Kenya Core Implementation Guide
1.0.0 - release Kenya flag

Kenya Core Implementation Guide, published by Digital Health Agency (DHA), Kenya. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IntelliSOFT-Consulting/Kenya-core-FHIR-IG/ and changes regularly. See the Directory of published versions

Resource Profile: Kenya Core Consent Profile

Official URL: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-consent Version: 1.0.0
Active as of 2026-08-11 Computable Name: KenyaCoreConsent

Kenya Core profile for recording a patient's consent, e.g. consent to treatment, consent to data sharing with the Social Health Authority, or consent to research.

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..* Consent 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
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-consent|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣ 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.
... scope ?!SΣ 1..1 CodeableConcept adr | research | patient-privacy | treatment
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... category SΣ 1..* CodeableConcept Classification of the consent statement
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(KenyaCore Patient Profile) Who the consent applies to
... dateTime SΣ 0..1 dateTime When this Consent was created or indexed
... performer SΣ 0..* Reference(KenyaCore Patient Profile | KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core RelatedPerson Profile | KenyaCore Organization Profile) Who is agreeing to the policy and rules
... organization SΣ 0..* Reference(KenyaCore Organization Profile) Custodian of the consent
... Slices for source[x] Σ 0..1 Source from which this consent is taken
Slice: Unordered, Open by type:$this
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
.... source[x]:sourceReference SΣ 0..1 Reference(Kenya Core DocumentReference Profile) Source from which this consent is taken
... policyRule SΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
... provision SΣ 0..1 BackboneElement Constraints to the base Consent.policyRule
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
.... period SΣ 0..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role S 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
..... reference S 1..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Resource for the actor (or group, by role)
.... action SΣ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.
.... purpose SΣ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Consent.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Consent.identifier.type Base extensible IdentifierType 📍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 extensible SecurityRoleType 📍4.0.1 FHIR Std.
Consent.provision.action Base example Consent Action Codes 📍4.0.1 FHIR Std.
Consent.provision.purpose Base extensible PurposeOfUse 📦3.1.0 THO v7.3

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... id S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-consent|1.0.0
... identifier S 0..* Identifier Identifier for this record (external references)
.... use S 0..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... scope S 1..1 CodeableConcept adr | research | patient-privacy | treatment
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... category S 1..* CodeableConcept Classification of the consent statement
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... patient S 1..1 Reference(KenyaCore Patient Profile) Who the consent applies to
... dateTime S 0..1 dateTime When this Consent was created or indexed
... performer S 0..* Reference(KenyaCore Patient Profile | KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core RelatedPerson Profile | KenyaCore Organization Profile) Who is agreeing to the policy and rules
... organization S 0..* Reference(KenyaCore Organization Profile) Custodian of the consent
... Slices for source[x] 0..1 Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) Source from which this consent is taken
Slice: Unordered, Open by type:$this
.... source[x]:sourceReference S 0..1 Reference(Kenya Core DocumentReference Profile) Source from which this consent is taken
... policyRule S 0..1 CodeableConcept Regulation that this consents to
... provision S 0..1 BackboneElement Constraints to the base Consent.policyRule
.... type S 0..1 code deny | permit
.... period S 0..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... role S 1..1 CodeableConcept How the actor is involved
..... reference S 1..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Resource for the actor (or group, by role)
.... action S 0..* CodeableConcept Actions controlled by this rule
.... purpose S 0..* Coding Context of activities covered by this rule

