SDOH Clinical Care
2.1.0 - STU 2.1
SDOH Clinical Care
2.1.0 - STU 2.1
SDOH Clinical Care, published by HL7 International / Patient Care. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-sdoh-clinicalcare/ and changes regularly. See the Directory of published versions
| Official URL: http://hl7.org/fhir/us/sdoh-clinicalcare/StructureDefinition/SDOHCC-Consent | Version: 2.1.0 | |||
| Standards status: Trial-use | Computable Name: SDOHCCConsent | |||
Profile for consent related to the release of Social Determinants of Health (SDOH) information to non-HIPAA covered organizations.
SDOH data is sensitive personal information with significant privacy and security considerations. The SDOHCC Consent profile is intended for authorizing disclosure of the subject of care’s information between a HIPAA covered entity and a non-HIPAA covered entity (e.g., exchanged between a Covered Entity and a Business Associate (BA). This profile is not a complete treatment of the issues related to consent; it is a starting point to test the viability of exchanging consent information.
See also Patient Privacy and Consent.
The consent can be provided as either an attachment or a reference.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Consent
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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 | |
  status | S | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error |
| scope | S | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) |
  Slices for category | 1..* | CodeableConcept | Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this | |
   category:IDSCL | S | 1..1 | CodeableConcept | Classification of the consent statement - for indexing/retrieval 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-ActCode | |
 code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IDSCL | |
 patient | S | 1..1 | Reference(US Core Patient Profile) | Who the consent applies to |
| dateTime | S | 1..1 | dateTime | When this Consent was created or indexed |
| performer | 0..* | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole | Patient) | Who is agreeing to the policy and rules | |
| organization | S | 1..1 | Reference(US Core Organization Profile) | Custodian of the consent |
  source[x] | S | 1..1 | Source from which this consent is taken | |
 sourceAttachment | Attachment | |||
| sourceReference | Reference(Consent | Contract | US Core DocumentReference Profile | QuestionnaireResponse) | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 | ?!SΣ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error 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. |
| Slices for category | Σ | 1..* | CodeableConcept | Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. |
| category:IDSCL | SΣ | 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. 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-ActCode | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IDSCL | |
| patient | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the consent applies to |
| dateTime | SΣ | 1..1 | dateTime | When this Consent was created or indexed |
| performer | Σ | 0..* | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole | Patient) | Who is agreeing to the policy and rules |
| organization | SΣ | 1..1 | Reference(US Core Organization Profile) | Custodian of the consent |
| source[x] | SΣ | 1..1 | Source from which this consent is taken | |
| sourceAttachment | Attachment | |||
| sourceReference | Reference(Consent | Contract | US Core DocumentReference Profile | QuestionnaireResponse) | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Consent.status | required | ConsentStatehttp://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1from the FHIR Standard | |
| Consent.scope | extensible | ConsentScopeCodeshttp://hl7.org/fhir/ValueSet/consent-scopefrom the FHIR Standard | |
| Consent.category | extensible | ConsentCategoryCodeshttp://hl7.org/fhir/ValueSet/consent-categoryfrom the FHIR Standard | |
| Consent.category:IDSCL | extensible | Pattern: IDSCLhttp://hl7.org/fhir/ValueSet/consent-categoryfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Consent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Consent | If 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-4 | error | Consent | If 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-5 | error | Consent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Consent | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ppc-1 | error | Consent | Either a Policy or PolicyRule : policy.exists() or policyRule.exists() | |
| ppc-2 | error | Consent | IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not() | |
| ppc-3 | error | Consent | IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not() | |
| ppc-4 | error | Consent | IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not() | |
| ppc-5 | error | Consent | IF Scope=treatment, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | ?!SΣ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error 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. | ||||
| Slices for category | Σ | 1..* | CodeableConcept | Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. | ||||
| category:IDSCL | SΣ | 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. 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-ActCode | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IDSCL | |||||
| 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 | |||||
| patient | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the consent applies to | ||||
| dateTime | SΣ | 1..1 | dateTime | When this Consent was created or indexed | ||||
| performer | Σ | 0..* | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole | Patient) | Who is agreeing to the policy and rules | ||||
