Australian Digital Health Agency FHIR Implementation Guide
1.2.0-ci-build - draft Australia flag

Australian Digital Health Agency FHIR Implementation Guide, published by Australian Digital Health Agency. This guide is not an authorized publication; it is the continuous build for version 1.2.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/AuDigitalHealth/ci-fhir-r4/ and changes regularly. See the Directory of published versions

Resource Profile: ADHAConsentAODR - Detailed Descriptions

Active as of 2024-09-12

Definitions for the dh-consent-aodr-1 resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Consent
Definition

Describes the organ and tissue donation decisions made by an individual as held on the Australian Organ Donor Register

ShortRecord of organ and tissue donation decision held by the Australian Organ Donor Register
2. Consent.extension
SlicingThis element introduces a set of slices on Consent.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
  • value @ url
  • 4. Consent.extension:dateInitialRegistration
    Slice NamedateInitialRegistration
    Control0..1
    TypeExtension(Date of Initial Registration) (Extension Type: dateTime)
    Must Supporttrue
    6. Consent.identifier
    NoteThis is a business identifier, not a resource identifier (see discussion)
    Control1..?
    Must Supporttrue
    8. Consent.status
    Must Supporttrue
    Fixed Valueactive
    10. Consent.scope
    Must Supporttrue
    Pattern Value{
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
        "code" : "adr"
      }]
    }
    12. Consent.category
    Control1..?
    Must Supporttrue
    SlicingThis element introduces a set of slices on Consent.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
    • pattern @ $this
    • 14. Consent.category:health
      Slice Namehealth
      ShortConsent for healthcare service, procedure, or activity
      Control1..1
      Pattern Value{
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "59284-0"
        }]
      }
      16. Consent.category:aodr
      Slice Nameaodr
      ShortOrgan donation consent
      Control1..1
      Pattern Value{
        "coding" : [{
          "system" : "http://loinc.org",
          "code" : "64300-7"
        }]
      }
      18. Consent.patient
      Control1..?
      This element is affected by the following invariants: inv-dh-cons-aodr-01
      TypeReference(ADHA Core Patient)
      Must Supporttrue
      Invariantsinv-dh-cons-aodr-01: At least reference or a valid identifier shall be present (reference.exists() or identifier.where(system.count() + value.count() >1).exists())
      20. Consent.dateTime
      Control1..?
      This element is affected by the following invariants: inv-dh-cons-aodr-03
      Must Supporttrue
      Invariantsinv-dh-cons-aodr-03: Date shall be at least to day (toString().length() >= 10)
      22. Consent.performer
      Definition

      The entity responsible for granting the rights listed in a consent record.

      ShortGrantor of consent
      Comments

      In the context of the Australian Organ Donor Register, the patient is the grantor of consent.

      Control1..1
      This element is affected by the following invariants: inv-dh-cons-aodr-04
      TypeReference(ADHA Core Patient)
      Must Supporttrue
      Invariantsinv-dh-cons-aodr-04: At least reference or a valid identifier shall be present (reference.exists() or identifier.where(system.count() + value.count() >1).exists())
      24. Consent.organization
      Comments

      This consent record is managed by Services Australia via the Medicare Australia repository services operator.

      Control1..1
      This element is affected by the following invariants: inv-dh-cons-aodr-05
      TypeReference(ADHA Core Organization)
      Must Supporttrue
      Invariantsinv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present (reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists())
      26. Consent.policy
      ShortAustralian Organ Donor Register
      Control1..1
      Must Supporttrue
      28. Consent.policy.authority
      Must Supporttrue
      Fixed Valuehttp://australianorgandonorregister.gov.au
      30. Consent.policy.uri
      Control1..?
      Must Supporttrue
      Fixed Valuehttp://www.australianorgandonorregister.gov.au/aodr
      32. Consent.provision
      Definition

      Individual's decision about donation.

      ShortIndividual's decision about donation
      Control1..?
      This element is affected by the following invariants: inv-dh-cons-aodr-02
      Must Supporttrue
      Invariantsinv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited (provision.exists() xor (type='deny'))
      34. Consent.provision.type
      Control1..?
      Must Supporttrue
      36. Consent.provision.action
      ShortRemoval of organ or tissue for donation
      Control1..1
      Must Supporttrue
      Pattern Value{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "53958007"
        }]
      }
      38. Consent.provision.provision
      Definition

      Individual's decision about donation of specific organ or tissue.

      ShortIndividual's decision about donation of specific organ or tissue
      Must Supporttrue
      40. Consent.provision.provision.type
      Control1..?
      Must Supporttrue
      42. Consent.provision.provision.action
      ShortRemoval of organ or tissue for donation
      Control1..1
      Must Supporttrue
      Pattern Value{
        "coding" : [{
          "system" : "http://snomed.info/sct",
          "code" : "53958007"
        }]
      }
      44. Consent.provision.provision.data
      Definition

      The organ or tissue that is the target of the donation decision.

