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 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

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Resource Profile: ADI Healthcare Agent Consent ( Abstract )

This profile is used to represent a delegation of rights consent for healthcare related decision-making. The ADI Healthcare Agent Consent Permit profile enables the patient to delegate the typical powers of a durable medical power of attorney to one or more healthcare agents which may be in a prioritized order (primary, secondary, tertiary) or simply may be designated as healthcare agents to act as an authorized personal representative for the patient in circumstances where the patient is not able to communicate. The ADI Healthcare Agent Consent Deny Profile may be used in conjunction to constrain the powers granted through the permit. The authorized personal representative appointed as healthcare agents are referenced from the Consent Resource via the actor.reference where the actor.code indicates the healthcare agent role

Usages:

• Derived from this Profile: ADI Healthcare Agent Consent Deny and ADI Healthcare Agent Consent Permit
• Refer to this Profile: ADI Person-Authored Composition and ADI PMO Composition

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.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	This is an abstract profile. Child profiles: ADIHealthcareAgentConsentPermit, ADIHealthcareAgentConsentDeny 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
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.text	S This element must be supported.	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
Consent.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active (extensions allowed)
Consent.scope	?! This element is a modifier element. Σ This element is included in summaries.	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "81377-4", "display" : "Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported" } ] }
Consent.category	S This element must be supported. Σ This element is included in summaries.	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: { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes", "version" : "1.0.1", "code" : "acd" } ] }
Consent.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile)	Who the consent applies to
Consent.dateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	When this Consent was created or indexed
Consent.policy	S This element must be supported.	0..*	BackboneElement	Policies covered by this consent
Consent.policy.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision	S This element must be supported. Σ This element is included in summaries.	1..1	BackboneElement	Constraints to the base Consent.policyRule
Consent.provision.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.type	S This element must be supported. Σ This element is included in summaries.	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
Consent.provision.actor	S This element must be supported.	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
Consent.provision.actor.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.actor.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.actor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.actor.role		1..1	CodeableConcept	How the actor is involved Binding: Healthcare Agent or Proxy Choices (required)
Consent.provision.actor.reference		1..1	Reference(ADI Healthcare Agent Participant)	Resource for the actor (or group, by role)
Consent.provision.action	Σ This element is included in summaries.	0..*	CodeableConcept	Actions controlled by this rule Binding: Healthcare Agent Decisions (extensible)
Consent.provision.purpose	Σ This element is included in summaries.	0..*	Coding	Context of activities covered by this rule Binding: v3 Code System ActReason (required)
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	tx.fhir.org
Consent.provision.action	Base	extensible	Healthcare Agent Decisions	📦2.0.0	This IG
Consent.provision.purpose	Base	required	v3 Code System ActReason	📦3.0.0	THO v7.4

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 Consent

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	This is an abstract profile. Child profiles: ADIHealthcareAgentConsentPermit, ADIHealthcareAgentConsentDeny A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: HCA-consent-category, HCA-provision-purpose
Consent.text	S This element must be supported.	1..1	Narrative	Text summary of the resource, for human interpretation
Consent.status	S This element must be supported.	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Required Pattern: active (extensions allowed)
Consent.scope		1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "81377-4", "display" : "Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported" } ] }
Consent.category	S This element must be supported.	1..1	CodeableConcept	Classification of the consent statement - for indexing/retrieval Required Pattern: { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes", "version" : "1.0.1", "code" : "acd" } ] }
Consent.patient	S This element must be supported.	1..1	Reference(US Core Patient Profile)	Who the consent applies to
Consent.dateTime	S This element must be supported.	0..1	dateTime	When this Consent was created or indexed
Consent.policy	S This element must be supported.	0..*	BackboneElement	Policies covered by this consent
Consent.provision	S This element must be supported.	1..1	BackboneElement	Constraints to the base Consent.policyRule
Consent.provision.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.type	S This element must be supported.	1..1	code	deny | permit
Consent.provision.actor	S This element must be supported.	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
Consent.provision.actor.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.actor.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.actor.role		1..1	CodeableConcept	How the actor is involved Binding: Healthcare Agent or Proxy Choices (required)
Consent.provision.actor.reference		1..1	Reference(ADI Healthcare Agent Participant)	Resource for the actor (or group, by role)
Consent.provision.action		0..*	CodeableConcept	Actions controlled by this rule Binding: Healthcare Agent Decisions (extensible)
Consent.provision.purpose		0..*	Coding	Context of activities covered by this rule Binding: v3 Code System ActReason (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Consent.provision.actor.​role	Base	required	Healthcare Agent or Proxy Choices	⏿20221029	tx.fhir.org
Consent.provision.action	Base	extensible	Healthcare Agent Decisions	📦2.0.0	This IG
Consent.provision.purpose	Base	required	v3 Code System ActReason	📦3.0.0	THO v7.4

