PACIO Advance Directive Interoperability Implementation Guide
2.1.0 - STU 2 United States of America flag

PACIO Advance Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

Resource Profile: ADI Healthcare Agent Deny Consent

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DenyConsent Version: 2.1.0
Active as of 2025-01-07 Computable Name: ADIDenyConsent

This profile is used to represent deny consents for an advance directive participant such as a healthcare agent or advisor and power or limitation granted to such persons.

Usage:

  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* ADIHealthcareAgentConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
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
HCA-consent-category: Category must have a ConsentCategory of 'acd'
HCA-provision-purpose: Provision purpose must have a purpose of 'PWATRNY'
... 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... 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
... scope ?!Σ 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://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81377-4
..... display 1..1 string Representation defined by the system
Fixed Value: Goals, preferences, and priorities regarding the appointment of healthcare agents [Reported]
... category SΣ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
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://terminology.hl7.org/CodeSystem/consentcategorycodes
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: acd
... patient SΣ 1..1 Reference(US Core Patient Profile) Who the consent applies to
ele-1: All FHIR elements must have a @value or children
... dateTime SΣ 0..1 dateTime When this Consent was created or indexed
ele-1: All FHIR elements must have a @value or children
... policy S 0..* BackboneElement Policies covered by this consent
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
... provision SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
ele-1: All FHIR elements must have a @value or children
.... Slices for extension Content/Rules for all slices
..... ClauseExtension 0..* (Complex) Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
Required Pattern: deny
.... actor S 1..* BackboneElement Who|what controlled by this rule (or group, by role)
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... ClauseExtension 0..* (Complex) Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... 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
..... role 1..1 CodeableConcept How the actor is involved
Binding: Healthcare Agent or Proxy Choices . (required)
ele-1: All FHIR elements must have a @value or children
..... reference 1..1 Reference(ADI Healthcare Agent Participant) Resource for the actor (or group, by role)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: LOINC Code 81377-4("Goals, preferences, and priorities regarding the appointment of healthcare agents [Reported]")
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensiblePattern: acd
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.provision.typerequiredPattern: deny
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.rolerequiredHealthcareAgentOrProxyChoices .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35

This structure is derived from ADIHealthcareAgentConsent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* ADIHealthcareAgentConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... provision
.... type 1..1 code deny | permit
Required Pattern: deny

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* ADIHealthcareAgentConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
ppc-1: Either a Policy or PolicyRule
ppc-2: IF Scope=privacy, there must be a patient
ppc-3: IF Scope=research, there must be a patient
ppc-4: IF Scope=adr, there must be a patient
ppc-5: IF Scope=treatment, there must be a patient
HCA-consent-category: Category must have a ConsentCategory of 'acd'
HCA-provision-purpose: Provision purpose must have a purpose of 'PWATRNY'
... 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* 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.


Required Pattern: active
... scope ?!Σ 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://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: 81377-4
..... display 1..1 string Representation defined by the system
Fixed Value: Goals, preferences, and priorities regarding the appointment of healthcare agents [Reported]
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category SΣ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: acd
..... 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 SΣ 1..1 Reference(US Core Patient Profile) Who the consent applies to
... dateTime SΣ 0..1 dateTime When this Consent was created or indexed
... performer Σ 0..* Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Who is agreeing to the policy and rules
... organization Σ 0..* Reference(Organization) Custodian of the consent
... source[x] Σ 0..1 Source from which this consent is taken
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... policy S 0..* BackboneElement Policies covered by this consent
.... 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 C 0..1 uri Enforcement source for policy
.... uri C 0..1 uri Specific policy covered by this consent
... 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 SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... ClauseExtension 0..* (Complex) Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
.... 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.


Required Pattern: deny
.... period Σ 0..1 Period Timeframe for this rule
.... actor S 1..* BackboneElement Who|what controlled by this rule (or group, by role)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... ClauseExtension 0..* (Complex) Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role 1..1 CodeableConcept How the actor is involved
Binding: Healthcare Agent or Proxy Choices . (required)
..... reference 1..1 Reference(ADI Healthcare Agent Participant) Resource for the actor (or group, by role)
.... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: Healthcare Agent Decisions (extensible)
.... 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: v3 Code System ActReason (required)
.... 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 0..* See provision (Consent) Nested Exception Rules

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Consent.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: LOINC Code 81377-4("Goals, preferences, and priorities regarding the appointment of healthcare agents [Reported]")
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensiblePattern: acd
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensibleConsentPolicyRuleCodes
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredPattern: deny
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.rolerequiredHealthcareAgentOrProxyChoices .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35
Consent.provision.actionextensibleADIHCADecisionsVS
http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIHCADecisionsVS
from this IG
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.purposerequiredActReason
http://terminology.hl7.org/ValueSet/v3-ActReason
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

