Australian Digital Health Agency FHIR Implementation Guide

This profile identifies the additional constraints, extensions, and value sets that build on and extend Consent that are supported.

This profile is designed to set a Consent standard for:

• Query for a record of consent from the Australian Organ Donor Register associated with a patient
• Record or update a record of consent from the Australian Organ Donor Register associated with a patient

This profile may be referred to by APIs, which will be listed here when available.

Profile specific guidance

• An individual's decision not to be a donor is represented as Consent.provision.type = "deny", see example Australian Organ Donor Register Consent - Not willing to be a donor.
• An individual's decision to be a donor is represented as Consent.provision.type = "permit" and the resource SHALL include the full set of child provisions representing the individual's decision with respect to each potential organ and/or tissue for transplantation:
  • the set of potential organ and/or tissue for transplantation is defined by the Organ Donation Body Site value set.
  • a decision to donate all is represented as instantiating each specific Consent.provision.provision with Consent.provision.provision.type = "permit", see example Australian Organ Donor Register Consent - Willing to be a donor, donate all.
  • a decision to donate certain organs and/or tissues is represented as:
    • a recorded consent to donate a specific organ and/or tissue is represented as Consent.provision.provision with Consent.provision.provision.type = "permit".
    • no evidence of consent to donate a specific organ and/or tissue (or evidence an individual does not consent) is represented as Consent.provision.provision with Consent.provision.provision.type = "deny".
    • see example Australian Organ Donor Register Consent - Willing to be a donor, donate specific tissue / organ.
• In an exchange with the My Health Record system references to a BodyStructure resource will be contained.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints
Consent		0..*	Consent	Record of organ and tissue donation decision held by the Australian Organ Donor Register
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dateInitialRegistration	S	0..1	dateTime	Date the individual first registered URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-date-initial-registration-1
identifier	S	1..*	Identifier	Identifier for this record (external references)
status	S	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Fixed Value: active
scope	S	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: adr
Slices for category	S	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this
category:health		1..1	CodeableConcept	Consent for healthcare service, procedure, or activity Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59284-0
category:aodr		1..1	CodeableConcept	Organ donation consent Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64300-7
patient	SC	1..1	Reference(ADHA Core Patient)	Who the consent applies to inv-dh-cons-aodr-01: At least reference or a valid identifier shall be present
dateTime	SC	1..1	dateTime	When this Consent was created or indexed inv-dh-cons-aodr-03: Date shall be at least to day
performer	SC	1..1	Reference(ADHA Core Patient)	Grantor of consent inv-dh-cons-aodr-04: At least reference or a valid identifier shall be present
organization	SC	1..1	Reference(ADHA Core Organization)	Custodian of the consent inv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present
policy	S	1..1	BackboneElement	Australian Organ Donor Register
authority	S	0..1	uri	Enforcement source for policy Fixed Value: http://australianorgandonorregister.gov.au
uri	S	1..1	uri	Specific policy covered by this consent Fixed Value: http://www.australianorgandonorregister.gov.au/aodr
provision	SC	1..1	BackboneElement	Individual's decision about donation inv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited
type	S	1..1	code	deny | permit
action	S	1..1	CodeableConcept	Removal of organ or tissue for donation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
provision	S	0..*	BackboneElement	Individual's decision about donation of specific organ or tissue
type	S	1..1	code	deny | permit
action	S	1..1	CodeableConcept	Removal of organ or tissue for donation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
data	S	1..1	BackboneElement	The organ or tissue that is the target of the donation decision
meaning		1..1	code	instance | related | dependents | authoredby Fixed Value: instance
reference	S	1..1	Reference(ADHA Organ or Tissue for Donation BodyStructure)	The actual data reference
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cons-aodr-01	error	Consent.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-02	error	Consent.provision	Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited : provision.exists() xor (type='deny')
inv-dh-cons-aodr-03	error	Consent.dateTime	Date shall be at least to day : toString().length() >= 10
inv-dh-cons-aodr-04	error	Consent.performer	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-05	error	Consent.organization	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()

