PACIO Advance Healthcare Directive Interoperability Implementation Guide
2.0.0-ballot - STU 2 – Ballot United States of America flag

PACIO Advance Healthcare Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.0.0-ballot 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 Consent Deny

Official URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-ADIConsentDeny Version: 2.0.0-ballot
Standards status: Trial-use Maturity Level: 2 Computable Name: ADIConsentDeny

The ADI Healthcare Agent Consent Deny profile is used to constrain the powers permitted for the healthcare agent appointment through the ADI Healthcare Agent Consent Permit profile.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, HCA-consent-category, HCA-provision-purpose
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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 Narrative - 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 1..1 string Version of the system - if relevant
Fixed Value: 1.0.0
..... 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
... policy S 0..* BackboneElement Policies covered by this consent
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... provision SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
.... Slices for extension Content/Rules for all slices
..... extension: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
.... actor S 1..* BackboneElement Who|what controlled by this rule (or group, by role)
..... Slices for extension Content/Rules for all slices
...... extension: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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Consent.status Base required ConsentState 📍4.0.1 FHIR Std.
Consent.scope Base extensible Consent Scope Codes 📍4.0.1 FHIR Std.
Consent.category Base extensible Consent Category Codes 📍4.0.1 FHIR Std.
Consent.provision.type Base required ConsentProvisionType 📍4.0.1 FHIR Std.
Consent.provision.actor.​role Base required Healthcare Agent or Proxy Choices . 📦20221029 VSAC v0.23

Constraints

Id Grade Path(s) Description Expression
HCA-consent-category error Consent Category must have a ConsentCategory of 'acd' category.coding.where(code = 'acd').exists()
HCA-provision-purpose error Consent Provision purpose must have a purpose of 'PWATRNY' provision.purpose.exists().not() or provision.purpose.where(code = 'PWATRNY').exists()
dom-2 error Consent If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Consent If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Consent If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Consent If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Consent A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ppc-1 error Consent Either a Policy or PolicyRule policy.exists() or policyRule.exists()
ppc-2 error Consent IF Scope=privacy, there must be a patient patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3 error Consent IF Scope=research, there must be a patient patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4 error Consent IF Scope=adr, there must be a patient patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5 error Consent IF Scope=treatment, there must be a patient patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

This structure is derived from ADIHealthcareAgentConsent

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 & Constraints    Filter: Filtersdoco
.. 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
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, HCA-consent-category, HCA-provision-purpose
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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 Narrative - 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 1..1 string Version of the system - if relevant
Fixed Value: 1.0.0
..... 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
..... extension: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
...... extension: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

Path Status Usage ValueSet Version Source
Consent.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Consent.status Base required ConsentState 📍4.0.1 FHIR Std.
Consent.scope Base extensible Consent Scope Codes 📍4.0.1 FHIR Std.
Consent.category Base extensible Consent Category Codes 📍4.0.1 FHIR Std.
Consent.policyRule Base extensible Consent PolicyRule Codes 📍4.0.1 FHIR Std.
Consent.provision.type Base required ConsentProvisionType 📍4.0.1 FHIR Std.
Consent.provision.actor.​role Base required Healthcare Agent or Proxy Choices . 📦20221029 VSAC v0.23
Consent.provision.action Base extensible Healthcare Agent Decisions 📦2.0.0-ballot This IG
Consent.provision.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Consent.provision.purpose Base required v3 Code System ActReason 📦3.0.0 THO v6.5
Consent.provision.class Base extensible Consent Content Class 📍4.0.1 FHIR Std.
Consent.provision.code Base example Consent Content Codes 📍4.0.1 FHIR Std.
Consent.provision.data.​meaning Base required ConsentDataMeaning 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
HCA-consent-category error Consent Category must have a ConsentCategory of 'acd' category.coding.where(code = 'acd').exists()
HCA-provision-purpose error Consent Provision purpose must have a purpose of 'PWATRNY' provision.purpose.exists().not() or provision.purpose.where(code = 'PWATRNY').exists()
dom-2 error Consent If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Consent If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Consent If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Consent If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Consent A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ppc-1 error Consent Either a Policy or PolicyRule policy.exists() or policyRule.exists()
ppc-2 error Consent IF Scope=privacy, there must be a patient patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3 error Consent IF Scope=research, there must be a patient patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4 error Consent IF Scope=adr, there must be a patient patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5 error Consent IF Scope=treatment, there must be a patient patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

