CH Core General Consent - CH Core (R4) v7.0.0-ballot

CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions

Resource Profile: CH Core General Consent

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/CHCoreGeneralConsent	Version: 7.0.0-ballot	Highlight text changes?
Active as of 2026-11-04		Computable Name: CHCoreGeneralConsent
Copyright/Legal: CC0-1.0

Specialization of CHCoreConsent for the Unimedsuisse Generalkonsent (GC).

How to read decision and provision

The CH Core General Consent follows the R5 Consent model, represented in R4 with cross-version extensions. In this model the decision (R4: Consent.modifierExtension:decision) is not the answer of the patient. It is the default rule, and each provision is an exception to that default:

The default decision of the consent is stated by the decision attribute (permit or deny) and provisions state the exceptions to the base decision.

Because Consent.provision (with code = GC and purpose = HRESCH) is mandatory in this profile, the provision always describes the activity of the General Consent: the further use of health-related data and samples for research. The answer of the patient (or legal representative) is therefore always the opposite of decision:

GC state status decision Meaning Example

GC accepted active deny deny by default, except research (HRESCH) which is permitted GC-accepted

GC denied active permit permit by default, except research (HRESCH) which is denied GC-denied

GC withdrawn / canceled inactive as recorded the consent no longer applies

unknown (no GC recorded yet) no Consent resource exists

GC state	`status`	`decision`	Meaning	Example
GC accepted	`active`	`deny`	deny by default, except research (HRESCH) which is permitted	GC-accepted
GC denied	`active`	`permit`	permit by default, except research (HRESCH) which is denied	GC-denied
GC withdrawn / canceled	`inactive`	as recorded	the consent no longer applies
unknown (no GC recorded yet)			no Consent resource exists

Do not interpret decision on its own. A receiver must always evaluate decision together with the provision: a decision of deny means that the General Consent has been accepted, a decision of permit means that it has been denied.

The default rule (decision) applies only within the context of the Consent, i.e. its scope (research) and its policy (the Unimedsuisse Generalkonsent). The default permit of a denied General Consent does therefore not grant any permission outside the General Consent and must not be read as a consent to other activities. Other consents (e.g. for a specific research project) have to be recorded in separate Consent resources.

Usages:

Examples for this Profile: Consent/GC-accepted and Consent/GC-denied

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description Differentials, Snapshots, and other representations.