      ShortThe organ or tissue that is the target of the donation decision
      Control1..1
      Must Supporttrue
      46. Consent.provision.provision.data.meaning
      Fixed Valueinstance
      48. Consent.provision.provision.data.reference
      TypeReference(ADHA Organ or Tissue for Donation BodyStructure)
      Must Supporttrue
      50. Consent.provision.provision.data.reference.reference
      Control1..?

      Guidance on how to interpret the contents of this table can be found here

      0. Consent
      Definition

      Describes the organ and tissue donation decisions made by an individual as held on the Australian Organ Donor Register


      A record of a healthcare consumer’s choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.

      ShortRecord of organ and tissue donation decision held by the Australian Organ Donor RegisterA healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
      Comments

      Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.

      Control0..*
      Is Modifierfalse
      Summaryfalse
      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
      dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
      dom-6: A resource should have narrative for robust management (text.`div`.exists())
      ppc-1: Either a Policy or PolicyRule (policy.exists() or policyRule.exists())
      ppc-2: IF Scope=privacy, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not())
      ppc-3: IF Scope=research, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='research').exists().not())
      ppc-4: IF Scope=adr, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='adr').exists().not())
      ppc-5: IF Scope=treatment, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not())
      ppc-1: Either a Policy or PolicyRule (policy.exists() or policyRule.exists())
      ppc-2: IF Scope=privacy, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not())
      ppc-3: IF Scope=research, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='research').exists().not())
      ppc-4: IF Scope=adr, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='adr').exists().not())
      ppc-5: IF Scope=treatment, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not())
      2. Consent.implicitRules
      Definition

      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

      ShortA set of rules under which this content was created
      Comments

      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

      Control0..1
      Typeuri
      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Summarytrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      4. Consent.extension
      Definition

      An Extension


      May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      ShortExtensionAdditional content defined by implementations
      Comments

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is Modifierfalse
      Summaryfalse
      Alternate Namesextensions, user content
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
      SlicingThis element introduces a set of slices on Consent.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
      • value @ url
      • 6. Consent.extension:dateInitialRegistration
        Slice NamedateInitialRegistration
        Definition

        The date an individual first registered, for example in the context of an organ donor register this date is not updated if a consent decision or provision is changed.

        ShortDate the individual first registered
        Control0..1
        This element is affected by the following invariants: ele-1
        TypeExtension(Date of Initial Registration) (Extension Type: dateTime)
        Is Modifierfalse
        Must Supporttrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        8. Consent.modifierExtension
        Definition

        May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

        Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

        ShortExtensions that cannot be ignored
        Comments

        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

        Control0..*
        TypeExtension
        Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
        Summaryfalse
        Requirements

        Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

        Alternate Namesextensions, user content
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
        10. Consent.identifier
        Definition

        Unique identifier for this copy of the Consent Statement.

        ShortIdentifier for this record (external references)
        Comments

        This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.

        NoteThis is a business identifier, not a resource identifier (see discussion)
        Control10..*
        TypeIdentifier
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Example<br/><b>General</b>:{ "system" : "http://acme.org/identifier/local/eCMS", "value" : "Local eCMS identifier" }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        12. Consent.status
        Definition

        Indicates the current state of this consent.

        Shortdraft | proposed | active | rejected | inactive | entered-in-error
        Comments

        This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.

        Control1..1
        BindingThe codes SHALL be taken from ConsentStatehttp://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
        (required to http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1)

        Indicates the state of the consent.

        Typecode
        Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
        Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
        Must Supporttrue
        Summarytrue
        Requirements

        The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.

        Fixed Valueactive
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        14. Consent.scope
        Definition

        A selector of the type of consent being presented: ADR, Privacy, Treatment, Research. This list is now extensible.

        ShortWhich of the four areas this resource covers (extensible)
        Control1..1
        BindingUnless not suitable, these codes SHALL be taken from ConsentScopeCodeshttp://hl7.org/fhir/ValueSet/consent-scope
        (extensible to http://hl7.org/fhir/ValueSet/consent-scope)

        The four anticipated uses for the Consent Resource.

        TypeCodeableConcept
        Is Modifiertrue because Allows changes to codes based on scope selection
        Must Supporttrue
        Summarytrue
        Pattern Value{
          "coding" : [{
            "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
            "code" : "adr"
          }]
        }
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        16. Consent.category
        Definition

        A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

        ShortClassification of the consent statement - for indexing/retrieval
        Control1..*
        BindingUnless not suitable, these codes SHALL be taken from ConsentCategoryCodeshttp://hl7.org/fhir/ValueSet/consent-category
        (extensible to http://hl7.org/fhir/ValueSet/consent-category)

        A classification of the type of consents found in a consent statement.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Summarytrue
        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        SlicingThis element introduces a set of slices on Consent.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
        • pattern @ $this
        • 18. Consent.category:health
          Slice Namehealth
          Definition

          A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

          ShortConsent for healthcare service, procedure, or activityClassification of the consent statement - for indexing/retrieval
          Control1..1*
          BindingUnless not suitable, these codes SHALL be taken from ConsentCategoryCodeshttp://hl7.org/fhir/ValueSet/consent-category
          (extensible to http://hl7.org/fhir/ValueSet/consent-category)

          A classification of the type of consents found in a consent statement.