This structure is derived from ADIHealthcareAgentConsent

Summary

Maturity: 2

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, HCA-consent-category, HCA-provision-purpose
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... 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 Narrative - 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 1..1 string Version of the system - if relevant
Fixed Value: 1.0.0
..... 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
... policy S 0..* BackboneElement Policies covered by this consent
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
... provision SΣ 1..1 BackboneElement Constraints to the base Consent.policyRule
.... Slices for extension Content/Rules for all slices
..... extension: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
.... actor S 1..* BackboneElement Who|what controlled by this rule (or group, by role)
..... Slices for extension Content/Rules for all slices
...... extension: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)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Consent.status Base required ConsentState 📍4.0.1 FHIR Std.
Consent.scope Base extensible Consent Scope Codes 📍4.0.1 FHIR Std.
Consent.category Base extensible Consent Category Codes 📍4.0.1 FHIR Std.
Consent.provision.type Base required ConsentProvisionType 📍4.0.1 FHIR Std.
Consent.provision.actor.​role Base required Healthcare Agent or Proxy Choices . 📦20221029 VSAC v0.23

Constraints

Id Grade Path(s) Description Expression
HCA-consent-category error Consent Category must have a ConsentCategory of 'acd' category.coding.where(code = 'acd').exists()
HCA-provision-purpose error Consent Provision purpose must have a purpose of 'PWATRNY' provision.purpose.exists().not() or provision.purpose.where(code = 'PWATRNY').exists()
dom-2 error Consent If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Consent If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Consent If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Consent If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Consent A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ppc-1 error Consent Either a Policy or PolicyRule policy.exists() or policyRule.exists()
ppc-2 error Consent IF Scope=privacy, there must be a patient patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3 error Consent IF Scope=research, there must be a patient patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4 error Consent IF Scope=adr, there must be a patient patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5 error Consent IF Scope=treatment, there must be a patient patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

Differential View

This structure is derived from ADIHealthcareAgentConsent

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. 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 & Constraints    Filter: Filtersdoco
.. 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
Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, HCA-consent-category, HCA-provision-purpose
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... 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 Narrative - 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 1..1 string Version of the system - if relevant
Fixed Value: 1.0.0
..... 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
..... extension: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
...... extension: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

Path Status Usage ValueSet Version Source
Consent.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Consent.status Base required ConsentState 📍4.0.1 FHIR Std.
Consent.scope Base extensible Consent Scope Codes 📍4.0.1 FHIR Std.
Consent.category Base extensible Consent Category Codes 📍4.0.1 FHIR Std.
Consent.policyRule Base extensible Consent PolicyRule Codes 📍4.0.1 FHIR Std.
Consent.provision.type Base required ConsentProvisionType 📍4.0.1 FHIR Std.
Consent.provision.actor.​role Base required Healthcare Agent or Proxy Choices . 📦20221029 VSAC v0.23
Consent.provision.action Base extensible Healthcare Agent Decisions 📦2.0.0-ballot This IG
Consent.provision.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Consent.provision.purpose Base required v3 Code System ActReason 📦3.0.0 THO v6.5
Consent.provision.class Base extensible Consent Content Class 📍4.0.1 FHIR Std.
Consent.provision.code Base example Consent Content Codes 📍4.0.1 FHIR Std.
Consent.provision.data.​meaning Base required ConsentDataMeaning 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
HCA-consent-category error Consent Category must have a ConsentCategory of 'acd' category.coding.where(code = 'acd').exists()
HCA-provision-purpose error Consent Provision purpose must have a purpose of 'PWATRNY' provision.purpose.exists().not() or provision.purpose.where(code = 'PWATRNY').exists()
dom-2 error Consent If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Consent If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error Consent If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error Consent If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Consent A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
ppc-1 error Consent Either a Policy or PolicyRule policy.exists() or policyRule.exists()
ppc-2 error Consent IF Scope=privacy, there must be a patient patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3 error Consent IF Scope=research, there must be a patient patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4 error Consent IF Scope=adr, there must be a patient patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5 error Consent IF Scope=treatment, there must be a patient patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

This structure is derived from ADIHealthcareAgentConsent

Summary

Maturity: 2

 

Other representations of profile: CSV, Excel, Schematron