Specialty Medication Enrollment
2.1.0 - CI Build United States of America flag

Specialty Medication Enrollment, published by HL7 International - Pharmacy. This is not an authorized publication; it is the continuous build for version 2.1.0). This version is based on the current content of https://github.com/HL7/fhir-specialty-rx/ and changes regularly. See the Directory of published versions

Resource Profile: Specialty Rx Consent

Official URL: http://hl7.org/fhir/us/specialty-rx/StructureDefinition/specialty-rx-consent Version: 2.1.0
Active as of 2021-12-08 Computable Name: SpecialtyRxConsent

This profile constrains a Consent resource to convey consents and authorizations associated with fulfillment of a specialty medication or other product

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..*ConsentA healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... status S1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: Specialty Rx Value Set - Consent Status (required)
... patient S0..1Reference(US Core Patient Profile)Related patient
... sourceAttachment S1..1AttachmentSource from which this consent is taken
.... contentType S1..1codeMime type of the content, with charset etc.
Fixed Value: application/pdf
.... data S1..1base64BinaryData inline, base64ed
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: OPTIN
..... display1..1stringRepresentation defined by the system
Fixed Value: opt-in

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Consent.statusrequiredSpecialtyRxValueSetConsentStatus
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C0..*ConsentA healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: Specialty Rx Value Set - Consent Status (required)
... category Σ1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient SΣ0..1Reference(US Core Patient Profile)Related patient
... Slices for source[x] Σ1..1AttachmentSource from which this consent is taken
Slice: Unordered, Closed by type:$this
.... source[x]:sourceAttachment SΣ1..1AttachmentSource from which this consent is taken
..... contentType SΣ1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Fixed Value: application/pdf
..... data S1..1base64BinaryData inline, base64ed
... policyRule SΣC0..1CodeableConceptRegulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: OPTIN
..... display1..1stringRepresentation defined by the system
Fixed Value: opt-in
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Consent.statusrequiredSpecialtyRxValueSetConsentStatus
Consent.scopeextensibleConsentScopeCodes
Consent.categoryextensibleConsentCategoryCodes
Consent.source[x]:sourceAttachment.contentTyperequiredFixed Value: application/pdf
Consent.policyRuleextensibleFixed Value: OPTIN("opt-in")

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 C0..*ConsentA healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier for this record (external references)

Example General: {"system":"urn:ietf:rfc:3986","value":"Local eCMS identifier"}
... status ?!SΣ1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: Specialty Rx Value Set - Consent Status (required)
... scope ?!Σ1..1CodeableConceptWhich of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.

... category Σ1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient SΣ0..1Reference(US Core Patient Profile)Related patient
... dateTime Σ0..1dateTimeWhen this Consent was created or indexed
... performer Σ0..*Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)Who is agreeing to the policy and rules
... organization Σ0..*Reference(Organization)Custodian of the consent
... Slices for source[x] Σ1..1AttachmentSource from which this consent is taken
Slice: Unordered, Closed by type:$this
.... source[x]:sourceAttachment SΣ1..1AttachmentSource from which this consent is taken
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣ1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Fixed Value: application/pdf
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Example General: en-AU
..... data S1..1base64BinaryData inline, base64ed
..... url Σ0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title Σ0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
... policy 0..*BackboneElementPolicies covered by this consent
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... authority C0..1uriEnforcement source for policy
.... uri C0..1uriSpecific policy covered by this consent
... policyRule SΣC0..1CodeableConceptRegulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: OPTIN
..... display1..1stringRepresentation defined by the system
Fixed Value: opt-in
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept
... verification Σ0..*BackboneElementConsent Verified by patient or family
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... verified Σ1..1booleanHas been verified
.... verifiedWith 0..1Reference(Patient | RelatedPerson)Person who verified
.... verificationDate 0..1dateTimeWhen consent verified
... provision Σ0..1BackboneElementConstraints to the base Consent.policyRule
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..1codedeny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period Σ0..1PeriodTimeframe for this rule
.... actor 0..*BackboneElementWho|what controlled by this rule (or group, by role)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... role 1..1CodeableConceptHow the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

..... reference 1..1Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)Resource for the actor (or group, by role)
.... action Σ0..*CodeableConceptActions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.