          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Pattern Value{
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "59284-0"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          20. Consent.category:aodr
          Slice Nameaodr
          Definition

          A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

          ShortOrgan donation consentClassification of the consent statement - for indexing/retrieval
          Control1..1*
          BindingUnless not suitable, these codes SHALL be taken from ConsentCategoryCodeshttp://hl7.org/fhir/ValueSet/consent-category
          (extensible to http://hl7.org/fhir/ValueSet/consent-category)

          A classification of the type of consents found in a consent statement.

          TypeCodeableConcept
          Is Modifierfalse
          Summarytrue
          Pattern Value{
            "coding" : [{
              "system" : "http://loinc.org",
              "code" : "64300-7"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          22. Consent.patient
          Definition

          The patient/healthcare consumer to whom this consent applies.

          ShortWho the consent applies to
          Comments

          Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.

          Control10..1
          This element is affected by the following invariants: inv-dh-cons-aodr-01
          TypeReference(ADHA Core Patient, Patient)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          inv-dh-cons-aodr-01: At least reference or a valid identifier shall be present (reference.exists() or identifier.where(system.count() + value.count() >1).exists())
          24. Consent.dateTime
          Definition

          When this Consent was issued / created / indexed.

          ShortWhen this Consent was created or indexed
          Comments

          This is not the time of the original consent, but the time that this statement was made or derived.

          Control10..1
          This element is affected by the following invariants: inv-dh-cons-aodr-03
          TypedateTime
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          inv-dh-cons-aodr-03: Date shall be at least to day (toString().length() >= 10)
          26. Consent.performer
          Definition

          The entity responsible for granting the rights listed in a consent record.


          Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.

          ShortGrantor of consentWho is agreeing to the policy and rules
          Comments

          In the context of the Australian Organ Donor Register, the patient is the grantor of consent.


          Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.

          Control10..1*
          This element is affected by the following invariants: inv-dh-cons-aodr-04
          TypeReference(ADHA Core Patient, Organization, Patient, Practitioner, RelatedPerson, PractitionerRole)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Alternate Namesconsentor
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          inv-dh-cons-aodr-04: At least reference or a valid identifier shall be present (reference.exists() or identifier.where(system.count() + value.count() >1).exists())
          28. Consent.organization
          Definition

          The organization that manages the consent, and the framework within which it is executed.

          ShortCustodian of the consent
          Comments

          This consent record is managed by Services Australia via the Medicare Australia repository services operator.

          Control10..1*
          This element is affected by the following invariants: inv-dh-cons-aodr-05
          TypeReference(ADHA Core Organization, Organization)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Alternate Namescustodian
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          inv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present (reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists())
          30. Consent.policy
          Definition

          The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

          ShortAustralian Organ Donor RegisterPolicies covered by this consent
          Control10..1*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          32. Consent.policy.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          34. Consent.policy.authority
          Definition

          Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives.

          ShortEnforcement source for policy
          Control0..1
          This element is affected by the following invariants: ppc-1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summaryfalse
          Fixed Valuehttp://australianorgandonorregister.gov.au
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          36. Consent.policy.uri
          Definition

          The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

          ShortSpecific policy covered by this consent
          Comments

          This element is for discoverability / documentation and does not modify or qualify the policy rules.

          Control10..1
          This element is affected by the following invariants: ppc-1
          Typeuri
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summaryfalse
          Fixed Valuehttp://www.australianorgandonorregister.gov.au/aodr
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          38. Consent.provision
          Definition

          Individual's decision about donation.


          An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.

          ShortIndividual's decision about donationConstraints to the base Consent.policyRule
          Control10..1
          This element is affected by the following invariants: inv-dh-cons-aodr-02
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          inv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited (provision.exists() xor (type='deny'))
          40. Consent.provision.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          42. Consent.provision.type
          Definition

          Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.

          Shortdeny | permit
          Control10..1
          BindingThe codes SHALL be taken from ConsentProvisionTypehttp://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
          (required to http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1)

          How a rule statement is applied, such as adding additional consent or removing consent.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          44. Consent.provision.action
          Definition

          Actions controlled by this Rule.

          ShortRemoval of organ or tissue for donationActions controlled by this rule
          Comments

          Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.

          Control10..1*
          BindingFor example codes, see ConsentActionCodeshttp://hl7.org/fhir/ValueSet/consent-action
          (example to http://hl7.org/fhir/ValueSet/consent-action)

          Detailed codes for the consent action.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Meaning if Missingall actions
          Pattern Value{
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "53958007"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          46. Consent.provision.provision
          Definition

          Individual's decision about donation of specific organ or tissue.


          Rules which provide exceptions to the base rule or subrules.