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	Record of organ and tissue donation decision held by the Australian Organ Donor Register dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ppc-1: Either a Policy or PolicyRule ppc-2: IF Scope=privacy, there must be a patient ppc-3: IF Scope=research, there must be a patient ppc-4: IF Scope=adr, there must be a patient ppc-5: IF Scope=treatment, there must be a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dateInitialRegistration	S	0..1	dateTime	Date the individual first registered URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-date-initial-registration-1 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	Identifier	Identifier for this record (external references) ele-1: All FHIR elements must have a @value or children Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!SΣ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. ele-1: All FHIR elements must have a @value or children Fixed Value: active
scope	?!SΣ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: adr
Slices for category	SΣ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. ele-1: All FHIR elements must have a @value or children
category:health	Σ	1..1	CodeableConcept	Consent for healthcare service, procedure, or activity Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59284-0
category:aodr	Σ	1..1	CodeableConcept	Organ donation consent Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64300-7
patient	SΣC	1..1	Reference(ADHA Core Patient)	Who the consent applies to ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-01: At least reference or a valid identifier shall be present
dateTime	SΣC	1..1	dateTime	When this Consent was created or indexed ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-03: Date shall be at least to day
performer	SΣC	1..1	Reference(ADHA Core Patient)	Grantor of consent ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-04: At least reference or a valid identifier shall be present
organization	SΣC	1..1	Reference(ADHA Core Organization)	Custodian of the consent ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present
policy	S	1..1	BackboneElement	Australian Organ Donor Register ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
authority	SC	0..1	uri	Enforcement source for policy ele-1: All FHIR elements must have a @value or children Fixed Value: http://australianorgandonorregister.gov.au
uri	SC	1..1	uri	Specific policy covered by this consent ele-1: All FHIR elements must have a @value or children Fixed Value: http://www.australianorgandonorregister.gov.au/aodr
provision	SΣC	1..1	BackboneElement	Individual's decision about donation ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. ele-1: All FHIR elements must have a @value or children
action	SΣ	1..1	CodeableConcept	Removal of organ or tissue for donation Binding: ConsentActionCodes (example): Detailed codes for the consent action. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
provision	S	0..*	BackboneElement	Individual's decision about donation of specific organ or tissue ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. ele-1: All FHIR elements must have a @value or children
action	SΣ	1..1	CodeableConcept	Removal of organ or tissue for donation Binding: ConsentActionCodes (example): Detailed codes for the consent action. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
data	SΣ	1..1	BackboneElement	The organ or tissue that is the target of the donation decision ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions. ele-1: All FHIR elements must have a @value or children Fixed Value: instance
reference	SΣ	1..1	Reference(ADHA Organ or Tissue for Donation BodyStructure)	The actual data reference ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	Pattern: adr http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.category:health	extensible	Pattern: LOINC Code 59284-0 http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.category:aodr	extensible	Pattern: LOINC Code 64300-7 http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.action	example	Pattern: SNOMED-CT Code 53958007 http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.provision.action	example	Pattern: SNOMED-CT Code 53958007 http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.provision.data.meaning	required	Fixed Value: instance http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cons-aodr-01	error	Consent.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-02	error	Consent.provision	Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited : provision.exists() xor (type='deny')
inv-dh-cons-aodr-03	error	Consent.dateTime	Date shall be at least to day : toString().length() >= 10
inv-dh-cons-aodr-04	error	Consent.performer	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-05	error	Consent.organization	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()