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* Consent 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
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-consent|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..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 SΣ 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.
... scope ?!SΣ 1..1 CodeableConcept adr | research | patient-privacy | treatment
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... category SΣ 1..* CodeableConcept Classification of the consent statement
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(KenyaCore Patient Profile) Who the consent applies to
... dateTime SΣ 0..1 dateTime When this Consent was created or indexed
... performer SΣ 0..* Reference(KenyaCore Patient Profile | KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core RelatedPerson Profile | KenyaCore Organization Profile) Who is agreeing to the policy and rules
... organization SΣ 0..* Reference(KenyaCore Organization Profile) Custodian of the consent
... Slices for source[x] Σ 0..1 Source from which this consent is taken
Slice: Unordered, Open by type:$this
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
.... source[x]:sourceReference SΣ 0..1 Reference(Kenya Core DocumentReference Profile) Source from which this consent is taken
... policy 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 SΣC 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 0..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
.... period SΣ 0..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role S 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
..... reference S 1..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Resource for the actor (or group, by role)
.... action SΣ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.
.... 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 SΣ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
.... class Σ 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
.... code Σ 0..* CodeableConcept e.g. LOINC or SNOMED CT code, etc. in the content
Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
.... dataPeriod Σ 0..1 Period Timeframe for data controlled by this rule
.... data Σ 0..* BackboneElement Data controlled by this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
..... reference Σ 1..1 Reference(Resource) The actual data reference
.... provision 0..* See provision (Consent) Nested Exception Rules

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Consent.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Consent.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Consent.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Consent.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Consent.identifier.type Base extensible IdentifierType 📍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 extensible SecurityRoleType 📍4.0.1 FHIR Std.
Consent.provision.action Base example Consent Action Codes 📍4.0.1 FHIR Std.
Consent.provision.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Consent.provision.purpose Base extensible PurposeOfUse 📦3.1.0 THO v7.3
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
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()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* Consent 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
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-consent|1.0.0
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier SΣ 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
... status ?!SΣ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.
... scope ?!SΣ 1..1 CodeableConcept adr | research | patient-privacy | treatment
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... category SΣ 1..* CodeableConcept Classification of the consent statement
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
.... coding SΣ 1..* Coding Code defined by a terminology system
..... system SΣ 1..1 uri Identity of the terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(KenyaCore Patient Profile) Who the consent applies to
... dateTime SΣ 0..1 dateTime When this Consent was created or indexed
... performer SΣ 0..* Reference(KenyaCore Patient Profile | KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core RelatedPerson Profile | KenyaCore Organization Profile) Who is agreeing to the policy and rules
... organization SΣ 0..* Reference(KenyaCore Organization Profile) Custodian of the consent
... Slices for source[x] Σ 0..1 Source from which this consent is taken
Slice: Unordered, Open by type:$this
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
.... source[x]:sourceReference SΣ 0..1 Reference(Kenya Core DocumentReference Profile) Source from which this consent is taken
... policyRule SΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
... provision SΣ 0..1 BackboneElement Constraints to the base Consent.policyRule
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
.... period SΣ 0..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role S 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
..... reference S 1..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Resource for the actor (or group, by role)
.... action SΣ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.
.... purpose SΣ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Consent.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Consent.identifier.type Base extensible IdentifierType 📍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 extensible SecurityRoleType 📍4.0.1 FHIR Std.
Consent.provision.action Base example Consent Action Codes 📍4.0.1 FHIR Std.
Consent.provision.purpose Base extensible PurposeOfUse 📦3.1.0 THO v7.3

Constraints

Id Grade Path(s) Description Expression
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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... id S 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile 1..* canonical(StructureDefinition) Profiles this resource claims to conform to
Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-consent|1.0.0
... identifier S 0..* Identifier Identifier for this record (external references)
.... use S 0..1 code usual | official | temp | secondary | old (If known)
.... type S 1..1 CodeableConcept Description of identifier
.... system S 1..1 uri The namespace for the identifier value
.... value S 1..1 string The value that is unique
... scope S 1..1 CodeableConcept adr | research | patient-privacy | treatment
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... category S 1..* CodeableConcept Classification of the consent statement
.... coding S 1..* Coding Code defined by a terminology system
..... system S 1..1 uri Identity of the terminology system
..... code S 1..1 code Symbol in syntax defined by the system
..... display S 0..1 string Representation defined by the system
.... text S 0..1 string Plain text representation of the concept
... patient S 1..1 Reference(KenyaCore Patient Profile) Who the consent applies to
... dateTime S 0..1 dateTime When this Consent was created or indexed
... performer S 0..* Reference(KenyaCore Patient Profile | KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core RelatedPerson Profile | KenyaCore Organization Profile) Who is agreeing to the policy and rules
... organization S 0..* Reference(KenyaCore Organization Profile) Custodian of the consent
... Slices for source[x] 0..1 Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) Source from which this consent is taken
Slice: Unordered, Open by type:$this
.... source[x]:sourceReference S 0..1 Reference(Kenya Core DocumentReference Profile) Source from which this consent is taken
... policyRule S 0..1 CodeableConcept Regulation that this consents to
... provision S 0..1 BackboneElement Constraints to the base Consent.policyRule
.... type S 0..1 code deny | permit
.... period S 0..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... role S 1..1 CodeableConcept How the actor is involved
..... reference S 1..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Resource for the actor (or group, by role)
.... action S 0..* CodeableConcept Actions controlled by this rule
.... purpose S 0..* Coding Context of activities covered by this rule