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()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	This is an abstract profile. Child profiles: ADIHealthcareAgentConsentPermit, ADIHealthcareAgentConsentDeny 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
Consent.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Consent.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Consent.text	S This element must be supported.	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
Consent.contained		0..*	Resource	Contained, inline Resources
Consent.extension		0..*	Extension	Additional content defined by implementations
Consent.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
Consent.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active (extensions allowed)
Consent.scope	?! This element is a modifier element. Σ This element is included in summaries.	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "81377-4", "display" : "Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported" } ] }
Consent.category	S This element must be supported. Σ This element is included in summaries.	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: { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes", "version" : "1.0.1", "code" : "acd" } ] }
Consent.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile)	Who the consent applies to
Consent.dateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	When this Consent was created or indexed
Consent.performer	Σ This element is included in summaries.	0..*	Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Who is agreeing to the policy and rules
Consent.organization	Σ This element is included in summaries.	0..*	Reference(Organization)	Custodian of the consent
Consent.source[x]	Σ This element is included in summaries.	0..1		Source from which this consent is taken
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
Consent.policy	S This element must be supported.	0..*	BackboneElement	Policies covered by this consent
Consent.policy.id		0..1	string	Unique id for inter-element referencing
Consent.policy.extension		0..*	Extension	Additional content defined by implementations
Consent.policy.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.policy.authority	C	0..1	uri	Enforcement source for policy
Consent.policy.uri	C	0..1	uri	Specific policy covered by this consent
Consent.policyRule	Σ This element is included in summaries. C	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
Consent.verification	Σ This element is included in summaries.	0..*	BackboneElement	Consent Verified by patient or family
Consent.verification.id		0..1	string	Unique id for inter-element referencing
Consent.verification.extension		0..*	Extension	Additional content defined by implementations
Consent.verification.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.verification.verified	Σ This element is included in summaries.	1..1	boolean	Has been verified
Consent.verification.verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
Consent.verification.verificationDate		0..1	dateTime	When consent verified
Consent.provision	S This element must be supported. Σ This element is included in summaries.	1..1	BackboneElement	Constraints to the base Consent.policyRule
Consent.provision.id		0..1	string	Unique id for inter-element referencing
Consent.provision.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.type	S This element must be supported. Σ This element is included in summaries.	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
Consent.provision.period	Σ This element is included in summaries.	0..1	Period	Timeframe for this rule
Consent.provision.actor	S This element must be supported.	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
Consent.provision.actor.id		0..1	string	Unique id for inter-element referencing
Consent.provision.actor.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.actor.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.actor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.actor.role		1..1	CodeableConcept	How the actor is involved Binding: Healthcare Agent or Proxy Choices (required)
Consent.provision.actor.reference		1..1	Reference(ADI Healthcare Agent Participant)	Resource for the actor (or group, by role)
Consent.provision.action	Σ This element is included in summaries.	0..*	CodeableConcept	Actions controlled by this rule Binding: Healthcare Agent Decisions (extensible)
Consent.provision.securityLabel	Σ This element is included in summaries.	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Consent.provision.purpose	Σ This element is included in summaries.	0..*	Coding	Context of activities covered by this rule Binding: v3 Code System ActReason (required)
Consent.provision.class	Σ This element is included in summaries.	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
Consent.provision.code	Σ This element is included in summaries.	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.
Consent.provision.dataPeriod	Σ This element is included in summaries.	0..1	Period	Timeframe for data controlled by this rule
Consent.provision.data	Σ This element is included in summaries.	0..*	BackboneElement	Data controlled by this rule
Consent.provision.data.id		0..1	string	Unique id for inter-element referencing
Consent.provision.data.extension		0..*	Extension	Additional content defined by implementations
Consent.provision.data.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.data.meaning	Σ This element is included in summaries.	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
Consent.provision.data.reference	Σ This element is included in summaries.	1..1	Reference(Resource)	The actual data reference
Consent.provision.provision		0..*	See provision (Consent)	Nested Exception Rules
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Consent.status	Base	required	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	tx.fhir.org
Consent.provision.action	Base	extensible	Healthcare Agent Decisions	📦2.0.0	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 v7.4
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 Consent