.... securityLabel Σ0..*CodingSecurity Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... purpose Σ0..*CodingContext 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 Σ0..*Codinge.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.


.... code Σ0..*CodeableConcepte.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 Σ0..1PeriodTimeframe for data controlled by this rule
.... data Σ0..*BackboneElementData controlled by this rule
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... meaning Σ1..1codeinstance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

..... reference Σ1..1Reference(Resource)The actual data reference
.... provision 0..*See provision (Consent)Nested Exception Rules

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Consent.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Consent.statusrequiredSpecialtyRxValueSetConsentStatus
Consent.scopeextensibleConsentScopeCodes
Consent.categoryextensibleConsentCategoryCodes
Consent.source[x]:sourceAttachment.contentTyperequiredFixed Value: application/pdf
Consent.source[x]:sourceAttachment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Consent.policyRuleextensibleFixed Value: OPTIN("opt-in")
Consent.provision.typerequiredConsentProvisionType
Consent.provision.actor.roleextensibleSecurityRoleType
Consent.provision.actionexampleConsentActionCodes
Consent.provision.securityLabelextensibleAll Security Labels
Consent.provision.purposeextensiblePurposeOfUse
Consent.provision.classextensibleConsentContentClass
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
Consent.provision.data.meaningrequiredConsentDataMeaning

Constraints

IdGradePath(s)DetailsRequirements
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()

This structure is derived from Consent

Summary

Mandatory: 3 elements
Must-Support: 6 elements
Fixed Value: 2 elements

Structures

This structure refers to these other structures:

Differential View

This structure is derived from Consent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..*ConsentA healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... status S1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: Specialty Rx Value Set - Consent Status (required)
... patient S0..1Reference(US Core Patient Profile)Related patient
... sourceAttachment S1..1AttachmentSource from which this consent is taken
.... contentType S1..1codeMime type of the content, with charset etc.
Fixed Value: application/pdf
.... data S1..1base64BinaryData inline, base64ed
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: OPTIN
..... display1..1stringRepresentation defined by the system
Fixed Value: opt-in

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
Consent.statusrequiredSpecialtyRxValueSetConsentStatus

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C0..*ConsentA healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: Specialty Rx Value Set - Consent Status (required)
... category Σ1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient SΣ0..1Reference(US Core Patient Profile)Related patient
... Slices for source[x] Σ1..1AttachmentSource from which this consent is taken
Slice: Unordered, Closed by type:$this
.... source[x]:sourceAttachment SΣ1..1AttachmentSource from which this consent is taken
..... contentType SΣ1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Fixed Value: application/pdf
..... data S1..1base64BinaryData inline, base64ed
... policyRule SΣC0..1CodeableConceptRegulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: OPTIN
..... display1..1stringRepresentation defined by the system
Fixed Value: opt-in
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Consent.statusrequiredSpecialtyRxValueSetConsentStatus
Consent.scopeextensibleConsentScopeCodes
Consent.categoryextensibleConsentCategoryCodes
Consent.source[x]:sourceAttachment.contentTyperequiredFixed Value: application/pdf
Consent.policyRuleextensibleFixed Value: OPTIN("opt-in")

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 C0..*ConsentA healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier for this record (external references)

Example General: {"system":"urn:ietf:rfc:3986","value":"Local eCMS identifier"}
... status ?!SΣ1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: Specialty Rx Value Set - Consent Status (required)
... scope ?!Σ1..1CodeableConceptWhich of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.