Key Elements Table
Differential Table
Snapshot Table
Statistics/References
All

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Consent	C	0..*	CHCoreConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
Consent.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:period		0..1	Period	R5: Effective period for this Consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.period Constraints: ext-1
Consent.Slices for extension.extension:grantor		0..*	(Complex)	R5: Who is granting rights according to the policy and rules (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor Constraints: ext-1
Consent.Slices for extension.extension:grantor.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Consent.Slices for extension.extension:grantor.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor"
Consent.Slices for extension.extension:manager		0..*	(Complex)	R5: Consent workflow management (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager Constraints: ext-1
Consent.Slices for extension.extension:manager.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Consent.Slices for extension.extension:manager.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager"
Consent.Slices for extension.extension:controller		0..*	(Complex)	R5: Consent Enforcer (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller Constraints: ext-1
Consent.Slices for extension.extension:controller.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Consent.Slices for extension.extension:controller.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller"
Consent.Slices for extension.extension:policyText		0..*	Reference(Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) \| Media)	R5: Human Readable Policy (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.policyText Constraints: ext-1
Consent.Slices for modifierExtension	This element is a modifier element.	1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Consent.Slices for modifierExtension.modifierExtension:decision	This element is a modifier element.	1..1	code	deny = GC accepted \| permit = GC denied (provision states the exception) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.decision Binding: ConsentProvisionType (required): Sets the base decision for Consent to be either permit or deny, with provisions assumed to be a negation of the previous level. Constraints: ext-1
Consent.status	This element is a modifier element. This element is included in summaries.	1..1	code	active \| inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required)
Consent.status.Slices for extension				Content/Rules for all slices
Consent.status.Slices for extension.extension:status		0..1	code	R5: draft \| active \| inactive \| not-done \| entered-in-error \| unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.status Binding: R5ConsentStateCodesForR4 (0.1.0) (required): Indicates the state of the consent. Constraints: ext-1
Consent.scope	This element is a modifier element. This element is included in summaries.	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentscope", "code" : "research" } ] }`
Consent.category	This element is included in summaries.	1..*	CodeableConcept	Initial classification of consent, used with provision.code to identify consent types Binding: ConsentCategoriesVS (required)
Consent.patient	This element is included in summaries.	1..1	Reference(Patient)	The patient to whom this consent applies to
Consent.patient.Slices for extension				Content/Rules for all slices
Consent.patient.Slices for extension.extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
Consent.dateTime	This element is included in summaries.	1..1	dateTime	Date the consent entry was made (mandatory)
Consent.performer	This element is included in summaries.	0..*	Reference(Organization)	Grantee (Organization). HealthcareService grantees are NOT allowed in this profile.
Consent.performer.Slices for extension				Content/Rules for all slices
Consent.policy		1..1	BackboneElement	Backing policy (Unimedsuisse Generalkonsent)
Consent.policy.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Consent.policy.uri	C	1..1	uri	Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent (extensions allowed)
Consent.provision	This element is included in summaries.	1..1	BackboneElement	Exceptions/Constraints to the base decision
Consent.provision.Slices for extension				Content/Rules for all slices
Consent.provision.Slices for extension.extension:expression		0..1	Expression	R5: A computable expression of the consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.provision.expression Constraints: ext-1
Consent.provision.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Consent.provision.purpose	This element is included in summaries.	1..*	Coding	Context of activities covered by this provision (must be HRESCH) Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
Consent.provision.purpose.system	This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason (extensions allowed)
Consent.provision.purpose.code	This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Required Pattern: HRESCH (extensions allowed)
Consent.provision.code	This element is included in summaries.	1..*	CodeableConcept	Additional classification of consent, used with category to identify consent types Binding: ConsentProvisionCodesVS (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.status	Base	required	CH Core General Consent State	📦7.0.0-ballot	This IG
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	required	ConsentCategoriesVS	📦7.0.0-ballot	This IG
Consent.provision.purpose	Base	extensible	PurposeOfUse	📍3.1.0	THO v7.4
Consent.provision.code	Base	required	ConsentProvisionCodesVS	📦7.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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	Consent.implicitRules, Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status, Consent.status.extension:status, Consent.scope, Consent.category, Consent.patient, Consent.patient.extension:subject, Consent.dateTime, Consent.performer, Consent.policy, Consent.policy.modifierExtension, Consent.policy.uri, Consent.provision, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.purpose, Consent.provision.purpose.system, Consent.provision.purpose.code, Consent.provision.code	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status.extension:status, Consent.patient.extension:subject, Consent.policy.modifierExtension, Consent.provision.extension:expression, Consent.provision.modifierExtension	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 CHCoreConsent

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Consent	0..*	CHCoreConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Consent.Slices for modifierExtension			Content/Rules for all slices
Consent.Slices for modifierExtension.modifierExtension:decision	1..1	0.1.0	deny = GC accepted \| permit = GC denied (provision states the exception)
Consent.status	1..1	code	active \| inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required)
Consent.scope	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentscope", "code" : "research" } ] }`
Consent.dateTime	1..1	dateTime	Date the consent entry was made (mandatory)
Consent.performer	0..*	Reference(Organization)	Grantee (Organization). HealthcareService grantees are NOT allowed in this profile.
Consent.performer.Slices for extension			Content/Rules for all slices
Consent.performer.Slices for extension.extension:grantee	0..0		Forbidden: HealthcareService as grantee is excluded in the CH Core General Consent.
Consent.policy	1..1	BackboneElement	Backing policy (Unimedsuisse Generalkonsent)
Consent.policy.uri	1..1	uri	Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent (extensions allowed)
Consent.provision
Consent.provision.purpose	1..*	Coding	Context of activities covered by this provision (must be HRESCH)
Consent.provision.purpose.system	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason (extensions allowed)
Consent.provision.purpose.code	1..1	code	Symbol in syntax defined by the system Required Pattern: HRESCH (extensions allowed)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Consent.status	Base	required	CH Core General Consent State	📦7.0.0-ballot	This IG