          ShortIndividual's decision about donation of specific organ or tissueNested Exception Rules
          Control0..*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          48. Consent.provision.provision.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          50. Consent.provision.provision.type
          Definition

          Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.

          Shortdeny | permit
          Control10..1
          BindingThe codes SHALL be taken from ConsentProvisionTypehttp://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
          (required to http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1)

          How a rule statement is applied, such as adding additional consent or removing consent.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          52. Consent.provision.provision.action
          Definition

          Actions controlled by this Rule.

          ShortRemoval of organ or tissue for donationActions controlled by this rule
          Comments

          Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.

          Control10..1*
          BindingFor example codes, see ConsentActionCodeshttp://hl7.org/fhir/ValueSet/consent-action
          (example to http://hl7.org/fhir/ValueSet/consent-action)

          Detailed codes for the consent action.

          TypeCodeableConcept
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Meaning if Missingall actions
          Pattern Value{
            "coding" : [{
              "system" : "http://snomed.info/sct",
              "code" : "53958007"
            }]
          }
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          54. Consent.provision.provision.data
          Definition

          The organ or tissue that is the target of the donation decision.


          The resources controlled by this rule if specific resources are referenced.

          ShortThe organ or tissue that is the target of the donation decisionData controlled by this rule
          Control10..1*
          TypeBackboneElement
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Meaning if Missingall data
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          56. Consent.provision.provision.data.modifierExtension
          Definition

          May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

          Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

          ShortExtensions that cannot be ignored even if unrecognized
          Comments

          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

          Control0..*
          TypeExtension
          Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
          Summarytrue
          Requirements

          Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

          Alternate Namesextensions, user content, modifiers
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          58. Consent.provision.provision.data.meaning
          Definition

          How the resource reference is interpreted when testing consent restrictions.

          Shortinstance | related | dependents | authoredby
          Control1..1
          BindingThe codes SHALL be taken from ConsentDataMeaninghttp://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
          (required to http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1)

          How a resource reference is interpreted when testing consent restrictions.

          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Fixed Valueinstance
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          60. Consent.provision.provision.data.reference
          Definition

          A reference to a specific resource that defines which resources are covered by this consent.

          ShortThe actual data reference
          Control1..1
          TypeReference(ADHA Organ or Tissue for Donation BodyStructure, Resource)
          Is Modifierfalse
          Must Supporttrue
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          62. Consent.provision.provision.data.reference.reference
          Definition

          A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

          ShortLiteral reference, Relative, internal or absolute URL
          Comments

          Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

          Control10..1
          This element is affected by the following invariants: ref-1
          Typestring
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

          Guidance on how to interpret the contents of this table can be found here

          0. Consent
          Definition

          Describes the organ and tissue donation decisions made by an individual as held on the Australian Organ Donor Register

          ShortRecord of organ and tissue donation decision held by the Australian Organ Donor Register
          Comments

          Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.

          Control0..*
          Is Modifierfalse
          Summaryfalse
          Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
          dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
          dom-6: A resource should have narrative for robust management (text.`div`.exists())
          ppc-1: Either a Policy or PolicyRule (policy.exists() or policyRule.exists())
          ppc-2: IF Scope=privacy, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not())
          ppc-3: IF Scope=research, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='research').exists().not())
          ppc-4: IF Scope=adr, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='adr').exists().not())
          ppc-5: IF Scope=treatment, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not())
          2. Consent.id
          Definition

          The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

          ShortLogical id of this artifact
          Comments

          The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

          Control0..1
          Typeid
          Is Modifierfalse
          Summarytrue
          4. Consent.meta
          Definition

          The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

          ShortMetadata about the resource
          Control0..1
          TypeMeta
          Is Modifierfalse
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          6. Consent.implicitRules
          Definition

          A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

          ShortA set of rules under which this content was created
          Comments

          Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

          Control0..1
          Typeuri
          Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summarytrue
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          8. Consent.language
          Definition

          The base language in which the resource is written.

          ShortLanguage of the resource content
          Comments

          Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

          Control0..1
          BindingThe codes SHOULD be taken from CommonLanguages
          (preferred to http://hl7.org/fhir/ValueSet/languages)

          A human language.

          Additional BindingsPurpose
          AllLanguagesMax Binding
          Typecode
          Is Modifierfalse
          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          10. Consent.text
          Definition

          A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

          ShortText summary of the resource, for human interpretation
          Comments

          Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

          Control0..1
          TypeNarrative
          Is Modifierfalse
          Summaryfalse
          Alternate Namesnarrative, html, xhtml, display
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          12. Consent.contained
          Definition

          These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

          ShortContained, inline Resources
          Comments

          This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

          Control0..*
          TypeResource
          Is Modifierfalse
          Summaryfalse
          Alternate Namesinline resources, anonymous resources, contained resources
          14. Consent.extension
          Definition

          An Extension

          ShortExtension
          Control0..*
          TypeExtension
          Is Modifierfalse
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
          SlicingThis element introduces a set of slices on Consent.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
          • value @ url
          • 16. Consent.extension:dateInitialRegistration
            Slice NamedateInitialRegistration
            Definition

            The date an individual first registered, for example in the context of an organ donor register this date is not updated if a consent decision or provision is changed.