| organization | SΣ | 1..1 | Reference(US Core Organization Profile) | Custodian of the consent | ||||
| source[x] | SΣ | 1..1 | Source from which this consent is taken | |||||
| sourceAttachment | Attachment | |||||||
| sourceReference | Reference(Consent | Contract | US Core DocumentReference Profile | 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 | 0..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 | 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 | 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Consent.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Consent.status | required | ConsentStatehttp://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1from the FHIR Standard | ||||
| Consent.scope | extensible | ConsentScopeCodeshttp://hl7.org/fhir/ValueSet/consent-scopefrom the FHIR Standard | ||||
| Consent.category | extensible | ConsentCategoryCodeshttp://hl7.org/fhir/ValueSet/consent-categoryfrom the FHIR Standard | ||||
| Consent.category:IDSCL | extensible | Pattern: IDSCLhttp://hl7.org/fhir/ValueSet/consent-categoryfrom the FHIR Standard | ||||
| Consent.policyRule | extensible | ConsentPolicyRuleCodeshttp://hl7.org/fhir/ValueSet/consent-policyfrom the FHIR Standard | ||||
| Consent.provision.type | required | ConsentProvisionTypehttp://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1from the FHIR Standard | ||||
| Consent.provision.actor.role | extensible | SecurityRoleTypehttp://hl7.org/fhir/ValueSet/security-role-typefrom the FHIR Standard | ||||
| Consent.provision.action | example | ConsentActionCodeshttp://hl7.org/fhir/ValueSet/consent-actionfrom the FHIR Standard | ||||
| Consent.provision.securityLabel | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Consent.provision.purpose | extensible | PurposeOfUsehttp://terminology.hl7.org/ValueSet/v3-PurposeOfUse | ||||
| Consent.provision.class | extensible | ConsentContentClasshttp://hl7.org/fhir/ValueSet/consent-content-classfrom the FHIR Standard | ||||
| Consent.provision.code | example | ConsentContentCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/consent-content-codefrom the FHIR Standard | ||||
| Consent.provision.data.meaning | required | ConsentDataMeaninghttp://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Consent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Consent | If 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-4 | error | Consent | If 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-5 | error | Consent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Consent | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ppc-1 | error | Consent | Either a Policy or PolicyRule : policy.exists() or policyRule.exists() | |
| ppc-2 | error | Consent | IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not() | |
| ppc-3 | error | Consent | IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not() | |
| ppc-4 | error | Consent | IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not() | |
| ppc-5 | error | Consent | IF 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 Consent
Summary
Mandatory: 5 elements
Must-Support: 7 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from Consent
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 | |
| status | S | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error |
| scope | S | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) |
| Slices for category | 1..* | CodeableConcept | Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this | |
| category:IDSCL | S | 1..1 | CodeableConcept | Classification of the consent statement - for indexing/retrieval 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-ActCode | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IDSCL | |
| patient | S | 1..1 | Reference(US Core Patient Profile) | Who the consent applies to |
| dateTime | S | 1..1 | dateTime | When this Consent was created or indexed |
| performer | 0..* | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole | Patient) | Who is agreeing to the policy and rules | |
| organization | S | 1..1 | Reference(US Core Organization Profile) | Custodian of the consent |
| source[x] | S | 1..1 | Source from which this consent is taken | |
| sourceAttachment | Attachment | |||
| sourceReference | Reference(Consent | Contract | US Core DocumentReference Profile | QuestionnaireResponse) | |||
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| 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 | ?!SΣ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error 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. |
| Slices for category | Σ | 1..* | CodeableConcept | Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. |
| category:IDSCL | SΣ | 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. 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-ActCode | |
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IDSCL | |
| patient | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the consent applies to |
| dateTime | SΣ | 1..1 | dateTime | When this Consent was created or indexed |
| performer | Σ | 0..* | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole | Patient) | Who is agreeing to the policy and rules |
| organization | SΣ | 1..1 | Reference(US Core Organization Profile) | Custodian of the consent |
| source[x] | SΣ | 1..1 | Source from which this consent is taken | |
| sourceAttachment | Attachment | |||
| sourceReference | Reference(Consent | Contract | US Core DocumentReference Profile | QuestionnaireResponse) | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Consent.status | required | ConsentStatehttp://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1from the FHIR Standard | |
