CH EPR FHIR (R4), published by eHealth Suisse. This guide is not an authorized publication; it is the continuous build for version 4.0.1-ballot-2 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ehealthsuisse/ch-epr-fhir/ and changes regularly. See the Directory of published versions

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Resource Profile: EPR policy set based on template 201

EPR policy set based on template 201 – grants the patient the full access to the their EPR. This policy set shall be created during the patient's onboarding.

Usage:

• Examples for this Resource Profile: Consent/PpqmConsentTemplate201Example

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 PpqmConsent

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	PpqmConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time ch-epr-ppqm-provision-actor-is-patient: The provision.actor and patient SHALL be the same
Slices for identifier				Content/Rules for all slices
identifier:templateId		1..1	Identifier	Template ID of the policy set
value		1..1	string	Template ID of the policy set Required Pattern: 201
policyRule
coding		1..1	Coding	Code defined by a terminology system Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
provision
period		0..0
actor
role
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.6
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PAT
reference
identifier		0..1	EPRSPIDIdentifier	An identifier intended for computation
type
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:ietf:rfc:3986
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:e-health-suisse:2015:epr-spid
display		0..0
purpose		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Consent.policyRule.coding	required	PpqmReferencedPolicySetFullAccess http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmReferencedPolicySetFullAccess from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-epr-ppqm-provision-actor-is-patient	error	Consent	The provision.actor and patient SHALL be the same : provision[0].actor.reference.identifier[0].value = patient.identifier.value