Summary

Mandatory: 5 elements
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• ADI Healthcare Agent Participant (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	This is an abstract profile. Child profiles: ADIHealthcareAgentConsentPermit, ADIHealthcareAgentConsentDeny 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
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.text	S This element must be supported.	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
Consent.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active (extensions allowed)
Consent.scope	?! This element is a modifier element. Σ This element is included in summaries.	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "81377-4", "display" : "Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported" } ] }
Consent.category	S This element must be supported. Σ This element is included in summaries.	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: { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes", "version" : "1.0.1", "code" : "acd" } ] }
Consent.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile)	Who the consent applies to
Consent.dateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	When this Consent was created or indexed
Consent.policy	S This element must be supported.	0..*	BackboneElement	Policies covered by this consent
Consent.policy.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision	S This element must be supported. Σ This element is included in summaries.	1..1	BackboneElement	Constraints to the base Consent.policyRule
Consent.provision.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.type	S This element must be supported. Σ This element is included in summaries.	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
Consent.provision.actor	S This element must be supported.	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
Consent.provision.actor.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.actor.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.actor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.actor.role		1..1	CodeableConcept	How the actor is involved Binding: Healthcare Agent or Proxy Choices (required)
Consent.provision.actor.reference		1..1	Reference(ADI Healthcare Agent Participant)	Resource for the actor (or group, by role)
Consent.provision.action	Σ This element is included in summaries.	0..*	CodeableConcept	Actions controlled by this rule Binding: Healthcare Agent Decisions (extensible)
Consent.provision.purpose	Σ This element is included in summaries.	0..*	Coding	Context of activities covered by this rule Binding: v3 Code System ActReason (required)
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	tx.fhir.org
Consent.provision.action	Base	extensible	Healthcare Agent Decisions	📦2.0.0	This IG
Consent.provision.purpose	Base	required	v3 Code System ActReason	📦3.0.0	THO v7.4

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 Consent

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	This is an abstract profile. Child profiles: ADIHealthcareAgentConsentPermit, ADIHealthcareAgentConsentDeny A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: HCA-consent-category, HCA-provision-purpose
Consent.text	S This element must be supported.	1..1	Narrative	Text summary of the resource, for human interpretation
Consent.status	S This element must be supported.	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Required Pattern: active (extensions allowed)
Consent.scope		1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "81377-4", "display" : "Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported" } ] }
Consent.category	S This element must be supported.	1..1	CodeableConcept	Classification of the consent statement - for indexing/retrieval Required Pattern: { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes", "version" : "1.0.1", "code" : "acd" } ] }
Consent.patient	S This element must be supported.	1..1	Reference(US Core Patient Profile)	Who the consent applies to
Consent.dateTime	S This element must be supported.	0..1	dateTime	When this Consent was created or indexed
Consent.policy	S This element must be supported.	0..*	BackboneElement	Policies covered by this consent
Consent.provision	S This element must be supported.	1..1	BackboneElement	Constraints to the base Consent.policyRule
Consent.provision.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.type	S This element must be supported.	1..1	code	deny | permit
Consent.provision.actor	S This element must be supported.	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
Consent.provision.actor.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.actor.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.actor.role		1..1	CodeableConcept	How the actor is involved Binding: Healthcare Agent or Proxy Choices (required)
Consent.provision.actor.reference		1..1	Reference(ADI Healthcare Agent Participant)	Resource for the actor (or group, by role)
Consent.provision.action		0..*	CodeableConcept	Actions controlled by this rule Binding: Healthcare Agent Decisions (extensible)
Consent.provision.purpose		0..*	Coding	Context of activities covered by this rule Binding: v3 Code System ActReason (required)
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Consent.provision.actor.​role	Base	required	Healthcare Agent or Proxy Choices	⏿20221029	tx.fhir.org
Consent.provision.action	Base	extensible	Healthcare Agent Decisions	📦2.0.0	This IG
Consent.provision.purpose	Base	required	v3 Code System ActReason	📦3.0.0	THO v7.4