This structure is derived from ADIHealthcareAgentConsent

Summary

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* ADIHealthcareAgentConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
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
HCA-consent-category: Category must have a ConsentCategory of 'acd'
HCA-provision-purpose: Provision purpose must have a purpose of 'PWATRNY'
... 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
ele-1: All FHIR elements must have a @value or children
... 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
... scope ?!Σ 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://loinc.org
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: 81377-4
..... display 1..1 string Representation defined by the system
Fixed Value: Goals, preferences, and priorities regarding the appointment of healthcare agents [Reported]
... category SΣ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
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://terminology.hl7.org/CodeSystem/consentcategorycodes
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: acd
... patient SΣ 1..1 Reference(US Core Patient Profile) Who the consent applies to
ele-1: All FHIR elements must have a @value or children
... dateTime SΣ 0..1 dateTime When this Consent was created or indexed
ele-1: All FHIR elements must have a @value or children
... policy S 0..* BackboneElement Policies covered by this consent
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
... provision SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
ele-1: All FHIR elements must have a @value or children
.... Slices for extension Content/Rules for all slices
..... ClauseExtension 0..* (Complex) Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... 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
Required Pattern: deny
.... actor S 1..* BackboneElement Who|what controlled by this rule (or group, by role)
ele-1: All FHIR elements must have a @value or children
..... Slices for extension Content/Rules for all slices
...... ClauseExtension 0..* (Complex) Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
..... 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
..... role 1..1 CodeableConcept How the actor is involved
Binding: Healthcare Agent or Proxy Choices . (required)
ele-1: All FHIR elements must have a @value or children
..... reference 1..1 Reference(ADI Healthcare Agent Participant) Resource for the actor (or group, by role)
ele-1: All FHIR elements must have a @value or children

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: LOINC Code 81377-4("Goals, preferences, and priorities regarding the appointment of healthcare agents [Reported]")
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensiblePattern: acd
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.provision.typerequiredPattern: deny
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.rolerequiredHealthcareAgentOrProxyChoices .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35

Differential View

This structure is derived from ADIHealthcareAgentConsent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* ADIHealthcareAgentConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... provision
.... type 1..1 code deny | permit
Required Pattern: deny

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* ADIHealthcareAgentConsent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
ppc-1: Either a Policy or PolicyRule
ppc-2: IF Scope=privacy, there must be a patient
ppc-3: IF Scope=research, there must be a patient
ppc-4: IF Scope=adr, there must be a patient
ppc-5: IF Scope=treatment, there must be a patient
HCA-consent-category: Category must have a ConsentCategory of 'acd'
HCA-provision-purpose: Provision purpose must have a purpose of 'PWATRNY'
... 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
... text S 1..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* 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.


Required Pattern: active
... scope ?!Σ 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://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: 81377-4
..... display 1..1 string Representation defined by the system
Fixed Value: Goals, preferences, and priorities regarding the appointment of healthcare agents [Reported]
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... category SΣ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.



Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: acd
..... 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 SΣ 1..1 Reference(US Core Patient Profile) Who the consent applies to
... dateTime SΣ 0..1 dateTime When this Consent was created or indexed
... performer Σ 0..* Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Who is agreeing to the policy and rules
... organization Σ 0..* Reference(Organization) Custodian of the consent
... source[x] Σ 0..1 Source from which this consent is taken
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... policy S 0..* BackboneElement Policies covered by this consent
.... 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 C 0..1 uri Enforcement source for policy
.... uri C 0..1 uri Specific policy covered by this consent
... 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 SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
..... ClauseExtension 0..* (Complex) Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
.... 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.


Required Pattern: deny
.... period Σ 0..1 Period Timeframe for this rule
.... actor S 1..* BackboneElement Who|what controlled by this rule (or group, by role)
..... id 0..1 string Unique id for inter-element referencing
..... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
...... ClauseExtension 0..* (Complex) Clause
URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role 1..1 CodeableConcept How the actor is involved
Binding: Healthcare Agent or Proxy Choices . (required)
..... reference 1..1 Reference(ADI Healthcare Agent Participant) Resource for the actor (or group, by role)
.... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: Healthcare Agent Decisions (extensible)
.... 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: v3 Code System ActReason (required)
.... 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 0..* See provision (Consent) Nested Exception Rules

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Consent.statusrequiredPattern: active
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: LOINC Code 81377-4("Goals, preferences, and priorities regarding the appointment of healthcare agents [Reported]")
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensiblePattern: acd
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensibleConsentPolicyRuleCodes
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredPattern: deny
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.rolerequiredHealthcareAgentOrProxyChoices .
http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35
Consent.provision.actionextensibleADIHCADecisionsVS
http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIHCADecisionsVS
from this IG
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.purposerequiredActReason
http://terminology.hl7.org/ValueSet/v3-ActReason
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

This structure is derived from ADIHealthcareAgentConsent

Summary

 

Other representations of profile: CSV, Excel, Schematron