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	PpqmConsent	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 ch-epr-ppqm-template-structure: The resource shall correspond to one of official policy set templates ch-epr-ppqm-provision-actor-is-patient: The provision.actor and patient SHALL be the same
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by pattern:type.coding Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
identifier:policySetId	Σ	1..1	Identifier	UUID of the Policy Set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
value	ΣC	1..1	string	UUID of the policy set in URN format ch-epr-ppqm-uuid-format: The policy set ID must be a UUID in URN format Example General: 123456
identifier:templateId	Σ	1..1	Identifier	Template ID of the policy set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
value	Σ	1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required) Required Pattern: 201
status	?!Σ	1..1	code	Fixed status value Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active
scope	?!Σ	1..1	CodeableConcept	Fixed scope value Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. 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/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patient-privacy
coding	Σ	1..1	Coding	Code defined by a terminology system
category	Σ	1..1	CodeableConcept	Fixed category value 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: INFA
coding	Σ	1..1	Coding	Code defined by a terminology system
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
identifier		1..1	EPRSPIDIdentifier	An identifier intended for computation
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
value	ΣC	1..1	string	The value that is unique epr-spid-length: EPR-SPID must be exactly 18 characters long epr-spid-startswith76133761: EPR-SPID must start with 76133761 epr-spid-modulus-10: EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually Example General: 123456
policyRule	ΣC	1..1	CodeableConcept	ID of the referenced basis policy set Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
provision	Σ	1..1	BackboneElement	Constraints to the base Consent.policyRule
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..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		1..1	CodeableConcept	How the actor is involved Binding: EprRole (required)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.6
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PAT
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
code	Σ	1..1	code	EPR actor role code
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
identifier		0..1	EPRSPIDIdentifier	An identifier intended for computation
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:ietf:rfc:3986
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:e-health-suisse:2015:epr-spid
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Actor identifier type code (name qualifier)
value	Σ	1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative Example General: 123456
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.identifier:policySetId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.identifier:templateId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.identifier:templateId.value	required	Pattern: 201 http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmPolicySetTemplateId from this IG
Consent.status	required	Pattern: active http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	Pattern: patient-privacy http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	Pattern: INFA http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy from the FHIR Standard
Consent.policyRule.coding	required	PpqmReferencedPolicySetFullAccess http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmReferencedPolicySetFullAccess from this IG
Consent.provision.actor.role	required	EprRole http://fhir.ch/ig/ch-term/ValueSet/EprRole
Consent.provision.actor.reference.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.provision.actor.reference.identifier.type.coding	required	Pattern: urn:e-health-suisse:2015:epr-spid http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmActorIdentifierType from this IG
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-epr-ppqm-date-format	error	Consent.provision.period.end	Timestamp must have precision of days, i.e. not contain the time part : toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
ch-epr-ppqm-provision-actor-is-patient	error	Consent	The provision.actor and patient SHALL be the same : provision[0].actor.reference.identifier[0].value = patient.identifier.value
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates : conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format : lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
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())
epr-spid-length	warning	Consent.patient.identifier.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Consent.patient.identifier.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Consent.patient.identifier.value	EPR-SPID must start with 76133761 : startsWith('76133761')
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..*	PpqmConsent	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 ch-epr-ppqm-template-structure: The resource shall correspond to one of official policy set templates ch-epr-ppqm-provision-actor-is-patient: The provision.actor and patient SHALL be the same
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
Slices for identifier	Σ	2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by pattern:type.coding Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
identifier:policySetId	Σ	1..1	Identifier	UUID of the Policy Set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	ΣC	1..1	string	UUID of the policy set in URN format ch-epr-ppqm-uuid-format: The policy set ID must be a UUID in URN format Example General: 123456
identifier:templateId	Σ	1..1	Identifier	Template ID of the policy set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	Σ	1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required) Required Pattern: 201
status	?!Σ	1..1	code	Fixed status value Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active
scope	?!Σ	1..1	CodeableConcept	Fixed scope value Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patient-privacy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	1..1	CodeableConcept	Fixed category value 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: INFA
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier		1..1	EPRSPIDIdentifier	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
value	ΣC	1..1	string	The value that is unique epr-spid-length: EPR-SPID must be exactly 18 characters long epr-spid-startswith76133761: EPR-SPID must start with 76133761 epr-spid-modulus-10: EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually Example General: 123456
policyRule	ΣC	1..1	CodeableConcept	ID of the referenced basis policy set Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
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
actor		1..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		1..1	CodeableConcept	How the actor is involved Binding: EprRole (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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: urn:oid:2.16.756.5.30.1.127.3.10.6
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PAT
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EPR actor role code
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier		0..1	EPRSPIDIdentifier	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required) Required Pattern: At least the following
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: urn:ietf:rfc:3986
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:e-health-suisse:2015:epr-spid
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Actor identifier type code (name qualifier)
display	Σ	0..1	string	Representation defined by the system
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative Example General: 123456
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Consent.identifier:policySetId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.identifier:templateId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.identifier:templateId.value	required	Pattern: 201 http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmPolicySetTemplateId from this IG
Consent.status	required	Pattern: active http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	Pattern: patient-privacy http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	Pattern: INFA http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy from the FHIR Standard
Consent.policyRule.coding	required	PpqmReferencedPolicySetFullAccess http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmReferencedPolicySetFullAccess from this IG
Consent.provision.actor.role	required	EprRole http://fhir.ch/ig/ch-term/ValueSet/EprRole
Consent.provision.actor.reference.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.provision.actor.reference.identifier.type.coding	required	Pattern: urn:e-health-suisse:2015:epr-spid http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmActorIdentifierType from this IG
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-epr-ppqm-date-format	error	Consent.provision.period.start, Consent.provision.period.end	Timestamp must have precision of days, i.e. not contain the time part : toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
ch-epr-ppqm-provision-actor-is-patient	error	Consent	The provision.actor and patient SHALL be the same : provision[0].actor.reference.identifier[0].value = patient.identifier.value
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates : conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format : lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
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())
epr-spid-length	warning	Consent.patient.identifier.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Consent.patient.identifier.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Consent.patient.identifier.value	EPR-SPID must start with 76133761 : startsWith('76133761')
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 PpqmConsent