Description & Constraints Filter:

Consent C 0..* CHCoreConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5

Consent.id This element is included in summaries. 0..1 id Logical id of this artifact

Consent.meta This element is included in summaries. 0..1 Meta Metadata about the resource

Consent.implicitRules This element is a modifier element. This element is included in summaries. 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

Consent.text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements

Consent.contained 0..* Resource Contained, inline Resources

Consent.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.Slices for extension.extension:period 0..1 Period R5: Effective period for this Consent (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.period
Constraints: ext-1

Consent.Slices for extension.extension:grantor 0..* (Complex) R5: Who is granting rights according to the policy and rules (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor
Constraints: ext-1

Consent.Slices for extension.extension:grantor.id 0..1 string Unique id for inter-element referencing

Consent.Slices for extension.extension:grantor.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.Slices for extension.extension:grantor.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor"

Consent.Slices for extension.extension:grantor.value[x] 0..1 Reference(Patient | RelatedPerson | Organization) Who is granting rights according to the policy and rules

Consent.Slices for extension.extension:manager 0..* (Complex) R5: Consent workflow management (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager
Constraints: ext-1

Consent.Slices for extension.extension:manager.id 0..1 string Unique id for inter-element referencing

Consent.Slices for extension.extension:manager.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.Slices for extension.extension:manager.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager"

Consent.Slices for extension.extension:manager.value[x] 0..1 Reference(HealthcareService) Consent workflow management

Consent.Slices for extension.extension:controller 0..* (Complex) R5: Consent Enforcer (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller
Constraints: ext-1

Consent.Slices for extension.extension:controller.id 0..1 string Unique id for inter-element referencing

Consent.Slices for extension.extension:controller.extension 0..0 Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.Slices for extension.extension:controller.url 1..1 uri "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller"

Consent.Slices for extension.extension:controller.value[x] 0..1 Reference(Organization) Consent Enforcer

Consent.Slices for extension.extension:policyText 0..* Reference(Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media) R5: Human Readable Policy (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.policyText
Constraints: ext-1

Consent.Slices for modifierExtension This element is a modifier element. 1..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.Slices for modifierExtension.modifierExtension:decision This element is a modifier element. 1..1 code deny = GC accepted | permit = GC denied (provision states the exception)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.decision
Binding: ConsentProvisionType (required): Sets the base decision for Consent to be either permit or deny, with provisions assumed to be a negation of the previous level.
Constraints: ext-1

Consent.identifier This element is included in summaries. 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}

Consent.status This element is a modifier element. This element is included in summaries. 1..1 code active | inactive (GC-specific subset of ConsentState)
Binding: CH Core General Consent State (required)

Consent.status.id 0..1 string xml:id (or equivalent in JSON)

Consent.status.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.status.Slices for extension.extension:status 0..1 code R5: draft | active | inactive | not-done | entered-in-error | unknown
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.status
Binding: R5ConsentStateCodesForR4 (0.1.0) (required): Indicates the state of the consent.
Constraints: ext-1

Consent.status.value 0..1 string Primitive value for code

scope

1..1

CodeableConcept

Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
Required Pattern:

{
  "coding" : [
    {
      "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
      "code" : "research"
    }
  ]
}

Consent.category This element is included in summaries. 1..* CodeableConcept Initial classification of consent, used with provision.code to identify consent types
Binding: ConsentCategoriesVS (required)

Consent.patient This element is included in summaries. 1..1 Reference(Patient) The patient to whom this consent applies to

Consent.patient.id 0..1 string Unique id for inter-element referencing

Consent.patient.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.patient.Slices for extension.extension:subject 0..1 Reference(Resource) R5: subject
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1

Consent.patient.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

Consent.patient.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

Consent.patient.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Consent.patient.display This element is included in summaries. 0..1 string Text alternative for the resource

Consent.dateTime This element is included in summaries. 1..1 dateTime Date the consent entry was made (mandatory)

Consent.performer This element is included in summaries. 0..* Reference(Organization) Grantee (Organization). HealthcareService grantees are NOT allowed in this profile.