... category Σ1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient SΣ0..1Reference(US Core Patient Profile)Related patient
... dateTime Σ0..1dateTimeWhen this Consent was created or indexed
... performer Σ0..*Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)Who is agreeing to the policy and rules
... organization Σ0..*Reference(Organization)Custodian of the consent
... Slices for source[x] Σ1..1AttachmentSource from which this consent is taken
Slice: Unordered, Closed by type:$this
.... source[x]:sourceAttachment SΣ1..1AttachmentSource from which this consent is taken
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... contentType SΣ1..1codeMime type of the content, with charset etc.
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.


Fixed Value: application/pdf
..... language Σ0..1codeHuman language of the content (BCP-47)
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding

Example General: en-AU
..... data S1..1base64BinaryData inline, base64ed
..... url Σ0..1urlUri where the data can be found
Example General: http://www.acme.com/logo-small.png
..... size Σ0..1unsignedIntNumber of bytes of content (if url provided)
..... hash Σ0..1base64BinaryHash of the data (sha-1, base64ed)
..... title Σ0..1stringLabel to display in place of the data
Example General: Official Corporate Logo
..... creation Σ0..1dateTimeDate attachment was first created
... policy 0..*BackboneElementPolicies covered by this consent
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... authority C0..1uriEnforcement source for policy
.... uri C0..1uriSpecific policy covered by this consent
... policyRule SΣC0..1CodeableConceptRegulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Fixed Value: As shown
.... id0..0stringUnique id for inter-element referencing
.... extension0..0ExtensionAdditional content defined by implementations
.... coding1..1CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..0stringUnique id for inter-element referencing
..... extension0..0ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version0..0stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: OPTIN
..... display1..1stringRepresentation defined by the system
Fixed Value: opt-in
..... userSelected0..0booleanIf this coding was chosen directly by the user
.... text0..0stringPlain text representation of the concept
... verification Σ0..*BackboneElementConsent Verified by patient or family
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... verified Σ1..1booleanHas been verified
.... verifiedWith 0..1Reference(Patient | RelatedPerson)Person who verified
.... verificationDate 0..1dateTimeWhen consent verified
... provision Σ0..1BackboneElementConstraints to the base Consent.policyRule
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ0..1codedeny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period Σ0..1PeriodTimeframe for this rule
.... actor 0..*BackboneElementWho|what controlled by this rule (or group, by role)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... role 1..1CodeableConceptHow the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

..... reference 1..1Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)Resource for the actor (or group, by role)
.... action Σ0..*CodeableConceptActions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.


.... securityLabel Σ0..*CodingSecurity Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... purpose Σ0..*CodingContext 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 Σ0..*Codinge.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.


.... code Σ0..*CodeableConcepte.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 Σ0..1PeriodTimeframe for data controlled by this rule
.... data Σ0..*BackboneElementData controlled by this rule
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... meaning Σ1..1codeinstance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

..... reference Σ1..1Reference(Resource)The actual data reference
.... provision 0..*See provision (Consent)Nested Exception Rules

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / Code
Consent.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Consent.statusrequiredSpecialtyRxValueSetConsentStatus
Consent.scopeextensibleConsentScopeCodes
Consent.categoryextensibleConsentCategoryCodes
Consent.source[x]:sourceAttachment.contentTyperequiredFixed Value: application/pdf
Consent.source[x]:sourceAttachment.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
Consent.policyRuleextensibleFixed Value: OPTIN("opt-in")
Consent.provision.typerequiredConsentProvisionType
Consent.provision.actor.roleextensibleSecurityRoleType
Consent.provision.actionexampleConsentActionCodes
Consent.provision.securityLabelextensibleAll Security Labels
Consent.provision.purposeextensiblePurposeOfUse
Consent.provision.classextensibleConsentContentClass
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
Consent.provision.data.meaningrequiredConsentDataMeaning

Constraints

IdGradePath(s)DetailsRequirements
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()

This structure is derived from Consent

Summary

Mandatory: 3 elements
Must-Support: 6 elements
Fixed Value: 2 elements

Structures

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