Summary

Prohibited: 3 elements

Structures

This structure refers to these other structures:

• EPR-SPID Identifier (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-epr-spid-identifier)

Differential View

This structure is derived from PpqmConsent

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	PpqmConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time ch-epr-ppqm-provision-actor-is-patient: The provision.actor and patient SHALL be the same
Slices for identifier				Content/Rules for all slices
identifier:templateId		1..1	Identifier	Template ID of the policy set
value		1..1	string	Template ID of the policy set Required Pattern: 201
policyRule
coding		1..1	Coding	Code defined by a terminology system Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
provision
period		0..0
actor
role
coding		0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.6
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PAT
reference
identifier		0..1	EPRSPIDIdentifier	An identifier intended for computation
type
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:ietf:rfc:3986
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:e-health-suisse:2015:epr-spid
display		0..0
purpose		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Consent.policyRule.coding	required	PpqmReferencedPolicySetFullAccess http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmReferencedPolicySetFullAccess from this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-epr-ppqm-provision-actor-is-patient	error	Consent	The provision.actor and patient SHALL be the same : provision[0].actor.reference.identifier[0].value = patient.identifier.value

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	PpqmConsent	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 ch-epr-ppqm-template-structure: The resource shall correspond to one of official policy set templates ch-epr-ppqm-provision-actor-is-patient: The provision.actor and patient SHALL be the same
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by pattern:type.coding Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
identifier:policySetId	Σ	1..1	Identifier	UUID of the Policy Set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
value	ΣC	1..1	string	UUID of the policy set in URN format ch-epr-ppqm-uuid-format: The policy set ID must be a UUID in URN format Example General: 123456
identifier:templateId	Σ	1..1	Identifier	Template ID of the policy set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
value	Σ	1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required) Required Pattern: 201
status	?!Σ	1..1	code	Fixed status value Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active
scope	?!Σ	1..1	CodeableConcept	Fixed scope value Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. 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/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patient-privacy
coding	Σ	1..1	Coding	Code defined by a terminology system
category	Σ	1..1	CodeableConcept	Fixed category value 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: INFA
coding	Σ	1..1	Coding	Code defined by a terminology system
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
identifier		1..1	EPRSPIDIdentifier	An identifier intended for computation
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
value	ΣC	1..1	string	The value that is unique epr-spid-length: EPR-SPID must be exactly 18 characters long epr-spid-startswith76133761: EPR-SPID must start with 76133761 epr-spid-modulus-10: EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually Example General: 123456
policyRule	ΣC	1..1	CodeableConcept	ID of the referenced basis policy set Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
provision	Σ	1..1	BackboneElement	Constraints to the base Consent.policyRule
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..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		1..1	CodeableConcept	How the actor is involved Binding: EprRole (required)
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.6
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PAT
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
code	Σ	1..1	code	EPR actor role code
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
identifier		0..1	EPRSPIDIdentifier	An identifier intended for computation
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: urn:ietf:rfc:3986
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:e-health-suisse:2015:epr-spid
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Actor identifier type code (name qualifier)
value	Σ	1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative Example General: 123456
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.identifier:policySetId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.identifier:templateId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.identifier:templateId.value	required	Pattern: 201 http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmPolicySetTemplateId from this IG
Consent.status	required	Pattern: active http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	Pattern: patient-privacy http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	Pattern: INFA http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy from the FHIR Standard
Consent.policyRule.coding	required	PpqmReferencedPolicySetFullAccess http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmReferencedPolicySetFullAccess from this IG
Consent.provision.actor.role	required	EprRole http://fhir.ch/ig/ch-term/ValueSet/EprRole
Consent.provision.actor.reference.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.provision.actor.reference.identifier.type.coding	required	Pattern: urn:e-health-suisse:2015:epr-spid http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmActorIdentifierType from this IG
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-epr-ppqm-date-format	error	Consent.provision.period.end	Timestamp must have precision of days, i.e. not contain the time part : toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
ch-epr-ppqm-provision-actor-is-patient	error	Consent	The provision.actor and patient SHALL be the same : provision[0].actor.reference.identifier[0].value = patient.identifier.value
