	BackboneElement	Access rights
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. Fixed Value: permit
actor	S	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	S	1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference	S	1..1	Reference(Organization | CareTeam | Practitioner)	definedUserOrGroup
action	SΣ	0..1	CodeableConcept	reasonType Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	SΣ	0..*	Coding	userType Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	SΣ	0..*	Coding	reasonName 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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Consent.status	required	ConsentState
Consent.scope	extensible	ConsentScopeCodes
Consent.category	extensible	ConsentCategoryCodes
Consent.provision.type	required	Fixed Value: permit
Consent.provision.actor.role	extensible	SecurityRoleType
Consent.provision.action	example	ConsentActionCodes
Consent.provision.securityLabel	extensible	All Security Labels
Consent.provision.purpose	extensible	PurposeOfUse
Consent.provision.data.meaning	required	ConsentDataMeaning

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	A policy may permit or deny recipients or roles to perform actions for specific purposes and periods of time
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
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
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
status	?!SΣ	1..1	code	Indicates the current state of this restriction Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
category	SΣ	1..*	CodeableConcept	Type of restriction Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
dateTime	SΣ	0..1	dateTime	date/time of last update for this restriction
policy	S	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
uri	SC	0..1	uri	Specific policy covered by this restriction
policyRule	ΣC	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
provision	SΣ	0..1	BackboneElement	Access rights
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	SΣ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. Fixed Value: permit
actor	S	1..*	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	S	1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference	S	1..1	Reference(Organization | CareTeam | Practitioner)	definedUserOrGroup
action	SΣ	0..1	CodeableConcept	reasonType Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	SΣ	0..*	Coding	userType Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	SΣ	0..*	Coding	reasonName 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.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Consent.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Consent.status	required	ConsentState
Consent.scope	extensible	ConsentScopeCodes
Consent.category	extensible	ConsentCategoryCodes
Consent.policyRule	extensible	ConsentPolicyRuleCodes
Consent.provision.type	required	Fixed Value: permit
Consent.provision.actor.role	extensible	SecurityRoleType
Consent.provision.action	example	ConsentActionCodes
Consent.provision.securityLabel	extensible	All Security Labels
Consent.provision.purpose	extensible	PurposeOfUse
Consent.provision.data.meaning	required	ConsentDataMeaning

This structure is derived from Consent

Summary

Mandatory: 0 element (1 nested mandatory element)
Must-Support: 32 elements
Fixed Value: 1 element
Prohibited: 13 elements

Other representations of profile: CSV, Excel, Schematron