            ShortDate the individual first registered
            Control0..1
            This element is affected by the following invariants: ele-1
            TypeExtension(Date of Initial Registration) (Extension Type: dateTime)
            Is Modifierfalse
            Must Supporttrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            18. Consent.modifierExtension
            Definition

            May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

            Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

            ShortExtensions that cannot be ignored
            Comments

            There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

            Control0..*
            TypeExtension
            Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
            Summaryfalse
            Requirements

            Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

            Alternate Namesextensions, user content
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
            20. Consent.identifier
            Definition

            Unique identifier for this copy of the Consent Statement.

            ShortIdentifier for this record (external references)
            Comments

            This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.

            NoteThis is a business identifier, not a resource identifier (see discussion)
            Control1..*
            TypeIdentifier
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Example<br/><b>General</b>:{ "system" : "http://acme.org/identifier/local/eCMS", "value" : "Local eCMS identifier" }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            22. Consent.status
            Definition

            Indicates the current state of this consent.

            Shortdraft | proposed | active | rejected | inactive | entered-in-error
            Comments

            This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.

            Control1..1
            BindingThe codes SHALL be taken from ConsentState
            (required to http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1)

            Indicates the state of the consent.

            Typecode
            Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Summarytrue
            Requirements

            The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.

            Fixed Valueactive
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            24. Consent.scope
            Definition

            A selector of the type of consent being presented: ADR, Privacy, Treatment, Research. This list is now extensible.

            ShortWhich of the four areas this resource covers (extensible)
            Control1..1
            BindingUnless not suitable, these codes SHALL be taken from ConsentScopeCodes
            (extensible to http://hl7.org/fhir/ValueSet/consent-scope)

            The four anticipated uses for the Consent Resource.

            TypeCodeableConcept
            Is Modifiertrue because Allows changes to codes based on scope selection
            Must Supporttrue
            Summarytrue
            Pattern Value{
              "coding" : [{
                "system" : "http://terminology.hl7.org/CodeSystem/consentscope",
                "code" : "adr"
              }]
            }
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            26. Consent.category
            Definition

            A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

            ShortClassification of the consent statement - for indexing/retrieval
            Control1..*
            BindingUnless not suitable, these codes SHALL be taken from ConsentCategoryCodes
            (extensible to http://hl7.org/fhir/ValueSet/consent-category)

            A classification of the type of consents found in a consent statement.

            TypeCodeableConcept
            Is Modifierfalse
            Must Supporttrue
            Summarytrue
            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            SlicingThis element introduces a set of slices on Consent.category. The slices areUnordered and Open, and can be differentiated using the following discriminators:
            • pattern @ $this
            • 28. Consent.category:health
              Slice Namehealth
              Definition

              A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

              ShortConsent for healthcare service, procedure, or activity
              Control1..1
              BindingUnless not suitable, these codes SHALL be taken from ConsentCategoryCodes
              (extensible to http://hl7.org/fhir/ValueSet/consent-category)

              A classification of the type of consents found in a consent statement.

              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Pattern Value{
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "59284-0"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              30. Consent.category:aodr
              Slice Nameaodr
              Definition

              A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

              ShortOrgan donation consent
              Control1..1
              BindingUnless not suitable, these codes SHALL be taken from ConsentCategoryCodes
              (extensible to http://hl7.org/fhir/ValueSet/consent-category)

              A classification of the type of consents found in a consent statement.

              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Pattern Value{
                "coding" : [{
                  "system" : "http://loinc.org",
                  "code" : "64300-7"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              32. Consent.patient
              Definition

              The patient/healthcare consumer to whom this consent applies.

              ShortWho the consent applies to
              Comments

              Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.

              Control1..1
              This element is affected by the following invariants: inv-dh-cons-aodr-01
              TypeReference(ADHA Core Patient)
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-dh-cons-aodr-01: At least reference or a valid identifier shall be present (reference.exists() or identifier.where(system.count() + value.count() >1).exists())
              34. Consent.dateTime
              Definition

              When this Consent was issued / created / indexed.

              ShortWhen this Consent was created or indexed
              Comments

              This is not the time of the original consent, but the time that this statement was made or derived.

              Control1..1
              This element is affected by the following invariants: inv-dh-cons-aodr-03
              TypedateTime
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-dh-cons-aodr-03: Date shall be at least to day (toString().length() >= 10)
              36. Consent.performer
              Definition

              The entity responsible for granting the rights listed in a consent record.

              ShortGrantor of consent
              Comments

              In the context of the Australian Organ Donor Register, the patient is the grantor of consent.

              Control1..1
              This element is affected by the following invariants: inv-dh-cons-aodr-04
              TypeReference(ADHA Core Patient)
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Alternate Namesconsentor
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-dh-cons-aodr-04: At least reference or a valid identifier shall be present (reference.exists() or identifier.where(system.count() + value.count() >1).exists())
              38. Consent.organization
              Definition

              The organization that manages the consent, and the framework within which it is executed.