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	Record of organ and tissue donation decision held by the Australian Organ Donor Register ppc-1: Either a Policy or PolicyRule ppc-2: IF Scope=privacy, there must be a patient ppc-3: IF Scope=research, there must be a patient ppc-4: IF Scope=adr, there must be a patient ppc-5: IF Scope=treatment, there must be a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dateInitialRegistration	S	0..1	dateTime	Date the individual first registered URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-date-initial-registration-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!SΣ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Fixed Value: active
scope	?!SΣ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: adr
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for category	SΣ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
category:health	Σ	1..1	CodeableConcept	Consent for healthcare service, procedure, or activity Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59284-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:aodr	Σ	1..1	CodeableConcept	Organ donation consent Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64300-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
patient	SΣC	1..1	Reference(ADHA Core Patient)	Who the consent applies to inv-dh-cons-aodr-01: At least reference or a valid identifier shall be present
dateTime	SΣC	1..1	dateTime	When this Consent was created or indexed inv-dh-cons-aodr-03: Date shall be at least to day
performer	SΣC	1..1	Reference(ADHA Core Patient)	Grantor of consent inv-dh-cons-aodr-04: At least reference or a valid identifier shall be present
organization	SΣC	1..1	Reference(ADHA Core Organization)	Custodian of the consent inv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present
source[x]	Σ	0..1		Source from which this consent is taken
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
policy	S	1..1	BackboneElement	Australian Organ Donor Register
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
authority	SC	0..1	uri	Enforcement source for policy Fixed Value: http://australianorgandonorregister.gov.au
uri	SC	1..1	uri	Specific policy covered by this consent Fixed Value: http://www.australianorgandonorregister.gov.au/aodr
policyRule	ΣC	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification	Σ	0..*	BackboneElement	Consent Verified by patient or family
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
verified	Σ	1..1	boolean	Has been verified
verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
verificationDate		0..1	dateTime	When consent verified
provision	SΣC	1..1	BackboneElement	Individual's decision about donation inv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period	Σ	0..1	Period	Timeframe for this rule
actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
action	SΣ	1..1	CodeableConcept	Removal of organ or tissue for donation Binding: ConsentActionCodes (example): Detailed codes for the consent action. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	Σ	0..*	CodeableConcept	e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	Σ	0..*	BackboneElement	Data controlled by this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference	Σ	1..1	Reference(Resource)	The actual data reference
provision	S	0..*	BackboneElement	Individual's decision about donation of specific organ or tissue
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period	Σ	0..1	Period	Timeframe for this rule
actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
action	SΣ	1..1	CodeableConcept	Removal of organ or tissue for donation Binding: ConsentActionCodes (example): Detailed codes for the consent action. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	Σ	0..*	CodeableConcept	e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	SΣ	1..1	BackboneElement	The organ or tissue that is the target of the donation decision
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions. Fixed Value: instance
reference	SΣ	1..1	Reference(ADHA Organ or Tissue for Donation BodyStructure)	The actual data reference
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
provision		0..*	See provision (Consent)	Nested Exception Rules
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Consent.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	Pattern: adr http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.category:health	extensible	Pattern: LOINC Code 59284-0 http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.category:aodr	extensible	Pattern: LOINC Code 64300-7 http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy from the FHIR Standard
Consent.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.actor.role	extensible	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Consent.provision.action	example	Pattern: SNOMED-CT Code 53958007 http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.class	extensible	ConsentContentClass http://hl7.org/fhir/ValueSet/consent-content-class from the FHIR Standard
Consent.provision.code	example	ConsentContentCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code from the FHIR Standard
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard
Consent.provision.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.provision.actor.role	extensible	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Consent.provision.provision.action	example	Pattern: SNOMED-CT Code 53958007 http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.provision.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Consent.provision.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.provision.class	extensible	ConsentContentClass http://hl7.org/fhir/ValueSet/consent-content-class from the FHIR Standard
Consent.provision.provision.code	example	ConsentContentCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code from the FHIR Standard
Consent.provision.provision.data.meaning	required	Fixed Value: instance http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard
Consent.provision.provision.data.reference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cons-aodr-01	error	Consent.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-02	error	Consent.provision	Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited : provision.exists() xor (type='deny')
inv-dh-cons-aodr-03	error	Consent.dateTime	Date shall be at least to day : toString().length() >= 10
inv-dh-cons-aodr-04	error	Consent.performer	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-05	error	Consent.organization	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()