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* Consent 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
... id SΣ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile Σ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to

Required Pattern: https://fhir.dha.go.ke/ig/core/StructureDefinition/kenya-core-consent|1.0.0
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..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 SΣ 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!SΣ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
.... type SΣ 1..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
.... system SΣ 1..1 uri The namespace for the identifier value
Example General: http://www.acme.com/identifiers/patient
.... value SΣ 1..1 string The value that is unique
Example General: 123456
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... status ?!SΣ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.
... scope ?!SΣ 1..1 CodeableConcept adr | research | patient-privacy | treatment
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... category SΣ 1..* CodeableConcept Classification of the consent statement
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... coding SΣ 1..* Coding Code defined by a terminology system
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... system SΣ 1..1 uri Identity of the terminology system
..... version Σ 0..1 string Version of the system - if relevant
..... code SΣ 1..1 code Symbol in syntax defined by the system
..... display SΣ 0..1 string Representation defined by the system
..... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
.... text SΣ 0..1 string Plain text representation of the concept
... patient SΣ 1..1 Reference(KenyaCore Patient Profile) Who the consent applies to
... dateTime SΣ 0..1 dateTime When this Consent was created or indexed
... performer SΣ 0..* Reference(KenyaCore Patient Profile | KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | Kenya Core RelatedPerson Profile | KenyaCore Organization Profile) Who is agreeing to the policy and rules
... organization SΣ 0..* Reference(KenyaCore Organization Profile) Custodian of the consent
... Slices for source[x] Σ 0..1 Source from which this consent is taken
Slice: Unordered, Open by type:$this
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
.... source[x]:sourceReference SΣ 0..1 Reference(Kenya Core DocumentReference Profile) Source from which this consent is taken
... policy 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 SΣC 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 0..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 0..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
.... period SΣ 0..1 Period Timeframe for this rule
.... actor S 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role S 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
..... reference S 1..1 Reference(KenyaCore Practitioner Profile | KenyaCore PractitionerRole Profile | KenyaCore Organization Profile | KenyaCore Patient Profile | Kenya Core RelatedPerson Profile) Resource for the actor (or group, by role)
.... action SΣ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.
.... 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 SΣ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
.... class Σ 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
.... code Σ 0..* CodeableConcept e.g. LOINC or SNOMED CT code, etc. in the content
Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
.... dataPeriod Σ 0..1 Period Timeframe for data controlled by this rule
.... data Σ 0..* BackboneElement Data controlled by this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
..... reference Σ 1..1 Reference(Resource) The actual data reference
.... provision 0..* See provision (Consent) Nested Exception Rules

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Consent.meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Consent.meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
Consent.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Consent.identifier.use Base required IdentifierUse 📍4.0.1 FHIR Std.
Consent.identifier.type Base extensible IdentifierType 📍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 extensible SecurityRoleType 📍4.0.1 FHIR Std.
Consent.provision.action Base example Consent Action Codes 📍4.0.1 FHIR Std.
Consent.provision.securityLabel Base extensible SecurityLabels 📍4.0.1 FHIR Std.
Consent.provision.purpose Base extensible PurposeOfUse 📦3.1.0 THO v7.3
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
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()

 

Other representations of profile: CSV, Excel, Schematron