              ShortCustodian of the consent
              Comments

              This consent record is managed by Services Australia via the Medicare Australia repository services operator.

              Control1..1
              This element is affected by the following invariants: inv-dh-cons-aodr-05
              TypeReference(ADHA Core Organization)
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Alternate Namescustodian
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present (reference.exists() or display.exists() or identifier.where(system.count() + value.count() >1).exists())
              40. Consent.source[x]
              Definition

              The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.

              ShortSource from which this consent is taken
              Comments

              The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.

              Control0..1
              TypeChoice of: Attachment, Reference(Consent, DocumentReference, Contract, QuestionnaireResponse)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              42. Consent.policy
              Definition

              The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

              ShortAustralian Organ Donor Register
              Control1..1
              TypeBackboneElement
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              44. Consent.policy.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              46. Consent.policy.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              48. Consent.policy.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              50. Consent.policy.authority
              Definition

              Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives.

              ShortEnforcement source for policy
              Control0..1
              This element is affected by the following invariants: ppc-1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summaryfalse
              Fixed Valuehttp://australianorgandonorregister.gov.au
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              52. Consent.policy.uri
              Definition

              The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

              ShortSpecific policy covered by this consent
              Comments

              This element is for discoverability / documentation and does not modify or qualify the policy rules.

              Control1..1
              This element is affected by the following invariants: ppc-1
              Typeuri
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summaryfalse
              Fixed Valuehttp://www.australianorgandonorregister.gov.au/aodr
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              54. Consent.policyRule
              Definition

              A reference to the specific base computable regulation or policy.

              ShortRegulation that this consents to
              Comments

              If the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource.

              Control0..1
              This element is affected by the following invariants: ppc-1
              BindingUnless not suitable, these codes SHALL be taken from ConsentPolicyRuleCodes
              (extensible to http://hl7.org/fhir/ValueSet/consent-policy)

              Regulatory policy examples.

              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Requirements

              Might be a unique identifier of a policy set in XACML, or other rules engine.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              56. Consent.verification
              Definition

              Whether a treatment instruction (e.g. artificial respiration yes or no) was verified with the patient, his/her family or another authorized person.

              ShortConsent Verified by patient or family
              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              58. Consent.verification.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              60. Consent.verification.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              62. Consent.verification.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              64. Consent.verification.verified
              Definition

              Has the instruction been verified.

              ShortHas been verified
              Control1..1
              Typeboolean
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              66. Consent.verification.verifiedWith
              Definition

              Who verified the instruction (Patient, Relative or other Authorized Person).

              ShortPerson who verified
              Control0..1
              TypeReference(Patient, RelatedPerson)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              68. Consent.verification.verificationDate
              Definition

              Date verification was collected.

              ShortWhen consent verified
              Control0..1
              TypedateTime
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              70. Consent.provision
              Definition

              Individual's decision about donation.

              ShortIndividual's decision about donation
              Control1..1
              This element is affected by the following invariants: inv-dh-cons-aodr-02
              TypeBackboneElement
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              inv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited (provision.exists() xor (type='deny'))
              72. Consent.provision.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              74. Consent.provision.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              76. Consent.provision.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              78. Consent.provision.type
              Definition

              Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.

              Shortdeny | permit
              Control1..1
              BindingThe codes SHALL be taken from ConsentProvisionType
              (required to http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1)

              How a rule statement is applied, such as adding additional consent or removing consent.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              80. Consent.provision.period
              Definition

              The timeframe in this rule is valid.

              ShortTimeframe for this rule
              Control0..1
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              82. Consent.provision.actor
              Definition

              Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').

              ShortWho|what controlled by this rule (or group, by role)
              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Meaning if MissingThere is no specific actor associated with the exception
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              84. Consent.provision.actor.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              86. Consent.provision.actor.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              88. Consent.provision.actor.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              90. Consent.provision.actor.role
              Definition

              How the individual is involved in the resources content that is described in the exception.

              ShortHow the actor is involved
              Control1..1
              BindingUnless not suitable, these codes SHALL be taken from SecurityRoleType
              (extensible to http://hl7.org/fhir/ValueSet/security-role-type)

              How an actor is involved in the consent considerations.

              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              92. Consent.provision.actor.reference
              Definition

              The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').

              ShortResource for the actor (or group, by role)
              Control1..1
              TypeReference(Device, Group, CareTeam, Organization, Patient, Practitioner, RelatedPerson, PractitionerRole)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              94. Consent.provision.action
              Definition

              Actions controlled by this Rule.

              ShortRemoval of organ or tissue for donation
              Comments

              Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.

              Control1..1
              BindingFor example codes, see ConsentActionCodes
              (example to http://hl7.org/fhir/ValueSet/consent-action)

              Detailed codes for the consent action.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Meaning if Missingall actions
              Pattern Value{
                "coding" : [{
                  "system" : "http://snomed.info/sct",
                  "code" : "53958007"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              96. Consent.provision.securityLabel
              Definition

              A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.