Differential View

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints
Consent		0..*	Consent	Record of organ and tissue donation decision held by the Australian Organ Donor Register
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dateInitialRegistration	S	0..1	dateTime	Date the individual first registered URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-date-initial-registration-1
identifier	S	1..*	Identifier	Identifier for this record (external references)
status	S	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Fixed Value: active
scope	S	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: adr
Slices for category	S	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this
category:health		1..1	CodeableConcept	Consent for healthcare service, procedure, or activity Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59284-0
category:aodr		1..1	CodeableConcept	Organ donation consent Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64300-7
patient	SC	1..1	Reference(ADHA Core Patient)	Who the consent applies to inv-dh-cons-aodr-01: At least reference or a valid identifier shall be present
dateTime	SC	1..1	dateTime	When this Consent was created or indexed inv-dh-cons-aodr-03: Date shall be at least to day
performer	SC	1..1	Reference(ADHA Core Patient)	Grantor of consent inv-dh-cons-aodr-04: At least reference or a valid identifier shall be present
organization	SC	1..1	Reference(ADHA Core Organization)	Custodian of the consent inv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present
policy	S	1..1	BackboneElement	Australian Organ Donor Register
authority	S	0..1	uri	Enforcement source for policy Fixed Value: http://australianorgandonorregister.gov.au
uri	S	1..1	uri	Specific policy covered by this consent Fixed Value: http://www.australianorgandonorregister.gov.au/aodr
provision	SC	1..1	BackboneElement	Individual's decision about donation inv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited
type	S	1..1	code	deny | permit
action	S	1..1	CodeableConcept	Removal of organ or tissue for donation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
provision	S	0..*	BackboneElement	Individual's decision about donation of specific organ or tissue
type	S	1..1	code	deny | permit
action	S	1..1	CodeableConcept	Removal of organ or tissue for donation Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
data	S	1..1	BackboneElement	The organ or tissue that is the target of the donation decision
meaning		1..1	code	instance | related | dependents | authoredby Fixed Value: instance
reference	S	1..1	Reference(ADHA Organ or Tissue for Donation BodyStructure)	The actual data reference
reference		1..1	string	Literal reference, Relative, internal or absolute URL
Documentation for this format