Consent.performer.id 0..1 string Unique id for inter-element referencing

Consent.performer.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.performer.reference This element is included in summaries. C 0..1 string Literal reference, Relative, internal or absolute URL

Consent.performer.type This element is included in summaries. 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

Consent.performer.identifier This element is included in summaries. 0..1 Identifier Logical reference, when literal reference is not known

Consent.performer.display This element is included in summaries. 0..1 string Text alternative for the resource

Consent.organization This element is included in summaries. 0..* Reference(Organization) Custodian of the consent

Consent.source[x] This element is included in summaries. 0..1 Source from which this consent is taken

Consent.source[x].source[x]All Types Content/Rules for all Types

Consent.source[x].source[x]All Types.id 0..1 string Unique id for inter-element referencing

Consent.source[x].source[x]All Types.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.source[x].source[x]All Types.Slices for extension.extension:alternateReference 0..1 Reference(Resource) R5: sourceReference
URL: http://hl7.org/fhir/StructureDefinition/alternate-reference
Constraints: ext-1

Consent.source[x].sourceAttachment Attachment

Consent.source[x].sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)

Consent.policy 1..1 BackboneElement Backing policy (Unimedsuisse Generalkonsent)

Consent.policy.id 0..1 string Unique id for inter-element referencing

Consent.policy.extension 0..* Extension Additional content defined by implementations
Constraints: ext-1

Consent.policy.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

Consent.policy.authority C 0..1 uri Enforcement source for policy

Consent.policy.uri C 1..1 uri Specific policy covered by this consent
Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent (extensions allowed)

Consent.policyRule This element is included in summaries. C 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.

Consent.verification This element is included in summaries. 0..* BackboneElement Consent Verified by patient or family

Consent.verification.id 0..1 string Unique id for inter-element referencing

Consent.verification.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.verification.Slices for extension.extension:verificationType 0..1 CodeableConcept R5: Business case of verification (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verificationType
Binding: R5ConsentVerificationForR4 (0.1.0) (example): Types of Verification/Validation.
Constraints: ext-1

Consent.verification.Slices for extension.extension:verifiedBy 0..1 Reference(Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization | Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole) R5: Person conducting verification (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verifiedBy
Constraints: ext-1

Consent.verification.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

Consent.verification.verified This element is included in summaries. 1..1 boolean Has been verified

Consent.verification.verifiedWith 0..1 Reference(Patient | RelatedPerson) Person who verified

Consent.verification.verificationDate 0..1 dateTime When consent verified

Consent.provision This element is included in summaries. 1..1 BackboneElement Exceptions/Constraints to the base decision

Consent.provision.id 0..1 string Unique id for inter-element referencing

Consent.provision.Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
Constraints: ext-1

Consent.provision.Slices for extension.extension:expression 0..1 Expression R5: A computable expression of the consent (new)
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.provision.expression
Constraints: ext-1

Consent.provision.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

Consent.provision.type This element is included in summaries. 0..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

Consent.provision.period This element is included in summaries. 0..1 Period Timeframe for this rule

Consent.provision.actor 0..* BackboneElement Who|what controlled by this rule (or group, by role)

Consent.provision.actor.id 0..1 string Unique id for inter-element referencing

Consent.provision.actor.extension 0..* Extension Additional content defined by implementations
Constraints: ext-1

Consent.provision.actor.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

Consent.provision.actor.role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

Consent.provision.action This element is included in summaries. 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.

Consent.provision.securityLabel This element is included in summaries. 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.

