RIVO-Noord Zorgviewer Implementation Guide
1.7.0 - CI build
RIVO-Noord Zorgviewer Implementation Guide, published by RIVO-NN HL7NL. This guide is not an authorized publication; it is the continuous build for version 1.7.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/RIVO-Noord/zorgviewer-ig/ and changes regularly. See the Directory of published versions
Active as of 2024-11-06 |
Definitions for the TreatmentDirective resource profile.
Guidance on how to interpret the contents of this table can be found here
0. Consent | |
2. Consent.extension:verification | |
Slice Name | verification |
Control | 0..1 |
Must Support | true |
4. Consent.extension:verification.extension:VerifiedWith | |
Slice Name | VerifiedWith |
Control | 0..1 |
Must Support | true |
6. Consent.extension:verification.extension:VerifiedWith.valueCodeableConcept:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Must Support | true |
8. Consent.extension:treatment | |
Slice Name | treatment |
Control | 0..1 |
Must Support | true |
10. Consent.extension:treatment.valueCodeableConcept:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Binding | Unless not suitable, these codes SHALL be taken from ACP behandelingen waardelijst (extensible to http://hl7.nl/fhir/zorgviewer/ValueSet/ACPTreatmentCodelist )The medical treatment to which the treatment instruction applies. |
Must Support | true |
12. Consent.modifierExtension:treatmentPermitted | |
Slice Name | treatmentPermitted |
Must Support | true |
14. Consent.period | |
Must Support | true |
16. Consent.period.start | |
Must Support | true |
18. Consent.except | |
20. Consent.except.extension:restrictions | |
Slice Name | restrictions |
Control | 0..1 |
Must Support | true |
Guidance on how to interpret the contents of this table can be found here
0. Consent | |
Definition | A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time. |
Short | TreatmentDirectiveA healthcare consumer's policy choices to permits or denies recipients or roles to perform actions for specific purposes and periods of time |
Comments | Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives. |
Control | 0..* |
Alternate Names | BehandelAanwijzing |
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative ( contained.text.empty() )dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource ( contained.where(('#'+id in %resource.descendants().reference).not()).empty() )ppc-1: Either a Policy or PolicyRule ( policy.exists() or policyRule.exists() )hcim-treatmentdirective-1: extension.additionalSources may only be used for AdvanceDirective references in addition to first reference in .source[x] ( extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources').empty() or source.exists() )dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty()) dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty()) ppc-1: Either a Policy or PolicyRule (policy.exists() or policyRule.exists()) |
2. Consent.implicitRules | |
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. |
Short | A set of rules under which this content was created |
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. |
Control | 0..1 |
Type | uri |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
4. Consent.extension:verification | |
Slice Name | verification |
Definition | Container of the Verification concept. This container contains all data elements of the Verification concept. |
Short | Verification |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(HCIM TreatmentDirective Verification) (Complex Extension) |
Is Modifier | false |
Must Support | true |
Alternate Names | Verificatie |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
6. Consent.extension:verification.extension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. |
Short | ExtensionAdditional Content defined by implementations |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 10..* |
Type | Extension |
Alternate Names | extensions, user content |
Slicing | This element introduces a set of slices on Consent.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
8. Consent.extension:verification.extension:Verified | |
Slice Name | Verified |
Definition | An Extension |
Short | VerifiedAdditional Content defined by implementations |
Control | 10..1* |
Type | Extension |
Alternate Names | Geverifieerd |
10. Consent.extension:verification.extension:Verified.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | Verified |
12. Consent.extension:verification.extension:Verified.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | boolean, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Slicing | This element introduces a set of slices on Consent.extension.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
14. Consent.extension:verification.extension:Verified.value[x]:valueBoolean | |
Slice Name | valueBoolean |
Definition | Indication of the fact that the treatment instruction has been verified with the patient, the patient’s family and/or the patient's authorized representative. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | VerifiedValue of extension |
Control | 0..1 |
Type | boolean, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Alternate Names | Geverifieerd |
16. Consent.extension:verification.extension:VerifiedWith | |
Slice Name | VerifiedWith |
Definition | An Extension |
Short | ExtensionAdditional Content defined by implementations |
Control | 0..1* |
Type | Extension |
Must Support | true |
18. Consent.extension:verification.extension:VerifiedWith.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | VerifiedWith |
20. Consent.extension:verification.extension:VerifiedWith.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Slicing | This element introduces a set of slices on Consent.extension.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
22. Consent.extension:verification.extension:VerifiedWith.value[x]:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from For codes, see GeverifieerdBijCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4--20171231000000 )The person with whom the treatment instruction was discussed and verified. |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Must Support | true |
24. Consent.extension:verification.extension:VerificationDate | |
Slice Name | VerificationDate |
Definition | An Extension |
Short | VerificationDateAdditional Content defined by implementations |
Control | 0..1* |
Type | Extension |
Alternate Names | VerificatieDatum |
26. Consent.extension:verification.extension:VerificationDate.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | VerificationDate |