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cons-aodr-01	error	Consent.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-02	error	Consent.provision	Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited : provision.exists() xor (type='deny')
inv-dh-cons-aodr-03	error	Consent.dateTime	Date shall be at least to day : toString().length() >= 10
inv-dh-cons-aodr-04	error	Consent.performer	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-05	error	Consent.organization	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()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	Record of organ and tissue donation decision held by the Australian Organ Donor Register dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management ppc-1: Either a Policy or PolicyRule ppc-2: IF Scope=privacy, there must be a patient ppc-3: IF Scope=research, there must be a patient ppc-4: IF Scope=adr, there must be a patient ppc-5: IF Scope=treatment, there must be a patient
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dateInitialRegistration	S	0..1	dateTime	Date the individual first registered URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-date-initial-registration-1 ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
identifier	SΣ	1..*	Identifier	Identifier for this record (external references) ele-1: All FHIR elements must have a @value or children Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!SΣ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. ele-1: All FHIR elements must have a @value or children Fixed Value: active
scope	?!SΣ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: adr
Slices for category	SΣ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. ele-1: All FHIR elements must have a @value or children
category:health	Σ	1..1	CodeableConcept	Consent for healthcare service, procedure, or activity Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59284-0
category:aodr	Σ	1..1	CodeableConcept	Organ donation consent Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64300-7
patient	SΣC	1..1	Reference(ADHA Core Patient)	Who the consent applies to ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-01: At least reference or a valid identifier shall be present
dateTime	SΣC	1..1	dateTime	When this Consent was created or indexed ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-03: Date shall be at least to day
performer	SΣC	1..1	Reference(ADHA Core Patient)	Grantor of consent ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-04: At least reference or a valid identifier shall be present
organization	SΣC	1..1	Reference(ADHA Core Organization)	Custodian of the consent ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present
policy	S	1..1	BackboneElement	Australian Organ Donor Register ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
authority	SC	0..1	uri	Enforcement source for policy ele-1: All FHIR elements must have a @value or children Fixed Value: http://australianorgandonorregister.gov.au
uri	SC	1..1	uri	Specific policy covered by this consent ele-1: All FHIR elements must have a @value or children Fixed Value: http://www.australianorgandonorregister.gov.au/aodr
provision	SΣC	1..1	BackboneElement	Individual's decision about donation ele-1: All FHIR elements must have a @value or children inv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. ele-1: All FHIR elements must have a @value or children
action	SΣ	1..1	CodeableConcept	Removal of organ or tissue for donation Binding: ConsentActionCodes (example): Detailed codes for the consent action. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
provision	S	0..*	BackboneElement	Individual's decision about donation of specific organ or tissue ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
type	SΣ	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. ele-1: All FHIR elements must have a @value or children
action	SΣ	1..1	CodeableConcept	Removal of organ or tissue for donation Binding: ConsentActionCodes (example): Detailed codes for the consent action. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
data	SΣ	1..1	BackboneElement	The organ or tissue that is the target of the donation decision ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions. ele-1: All FHIR elements must have a @value or children Fixed Value: instance
reference	SΣ	1..1	Reference(ADHA Organ or Tissue for Donation BodyStructure)	The actual data reference ele-1: All FHIR elements must have a @value or children
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	Pattern: adr http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.category:health	extensible	Pattern: LOINC Code 59284-0 http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.category:aodr	extensible	Pattern: LOINC Code 64300-7 http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.action	example	Pattern: SNOMED-CT Code 53958007 http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.provision.action	example	Pattern: SNOMED-CT Code 53958007 http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.provision.data.meaning	required	Fixed Value: instance http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cons-aodr-01	error	Consent.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-02	error	Consent.provision	Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited : provision.exists() xor (type='deny')
inv-dh-cons-aodr-03	error	Consent.dateTime	Date shall be at least to day : toString().length() >= 10
inv-dh-cons-aodr-04	error	Consent.performer	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-05	error	Consent.organization	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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	Record of organ and tissue donation decision held by the Australian Organ Donor Register ppc-1: Either a Policy or PolicyRule ppc-2: IF Scope=privacy, there must be a patient ppc-3: IF Scope=research, there must be a patient ppc-4: IF Scope=adr, there must be a patient ppc-5: IF Scope=treatment, there must be a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
dateInitialRegistration	S	0..1	dateTime	Date the individual first registered URL: http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-date-initial-registration-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	SΣ	1..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!SΣ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Fixed Value: active
scope	?!SΣ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: adr
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for category	SΣ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Slice: Unordered, Open by pattern:$this Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