Consent.provision.purpose This element is included in summaries. 1..* Coding Context of activities covered by this provision (must be HRESCH)
Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.

Consent.provision.purpose.id 0..1 string Unique id for inter-element referencing

Consent.provision.purpose.extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url

Consent.provision.purpose.system This element is included in summaries. 1..1 uri Identity of the terminology system
Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason (extensions allowed)

Consent.provision.purpose.version This element is included in summaries. 0..1 string Version of the system - if relevant

Consent.provision.purpose.code This element is included in summaries. 1..1 code Symbol in syntax defined by the system
Required Pattern: HRESCH (extensions allowed)

Consent.provision.purpose.display This element is included in summaries. 0..1 string Representation defined by the system

Consent.provision.purpose.userSelected This element is included in summaries. 0..1 boolean If this coding was chosen directly by the user

Consent.provision.class This element is included in summaries. 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.

Consent.provision.code This element is included in summaries. 1..* CodeableConcept Additional classification of consent, used with category to identify consent types
Binding: ConsentProvisionCodesVS (required)

Consent.provision.dataPeriod This element is included in summaries. 0..1 Period Timeframe for data controlled by this rule

Consent.provision.data This element is included in summaries. 0..* BackboneElement Data controlled by this rule

Consent.provision.data.id 0..1 string Unique id for inter-element referencing

Consent.provision.data.extension 0..* Extension Additional content defined by implementations
Constraints: ext-1

Consent.provision.data.modifierExtension This element is a modifier element. This element is included in summaries. 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1

Consent.provision.data.meaning This element is included in summaries. 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

Consent.provision.data.reference This element is included in summaries. 1..1 Reference(Resource) The actual data reference

Consent.provision.provision 0..* See provision (Consent) Nested Exception Rules

Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Consent.status	Base	required	CH Core General Consent State	📦7.0.0-ballot	This IG
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	required	ConsentCategoriesVS	📦7.0.0-ballot	This IG
Consent.patient.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Consent.performer.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	FHIR Std.
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	FHIR Std.
Consent.provision.actor.role	Base	extensible	SecurityRoleType	📍4.0.1	FHIR Std.
Consent.provision.action	Base	example	Consent Action Codes	📍4.0.1	FHIR Std.
Consent.provision.securityLabel	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Consent.provision.purpose	Base	extensible	PurposeOfUse	📍3.1.0	THO v7.4
Consent.provision.class	Base	extensible	Consent Content Class	📍4.0.1	FHIR Std.
Consent.provision.code	Base	required	ConsentProvisionCodesVS	📦7.0.0-ballot	This IG
Consent.provision.data.meaning	Base	required	ConsentDataMeaning	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
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	Consent.meta, Consent.implicitRules, Consent.language, Consent.text, Consent.extension, Consent.extension:period, Consent.extension:grantor, Consent.extension:grantor.value[x], Consent.extension:manager, Consent.extension:manager.value[x], Consent.extension:controller, Consent.extension:controller.value[x], Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.identifier, Consent.status, Consent.status.extension, Consent.status.extension:status, Consent.scope, Consent.category, Consent.patient, Consent.patient.extension, Consent.patient.extension:subject, Consent.patient.reference, Consent.patient.type, Consent.patient.identifier, Consent.patient.display, Consent.dateTime, Consent.performer, Consent.performer.extension, Consent.performer.reference, Consent.performer.type, Consent.performer.identifier, Consent.performer.display, Consent.organization, Consent.source[x], Consent.source[x].extension, Consent.source[x].extension:alternateReference, Consent.policy, Consent.policy.extension, Consent.policy.modifierExtension, Consent.policy.authority, Consent.policy.uri, Consent.policyRule, Consent.verification, Consent.verification.extension, Consent.verification.extension:verificationType, Consent.verification.extension:verifiedBy, Consent.verification.modifierExtension, Consent.verification.verified, Consent.verification.verifiedWith, Consent.verification.verificationDate, Consent.provision, Consent.provision.extension, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.period, Consent.provision.actor, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor.role, Consent.provision.actor.reference, Consent.provision.action, Consent.provision.securityLabel, Consent.provision.purpose, Consent.provision.purpose.extension, Consent.provision.purpose.system, Consent.provision.purpose.version, Consent.provision.purpose.code, Consent.provision.purpose.display, Consent.provision.purpose.userSelected, Consent.provision.class, Consent.provision.code, Consent.provision.dataPeriod, Consent.provision.data, Consent.provision.data.extension, Consent.provision.data.modifierExtension, Consent.provision.data.meaning, Consent.provision.data.reference, Consent.provision.provision	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	Consent.extension, Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status.extension, Consent.status.extension:status, Consent.patient.extension, Consent.patient.extension:subject, Consent.performer.extension, Consent.source[x].extension, Consent.source[x].extension:alternateReference, Consent.policy.extension, Consent.policy.modifierExtension, Consent.verification.extension, Consent.verification.extension:verificationType, Consent.verification.extension:verifiedBy, Consent.verification.modifierExtension, Consent.provision.extension, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.purpose.extension, Consent.provision.data.extension, Consent.provision.data.modifierExtension	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 CHCoreConsent