| Consent.scope | extensible | ConsentScopeCodeshttp://hl7.org/fhir/ValueSet/consent-scopefrom the FHIR Standard | |
| Consent.category | extensible | ConsentCategoryCodeshttp://hl7.org/fhir/ValueSet/consent-categoryfrom the FHIR Standard | |
| Consent.category:IDSCL | extensible | Pattern: IDSCLhttp://hl7.org/fhir/ValueSet/consent-categoryfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Consent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Consent | If 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-4 | error | Consent | If 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-5 | error | Consent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Consent | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ppc-1 | error | Consent | Either a Policy or PolicyRule : policy.exists() or policyRule.exists() | |
| ppc-2 | error | Consent | IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not() | |
| ppc-3 | error | Consent | IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not() | |
| ppc-4 | error | Consent | IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not() | |
| ppc-5 | error | Consent | IF Scope=treatment, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 | ?!SΣ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error 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. | ||||
| Slices for category | Σ | 1..* | CodeableConcept | Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. | ||||
| category:IDSCL | SΣ | 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. 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-ActCode | |||||
| version | 0..1 | string | Version of the system - if relevant | |||||
| code | 1..1 | code | Symbol in syntax defined by the system Fixed Value: IDSCL | |||||
| 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 | |||||
| patient | SΣ | 1..1 | Reference(US Core Patient Profile) | Who the consent applies to | ||||
| dateTime | SΣ | 1..1 | dateTime | When this Consent was created or indexed | ||||
| performer | Σ | 0..* | Reference(Organization | RelatedPerson | Practitioner | PractitionerRole | Patient) | Who is agreeing to the policy and rules | ||||
| organization | SΣ | 1..1 | Reference(US Core Organization Profile) | Custodian of the consent | ||||
| source[x] | SΣ | 1..1 | Source from which this consent is taken | |||||
| sourceAttachment | Attachment | |||||||
| sourceReference | Reference(Consent | Contract | US Core DocumentReference Profile | 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 | 0..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 | 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 | 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 | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet / Code | URI | |||
| Consent.language | preferred | CommonLanguages
http://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard | ||||
| Consent.status | required | ConsentStatehttp://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1from the FHIR Standard | ||||
| Consent.scope | extensible | ConsentScopeCodeshttp://hl7.org/fhir/ValueSet/consent-scopefrom the FHIR Standard | ||||
| Consent.category | extensible | ConsentCategoryCodeshttp://hl7.org/fhir/ValueSet/consent-categoryfrom the FHIR Standard | ||||
| Consent.category:IDSCL | extensible | Pattern: IDSCLhttp://hl7.org/fhir/ValueSet/consent-categoryfrom the FHIR Standard | ||||
| Consent.policyRule | extensible | ConsentPolicyRuleCodeshttp://hl7.org/fhir/ValueSet/consent-policyfrom the FHIR Standard | ||||
| Consent.provision.type | required | ConsentProvisionTypehttp://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1from the FHIR Standard | ||||
| Consent.provision.actor.role | extensible | SecurityRoleTypehttp://hl7.org/fhir/ValueSet/security-role-typefrom the FHIR Standard | ||||
| Consent.provision.action | example | ConsentActionCodeshttp://hl7.org/fhir/ValueSet/consent-actionfrom the FHIR Standard | ||||
| Consent.provision.securityLabel | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labelsfrom the FHIR Standard | ||||
| Consent.provision.purpose | extensible | PurposeOfUsehttp://terminology.hl7.org/ValueSet/v3-PurposeOfUse | ||||
| Consent.provision.class | extensible | ConsentContentClasshttp://hl7.org/fhir/ValueSet/consent-content-classfrom the FHIR Standard | ||||
| Consent.provision.code | example | ConsentContentCodes (a valid code from LOINC)http://hl7.org/fhir/ValueSet/consent-content-codefrom the FHIR Standard | ||||
| Consent.provision.data.meaning | required | ConsentDataMeaninghttp://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1from the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | Consent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | Consent | If 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-4 | error | Consent | If 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-5 | error | Consent | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | Consent | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ppc-1 | error | Consent | Either a Policy or PolicyRule : policy.exists() or policyRule.exists() | |
| ppc-2 | error | Consent | IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not() | |
| ppc-3 | error | Consent | IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not() | |
| ppc-4 | error | Consent | IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not() | |
| ppc-5 | error | Consent | IF 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 Consent
Summary
Mandatory: 5 elements
Must-Support: 7 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ HL7 International / Patient Care. Package hl7.fhir.us.sdoh-clinicalcare#2.1.0 based on FHIR 4.0.1. Generated 2024-03-21
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