category:health	Σ	1..1	CodeableConcept	Consent for healthcare service, procedure, or activity Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 59284-0
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category:aodr	Σ	1..1	CodeableConcept	Organ donation consent Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://loinc.org
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 64300-7
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
patient	SΣC	1..1	Reference(ADHA Core Patient)	Who the consent applies to inv-dh-cons-aodr-01: At least reference or a valid identifier shall be present
dateTime	SΣC	1..1	dateTime	When this Consent was created or indexed inv-dh-cons-aodr-03: Date shall be at least to day
performer	SΣC	1..1	Reference(ADHA Core Patient)	Grantor of consent inv-dh-cons-aodr-04: At least reference or a valid identifier shall be present
organization	SΣC	1..1	Reference(ADHA Core Organization)	Custodian of the consent inv-dh-cons-aodr-05: At least reference or display or a valid identifier shall be present
source[x]	Σ	0..1		Source from which this consent is taken
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
policy	S	1..1	BackboneElement	Australian Organ Donor Register
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
authority	SC	0..1	uri	Enforcement source for policy Fixed Value: http://australianorgandonorregister.gov.au
uri	SC	1..1	uri	Specific policy covered by this consent Fixed Value: http://www.australianorgandonorregister.gov.au/aodr
policyRule	ΣC	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification	Σ	0..*	BackboneElement	Consent Verified by patient or family
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
verified	Σ	1..1	boolean	Has been verified
verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
verificationDate		0..1	dateTime	When consent verified
provision	SΣC	1..1	BackboneElement	Individual's decision about donation inv-dh-cons-aodr-02: Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period	Σ	0..1	Period	Timeframe for this rule
actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
action	SΣ	1..1	CodeableConcept	Removal of organ or tissue for donation Binding: ConsentActionCodes (example): Detailed codes for the consent action. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	Σ	0..*	CodeableConcept	e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	Σ	0..*	BackboneElement	Data controlled by this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference	Σ	1..1	Reference(Resource)	The actual data reference
provision	S	0..*	BackboneElement	Individual's decision about donation of specific organ or tissue
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period	Σ	0..1	Period	Timeframe for this rule
actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
action	SΣ	1..1	CodeableConcept	Removal of organ or tissue for donation Binding: ConsentActionCodes (example): Detailed codes for the consent action. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 53958007
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	Σ	0..*	CodeableConcept	e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	SΣ	1..1	BackboneElement	The organ or tissue that is the target of the donation decision
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions. Fixed Value: instance
reference	SΣ	1..1	Reference(ADHA Organ or Tissue for Donation BodyStructure)	The actual data reference
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
provision		0..*	See provision (Consent)	Nested Exception Rules
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Consent.status	required	Fixed Value: active http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	Pattern: adr http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.category:health	extensible	Pattern: LOINC Code 59284-0 http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.category:aodr	extensible	Pattern: LOINC Code 64300-7 http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy from the FHIR Standard
Consent.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.actor.role	extensible	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Consent.provision.action	example	Pattern: SNOMED-CT Code 53958007 http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.class	extensible	ConsentContentClass http://hl7.org/fhir/ValueSet/consent-content-class from the FHIR Standard
Consent.provision.code	example	ConsentContentCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code from the FHIR Standard
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard
Consent.provision.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.provision.actor.role	extensible	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Consent.provision.provision.action	example	Pattern: SNOMED-CT Code 53958007 http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.provision.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Consent.provision.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.provision.class	extensible	ConsentContentClass http://hl7.org/fhir/ValueSet/consent-content-class from the FHIR Standard
Consent.provision.provision.code	example	ConsentContentCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code from the FHIR Standard
Consent.provision.provision.data.meaning	required	Fixed Value: instance http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard
Consent.provision.provision.data.reference.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
inv-dh-cons-aodr-01	error	Consent.patient	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-02	error	Consent.provision	Specific provisions shall be specified if the individual is willing to donate, otherwise prohibited : provision.exists() xor (type='deny')
inv-dh-cons-aodr-03	error	Consent.dateTime	Date shall be at least to day : toString().length() >= 10
inv-dh-cons-aodr-04	error	Consent.performer	At least reference or a valid identifier shall be present : reference.exists() or identifier.where(system.count() + value.count() >1).exists()
inv-dh-cons-aodr-05	error	Consent.organization	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()

This structure is derived from Consent

Summary

Mandatory: 13 elements(4 nested mandatory elements)
Must-Support: 20 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

• ADHA Core Patient (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-patient-core-1)
• ADHA Core Organization (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-organization-core-1)
• ADHA Organ or Tissue for Donation BodyStructure (http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-bodystructure-aodr-1)

Extensions

This structure refers to these extensions:

• http://ns.electronichealth.net.au/fhir/StructureDefinition/dh-date-initial-registration-1

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Consent.category