Summary

Mandatory: 6 elements
Prohibited: 1 element

Key Elements View

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Consent	C	0..*	CHCoreConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
Consent.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.Slices for extension				Content/Rules for all slices
Consent.Slices for extension.extension:period		0..1	Period	R5: Effective period for this Consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.period Constraints: ext-1
Consent.Slices for extension.extension:grantor		0..*	(Complex)	R5: Who is granting rights according to the policy and rules (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor Constraints: ext-1
Consent.Slices for extension.extension:grantor.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Consent.Slices for extension.extension:grantor.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor"
Consent.Slices for extension.extension:manager		0..*	(Complex)	R5: Consent workflow management (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager Constraints: ext-1
Consent.Slices for extension.extension:manager.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Consent.Slices for extension.extension:manager.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager"
Consent.Slices for extension.extension:controller		0..*	(Complex)	R5: Consent Enforcer (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller Constraints: ext-1
Consent.Slices for extension.extension:controller.extension		0..0		Extension Slice: Unordered, Open by value:url Constraints: ext-1
Consent.Slices for extension.extension:controller.url		1..1	uri	"http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller"
Consent.Slices for extension.extension:policyText		0..*	Reference(Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) \| Media)	R5: Human Readable Policy (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.policyText Constraints: ext-1
Consent.Slices for modifierExtension	This element is a modifier element.	1..*	Extension	Extension Slice: Unordered, Open by value:url Constraints: ext-1
Consent.Slices for modifierExtension.modifierExtension:decision	This element is a modifier element.	1..1	code	deny = GC accepted \| permit = GC denied (provision states the exception) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.decision Binding: ConsentProvisionType (required): Sets the base decision for Consent to be either permit or deny, with provisions assumed to be a negation of the previous level. Constraints: ext-1
Consent.status	This element is a modifier element. This element is included in summaries.	1..1	code	active \| inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required)
Consent.status.Slices for extension				Content/Rules for all slices
Consent.status.Slices for extension.extension:status		0..1	code	R5: draft \| active \| inactive \| not-done \| entered-in-error \| unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.status Binding: R5ConsentStateCodesForR4 (0.1.0) (required): Indicates the state of the consent. Constraints: ext-1
Consent.scope	This element is a modifier element. This element is included in summaries.	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentscope", "code" : "research" } ] }`
Consent.category	This element is included in summaries.	1..*	CodeableConcept	Initial classification of consent, used with provision.code to identify consent types Binding: ConsentCategoriesVS (required)
Consent.patient	This element is included in summaries.	1..1	Reference(Patient)	The patient to whom this consent applies to
Consent.patient.Slices for extension				Content/Rules for all slices
Consent.patient.Slices for extension.extension:subject		0..1	Reference(Resource)	R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1
Consent.dateTime	This element is included in summaries.	1..1	dateTime	Date the consent entry was made (mandatory)
Consent.performer	This element is included in summaries.	0..*	Reference(Organization)	Grantee (Organization). HealthcareService grantees are NOT allowed in this profile.
Consent.performer.Slices for extension				Content/Rules for all slices
Consent.policy		1..1	BackboneElement	Backing policy (Unimedsuisse Generalkonsent)
Consent.policy.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Consent.policy.uri	C	1..1	uri	Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent (extensions allowed)
Consent.provision	This element is included in summaries.	1..1	BackboneElement	Exceptions/Constraints to the base decision
Consent.provision.Slices for extension				Content/Rules for all slices
Consent.provision.Slices for extension.extension:expression		0..1	Expression	R5: A computable expression of the consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.provision.expression Constraints: ext-1
Consent.provision.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
Consent.provision.purpose	This element is included in summaries.	1..*	Coding	Context of activities covered by this provision (must be HRESCH) Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
Consent.provision.purpose.system	This element is included in summaries.	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason (extensions allowed)
Consent.provision.purpose.code	This element is included in summaries.	1..1	code	Symbol in syntax defined by the system Required Pattern: HRESCH (extensions allowed)
Consent.provision.code	This element is included in summaries.	1..*	CodeableConcept	Additional classification of consent, used with category to identify consent types Binding: ConsentProvisionCodesVS (required)
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.status	Base	required	CH Core General Consent State	📦7.0.0-ballot	This IG
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	required	ConsentCategoriesVS	📦7.0.0-ballot	This IG
Consent.provision.purpose	Base	extensible	PurposeOfUse	📍3.1.0	THO v7.4
Consent.provision.code	Base	required	ConsentProvisionCodesVS	📦7.0.0-ballot	This IG