              ShortSecurity Labels that define affected resources
              Comments

              If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from All Security Labels
              (extensible to http://hl7.org/fhir/ValueSet/security-labels)

              Security Labels from the Healthcare Privacy and Security Classification System.

              TypeCoding
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              98. Consent.provision.purpose
              Definition

              The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.

              ShortContext of activities covered by this rule
              Comments

              When the purpose of use tag is on the data, access request purpose of use shall not conflict.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from PurposeOfUse
              (extensible to http://terminology.hl7.org/ValueSet/v3-PurposeOfUse)

              What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.

              TypeCoding
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              100. Consent.provision.class
              Definition

              The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.

              Shorte.g. Resource Type, Profile, CDA, etc.
              Comments

              Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from ConsentContentClass
              (extensible to http://hl7.org/fhir/ValueSet/consent-content-class)

              The class (type) of information a consent rule covers.

              TypeCoding
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              102. Consent.provision.code
              Definition

              If this code is found in an instance, then the rule applies.

              Shorte.g. LOINC or SNOMED CT code, etc. in the content
              Comments

              Typical use of this is a Document code with class = CDA.

              Control0..*
              BindingFor example codes, see ConsentContentCodes
              (example to http://hl7.org/fhir/ValueSet/consent-content-code)

              If this code is found in an instance, then the exception applies.

              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              104. Consent.provision.dataPeriod
              Definition

              Clinical or Operational Relevant period of time that bounds the data controlled by this rule.

              ShortTimeframe for data controlled by this rule
              Comments

              This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.

              Control0..1
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              106. Consent.provision.data
              Definition

              The resources controlled by this rule if specific resources are referenced.

              ShortData controlled by this rule
              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Summarytrue
              Meaning if Missingall data
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              108. Consent.provision.data.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              110. Consent.provision.data.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              112. Consent.provision.data.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              114. Consent.provision.data.meaning
              Definition

              How the resource reference is interpreted when testing consent restrictions.

              Shortinstance | related | dependents | authoredby
              Control1..1
              BindingThe codes SHALL be taken from ConsentDataMeaning
              (required to http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1)

              How a resource reference is interpreted when testing consent restrictions.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              116. Consent.provision.data.reference
              Definition

              A reference to a specific resource that defines which resources are covered by this consent.

              ShortThe actual data reference
              Control1..1
              TypeReference(Resource)
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              118. Consent.provision.provision
              Definition

              Individual's decision about donation of specific organ or tissue.

              ShortIndividual's decision about donation of specific organ or tissue
              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Must Supporttrue
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              120. Consent.provision.provision.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              122. Consent.provision.provision.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              124. Consent.provision.provision.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              126. Consent.provision.provision.type
              Definition

              Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.

              Shortdeny | permit
              Control1..1
              BindingThe codes SHALL be taken from ConsentProvisionType
              (required to http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1)

              How a rule statement is applied, such as adding additional consent or removing consent.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              128. Consent.provision.provision.period
              Definition

              The timeframe in this rule is valid.

              ShortTimeframe for this rule
              Control0..1
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              130. Consent.provision.provision.actor
              Definition

              Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').

              ShortWho|what controlled by this rule (or group, by role)
              Control0..*
              TypeBackboneElement
              Is Modifierfalse
              Summaryfalse
              Meaning if MissingThere is no specific actor associated with the exception
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              132. Consent.provision.provision.actor.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              134. Consent.provision.provision.actor.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              136. Consent.provision.provision.actor.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              138. Consent.provision.provision.actor.role
              Definition

              How the individual is involved in the resources content that is described in the exception.

              ShortHow the actor is involved
              Control1..1
              BindingUnless not suitable, these codes SHALL be taken from SecurityRoleType
              (extensible to http://hl7.org/fhir/ValueSet/security-role-type)

              How an actor is involved in the consent considerations.

              TypeCodeableConcept
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              140. Consent.provision.provision.actor.reference
              Definition

              The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').

              ShortResource for the actor (or group, by role)
              Control1..1
              TypeReference(Device, Group, CareTeam, Organization, Patient, Practitioner, RelatedPerson, PractitionerRole)
              Is Modifierfalse
              Summaryfalse
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              142. Consent.provision.provision.action
              Definition

              Actions controlled by this Rule.

              ShortRemoval of organ or tissue for donation
              Comments

              Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.

              Control1..1
              BindingFor example codes, see ConsentActionCodes
              (example to http://hl7.org/fhir/ValueSet/consent-action)

              Detailed codes for the consent action.

              TypeCodeableConcept
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Meaning if Missingall actions
              Pattern Value{
                "coding" : [{
                  "system" : "http://snomed.info/sct",
                  "code" : "53958007"
                }]
              }
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              144. Consent.provision.provision.securityLabel
              Definition

              A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.