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates : conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format : lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
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())
epr-spid-length	warning	Consent.patient.identifier.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Consent.patient.identifier.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Consent.patient.identifier.value	EPR-SPID must start with 76133761 : startsWith('76133761')
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..*	PpqmConsent	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 ch-epr-ppqm-template-structure: The resource shall correspond to one of official policy set templates ch-epr-ppqm-provision-actor-is-patient: The provision.actor and patient SHALL be the same
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
Slices for identifier	Σ	2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by pattern:type.coding Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
identifier:policySetId	Σ	1..1	Identifier	UUID of the Policy Set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	ΣC	1..1	string	UUID of the policy set in URN format ch-epr-ppqm-uuid-format: The policy set ID must be a UUID in URN format Example General: 123456
identifier:templateId	Σ	1..1	Identifier	Template ID of the policy set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	Σ	1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required) Required Pattern: 201
status	?!Σ	1..1	code	Fixed status value Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active
scope	?!Σ	1..1	CodeableConcept	Fixed scope value Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patient-privacy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	1..1	CodeableConcept	Fixed category value 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: INFA
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
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier		1..1	EPRSPIDIdentifier	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
value	ΣC	1..1	string	The value that is unique epr-spid-length: EPR-SPID must be exactly 18 characters long epr-spid-startswith76133761: EPR-SPID must start with 76133761 epr-spid-modulus-10: EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually Example General: 123456
policyRule	ΣC	1..1	CodeableConcept	ID of the referenced basis policy set Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
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
actor		1..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		1..1	CodeableConcept	How the actor is involved Binding: EprRole (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
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: urn:oid:2.16.756.5.30.1.127.3.10.6
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PAT
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EPR actor role code
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
identifier		0..1	EPRSPIDIdentifier	An identifier intended for computation
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required) Required Pattern: At least the following
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: urn:ietf:rfc:3986
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: urn:e-health-suisse:2015:epr-spid
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Actor identifier type code (name qualifier)
display	Σ	0..1	string	Representation defined by the system
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative Example General: 123456
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Consent.identifier:policySetId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.identifier:templateId.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.identifier:templateId.value	required	Pattern: 201 http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmPolicySetTemplateId from this IG
Consent.status	required	Pattern: active http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	Pattern: patient-privacy http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	Pattern: INFA http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy from the FHIR Standard
Consent.policyRule.coding	required	PpqmReferencedPolicySetFullAccess http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmReferencedPolicySetFullAccess from this IG
Consent.provision.actor.role	required	EprRole http://fhir.ch/ig/ch-term/ValueSet/EprRole
Consent.provision.actor.reference.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
Consent.provision.actor.reference.identifier.type.coding	required	Pattern: urn:e-health-suisse:2015:epr-spid http://fhir.ch/ig/ch-epr-fhir/ValueSet/PpqmActorIdentifierType from this IG
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ch-epr-ppqm-date-format	error	Consent.provision.period.start, Consent.provision.period.end	Timestamp must have precision of days, i.e. not contain the time part : toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
ch-epr-ppqm-provision-actor-is-patient	error	Consent	The provision.actor and patient SHALL be the same : provision[0].actor.reference.identifier[0].value = patient.identifier.value
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates : conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format : lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
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())
epr-spid-length	warning	Consent.patient.identifier.value	EPR-SPID must be exactly 18 characters long : matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Consent.patient.identifier.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually : (((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Consent.patient.identifier.value	EPR-SPID must start with 76133761 : startsWith('76133761')
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 PpqmConsent

Summary

Prohibited: 3 elements

Structures

This structure refers to these other structures:

• EPR-SPID Identifier (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-epr-spid-identifier)