Constraints

Id	Grade	Path(s)	Description	Expression
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	Consent.implicitRules, Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status, Consent.status.extension:status, Consent.scope, Consent.category, Consent.patient, Consent.patient.extension:subject, Consent.dateTime, Consent.performer, Consent.policy, Consent.policy.modifierExtension, Consent.policy.uri, Consent.provision, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.purpose, Consent.provision.purpose.system, Consent.provision.purpose.code, Consent.provision.code	All FHIR elements must have a @value or children	`hasValue() or (children().count() > id.count())`
ext-1	error	Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status.extension:status, Consent.patient.extension:subject, Consent.policy.modifierExtension, Consent.provision.extension:expression, Consent.provision.modifierExtension	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()`

Differential View

This structure is derived from CHCoreConsent

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Consent	0..*	CHCoreConsent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Consent.Slices for modifierExtension			Content/Rules for all slices
Consent.Slices for modifierExtension.modifierExtension:decision	1..1	0.1.0	deny = GC accepted \| permit = GC denied (provision states the exception)
Consent.status	1..1	code	active \| inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required)
Consent.scope	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Required Pattern: `{ "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentscope", "code" : "research" } ] }`
Consent.dateTime	1..1	dateTime	Date the consent entry was made (mandatory)
Consent.performer	0..*	Reference(Organization)	Grantee (Organization). HealthcareService grantees are NOT allowed in this profile.
Consent.performer.Slices for extension			Content/Rules for all slices
Consent.performer.Slices for extension.extension:grantee	0..0		Forbidden: HealthcareService as grantee is excluded in the CH Core General Consent.
Consent.policy	1..1	BackboneElement	Backing policy (Unimedsuisse Generalkonsent)
Consent.policy.uri	1..1	uri	Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent (extensions allowed)
Consent.provision
Consent.provision.purpose	1..*	Coding	Context of activities covered by this provision (must be HRESCH)
Consent.provision.purpose.system	1..1	uri	Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason (extensions allowed)
Consent.provision.purpose.code	1..1	code	Symbol in syntax defined by the system Required Pattern: HRESCH (extensions allowed)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Consent.status	Base	required	CH Core General Consent State	📦7.0.0-ballot	This IG

Snapshot ViewView