              ShortSecurity Labels that define affected resources
              Comments

              If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from All Security Labels
              (extensible to http://hl7.org/fhir/ValueSet/security-labels)

              Security Labels from the Healthcare Privacy and Security Classification System.

              TypeCoding
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              146. Consent.provision.provision.purpose
              Definition

              The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.

              ShortContext of activities covered by this rule
              Comments

              When the purpose of use tag is on the data, access request purpose of use shall not conflict.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from PurposeOfUse
              (extensible to http://terminology.hl7.org/ValueSet/v3-PurposeOfUse)

              What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.

              TypeCoding
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              148. Consent.provision.provision.class
              Definition

              The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.

              Shorte.g. Resource Type, Profile, CDA, etc.
              Comments

              Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.

              Control0..*
              BindingUnless not suitable, these codes SHALL be taken from ConsentContentClass
              (extensible to http://hl7.org/fhir/ValueSet/consent-content-class)

              The class (type) of information a consent rule covers.

              TypeCoding
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              150. Consent.provision.provision.code
              Definition

              If this code is found in an instance, then the rule applies.

              Shorte.g. LOINC or SNOMED CT code, etc. in the content
              Comments

              Typical use of this is a Document code with class = CDA.

              Control0..*
              BindingFor example codes, see ConsentContentCodes
              (example to http://hl7.org/fhir/ValueSet/consent-content-code)

              If this code is found in an instance, then the exception applies.

              TypeCodeableConcept
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              152. Consent.provision.provision.dataPeriod
              Definition

              Clinical or Operational Relevant period of time that bounds the data controlled by this rule.

              ShortTimeframe for data controlled by this rule
              Comments

              This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.

              Control0..1
              TypePeriod
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              154. Consent.provision.provision.data
              Definition

              The organ or tissue that is the target of the donation decision.

              ShortThe organ or tissue that is the target of the donation decision
              Control1..1
              TypeBackboneElement
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Meaning if Missingall data
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              156. Consent.provision.provision.data.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              158. Consent.provision.provision.data.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              160. Consent.provision.provision.data.modifierExtension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

              Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

              ShortExtensions that cannot be ignored even if unrecognized
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
              Summarytrue
              Requirements

              Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

              Alternate Namesextensions, user content, modifiers
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              162. Consent.provision.provision.data.meaning
              Definition

              How the resource reference is interpreted when testing consent restrictions.

              Shortinstance | related | dependents | authoredby
              Control1..1
              BindingThe codes SHALL be taken from ConsentDataMeaning
              (required to http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1)

              How a resource reference is interpreted when testing consent restrictions.

              Typecode
              Is Modifierfalse
              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
              Summarytrue
              Fixed Valueinstance
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              164. Consent.provision.provision.data.reference
              Definition

              A reference to a specific resource that defines which resources are covered by this consent.

              ShortThe actual data reference
              Control1..1
              TypeReference(ADHA Organ or Tissue for Donation BodyStructure)
              Is Modifierfalse
              Must Supporttrue
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              166. Consent.provision.provision.data.reference.id
              Definition

              Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

              ShortUnique id for inter-element referencing
              Control0..1
              Typestring
              Is Modifierfalse
              XML FormatIn the XML format, this property is represented as an attribute.
              Summaryfalse
              168. Consent.provision.provision.data.reference.extension
              Definition

              May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

              ShortAdditional content defined by implementations
              Comments

              There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

              Control0..*
              TypeExtension
              Is Modifierfalse
              Summaryfalse
              Alternate Namesextensions, user content
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
              SlicingThis element introduces a set of slices on Consent.provision.provision.data.reference.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
              • value @ url
              • 170. Consent.provision.provision.data.reference.reference
                Definition

                A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

                ShortLiteral reference, Relative, internal or absolute URL
                Comments

                Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

                Control1..1
                This element is affected by the following invariants: ref-1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                172. Consent.provision.provision.data.reference.type
                Definition

                The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

                The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

                ShortType the reference refers to (e.g. "Patient")
                Comments

                This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

                Control0..1
                BindingUnless not suitable, these codes SHALL be taken from ResourceType
                (extensible to http://hl7.org/fhir/ValueSet/resource-types)

                Aa resource (or, for logical models, the URI of the logical model).

                Typeuri
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                174. Consent.provision.provision.data.reference.identifier
                Definition

                An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

                ShortLogical reference, when literal reference is not known
                Comments

                When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

                When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

                Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

                Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

                NoteThis is a business identifier, not a resource identifier (see discussion)
                Control0..1
                TypeIdentifier
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                176. Consent.provision.provision.data.reference.display
                Definition

                Plain text narrative that identifies the resource in addition to the resource reference.

                ShortText alternative for the resource
                Comments

                This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

                Control0..1
                Typestring
                Is Modifierfalse
                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                178. Consent.provision.provision.provision
                Definition

                Rules which provide exceptions to the base rule or subrules.

                ShortNested Exception Rules
                Control0..*
                TypeSeettp://hl7.org/fhir/StructureDefinition/Consent#Consent.provision
                Is Modifierfalse
                Summaryfalse
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))