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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	This is an abstract profile. Child profiles: ADIHealthcareAgentConsentPermit, ADIHealthcareAgentConsentDeny 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
Consent.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Consent.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Consent.text	S This element must be supported.	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
Consent.contained		0..*	Resource	Contained, inline Resources
Consent.extension		0..*	Extension	Additional content defined by implementations
Consent.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
Consent.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active (extensions allowed)
Consent.scope	?! This element is a modifier element. Σ This element is included in summaries.	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: { "coding" : [ { "system" : "http://loinc.org", "code" : "81377-4", "display" : "Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported" } ] }
Consent.category	S This element must be supported. Σ This element is included in summaries.	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: { "coding" : [ { "system" : "http://terminology.hl7.org/CodeSystem/consentcategorycodes", "version" : "1.0.1", "code" : "acd" } ] }
Consent.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(US Core Patient Profile)	Who the consent applies to
Consent.dateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	When this Consent was created or indexed
Consent.performer	Σ This element is included in summaries.	0..*	Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Who is agreeing to the policy and rules
Consent.organization	Σ This element is included in summaries.	0..*	Reference(Organization)	Custodian of the consent
Consent.source[x]	Σ This element is included in summaries.	0..1		Source from which this consent is taken
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
Consent.policy	S This element must be supported.	0..*	BackboneElement	Policies covered by this consent
Consent.policy.id		0..1	string	Unique id for inter-element referencing
Consent.policy.extension		0..*	Extension	Additional content defined by implementations
Consent.policy.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.policy.authority	C	0..1	uri	Enforcement source for policy
Consent.policy.uri	C	0..1	uri	Specific policy covered by this consent
Consent.policyRule	Σ This element is included in summaries. C	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
Consent.verification	Σ This element is included in summaries.	0..*	BackboneElement	Consent Verified by patient or family
Consent.verification.id		0..1	string	Unique id for inter-element referencing
Consent.verification.extension		0..*	Extension	Additional content defined by implementations
Consent.verification.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.verification.verified	Σ This element is included in summaries.	1..1	boolean	Has been verified
Consent.verification.verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
Consent.verification.verificationDate		0..1	dateTime	When consent verified
Consent.provision	S This element must be supported. Σ This element is included in summaries.	1..1	BackboneElement	Constraints to the base Consent.policyRule
Consent.provision.id		0..1	string	Unique id for inter-element referencing
Consent.provision.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.type	S This element must be supported. Σ This element is included in summaries.	1..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
Consent.provision.period	Σ This element is included in summaries.	0..1	Period	Timeframe for this rule
Consent.provision.actor	S This element must be supported.	1..*	BackboneElement	Who|what controlled by this rule (or group, by role)
Consent.provision.actor.id		0..1	string	Unique id for inter-element referencing
Consent.provision.actor.Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Consent.provision.actor.Slices for extension.extension:ClauseExtension		0..*	(Complex)	Clause URL: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension
Consent.provision.actor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.actor.role		1..1	CodeableConcept	How the actor is involved Binding: Healthcare Agent or Proxy Choices (required)
Consent.provision.actor.reference		1..1	Reference(ADI Healthcare Agent Participant)	Resource for the actor (or group, by role)
Consent.provision.action	Σ This element is included in summaries.	0..*	CodeableConcept	Actions controlled by this rule Binding: Healthcare Agent Decisions (extensible)
Consent.provision.securityLabel	Σ This element is included in summaries.	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Consent.provision.purpose	Σ This element is included in summaries.	0..*	Coding	Context of activities covered by this rule Binding: v3 Code System ActReason (required)
Consent.provision.class	Σ This element is included in summaries.	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
Consent.provision.code	Σ This element is included in summaries.	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.
Consent.provision.dataPeriod	Σ This element is included in summaries.	0..1	Period	Timeframe for data controlled by this rule
Consent.provision.data	Σ This element is included in summaries.	0..*	BackboneElement	Data controlled by this rule
Consent.provision.data.id		0..1	string	Unique id for inter-element referencing
Consent.provision.data.extension		0..*	Extension	Additional content defined by implementations
Consent.provision.data.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.data.meaning	Σ This element is included in summaries.	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
Consent.provision.data.reference	Σ This element is included in summaries.	1..1	Reference(Resource)	The actual data reference
Consent.provision.provision		0..*	See provision (Consent)	Nested Exception Rules
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Consent.status	Base	required	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	tx.fhir.org
Consent.provision.action	Base	extensible	Healthcare Agent Decisions	📦2.0.0	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 v7.4
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 Consent

Summary

Mandatory: 5 elements
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• US Core Patient Profile (http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient)
• ADI Healthcare Agent Participant (http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant)

Extensions

This structure refers to these extensions:

• http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension

Other representations of profile: CSV, Excel, Schematron