28. Consent.extension:verification.extension:VerificationDate.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | dateTime, date, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Slicing | This element introduces a set of slices on Consent.extension.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
30. Consent.extension:verification.extension:VerificationDate.value[x]:valueDateTime | |
Slice Name | valueDateTime |
Definition | Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | VerificationDateValue of extension |
Control | 0..1 |
Type | dateTime, date, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal, CodeableConcept |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Alternate Names | VerificatieDatum |
32. Consent.extension:verification.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification |
34. Consent.extension:verification.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..01 |
Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
36. Consent.extension:comment | |
Slice Name | comment |
Definition | Comments on the treatment instruction such as a written description of an end date which can be indicated as a date (“until discharge from hospital”). |
Short | Comment |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(Comment) (Extension Type: string) |
Alternate Names | Toelichting |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
38. Consent.extension:treatment | |
Slice Name | treatment |
Definition | Optional Extension Element - found in all resources. |
Short | Optional Extensions Element |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(HCIM TreatmentDirective Treatment) (Extension Type: CodeableConcept) |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
40. Consent.extension:treatment.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment |
42. Consent.extension:treatment.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Slicing | This element introduces a set of slices on Consent.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
44. Consent.extension:treatment.value[x]:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Definition | The medical treatment to which the treatment instruction applies. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | TreatmentValue of extension |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from For codes, see ACP behandelingen waardelijst (extensible to http://hl7.nl/fhir/zorgviewer/ValueSet/ACPTreatmentCodelist )The medical treatment to which the treatment instruction applies. |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Must Support | true |
Alternate Names | Behandeling |
46. Consent.extension:additionalSources | |
Slice Name | additionalSources |
Definition | Optional Extension Element - found in all resources. |
Short | Optional Extensions Element |
Comments | The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using this extension. |
Control | 0..* This element is affected by the following invariants: ele-1 |
Type | Extension(Consent additionalSource) (Extension Type: Choice of: Attachment, Identifier, Reference(Consent, DocumentReference, Contract, QuestionnaireResponse)) |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
48. Consent.extension:additionalSources.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources |
50. Consent.modifierExtension | |
Definition | An Extension May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Short | ExtensionExtensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 10..* |
Type | Extension |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Alternate Names | extensions, user content |
Slicing | This element introduces a set of slices on Consent.modifierExtension . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
52. Consent.modifierExtension:treatmentPermitted | |
Slice Name | treatmentPermitted |
Definition | An Extension |
Short | Extension |
Control | 1..1 This element is affected by the following invariants: ele-1 |
Type | Extension(HCIM TreatmentDirective TreatmentPermitted) (Extension Type: CodeableConcept) |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
54. Consent.modifierExtension:treatmentPermitted.url | |
Definition | Source of the definition for the extension code - a logical name or a URL. |
Short | identifies the meaning of the extension |
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. |
Control | 1..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
XML Format | In the XML format, this property is represented as an attribute. |
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted |
56. Consent.modifierExtension:treatmentPermitted.value[x] | |
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | Value of extension |
Control | 0..1 |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Slicing | This element introduces a set of slices on Consent.modifierExtension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: |
58. Consent.modifierExtension:treatmentPermitted.value[x]:valueCodeableConcept | |
Slice Name | valueCodeableConcept |
Definition | Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints. Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). |
Short | TreatmentPermittedValue of extension |
Control | 0..1 |
Binding | Unless not suitable, these codes SHALL be taken from For codes, see BehandelingToegestaanCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2--20171231000000 )Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints. |
Type | CodeableConcept, date, dateTime, Meta, code, string, Address, Attachment, integer, oid, Count, instant, ContactPoint, HumanName, Money, Identifier, Coding, markdown, SampledData, Ratio, id, positiveInt, Age, Distance, Reference, Period, Quantity, Duration, Range, uri, Annotation, boolean, base64Binary, Signature, unsignedInt, time, Timing, decimal |
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] |
Alternate Names | BehandelingToegestaan |
60. Consent.status | |
Definition | Indicates the current state of this consent. |
Short | draft | proposed | active | rejected | inactive | entered-in-error |
Comments | The HCIM treatmentDirective is not explicit on its intention. The expectation however is that any instantation of a TreatmentDirective is "active" unless stated otherwise. This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid. |
Control | 1..1 |
Binding | The codes SHALL be taken from ConsentStatehttp://hl7.org/fhir/ValueSet/consent-state-codes (required to http://hl7.org/fhir/ValueSet/consent-state-codes )Indicates the state of the consent |
Type | code |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive. |
62. Consent.category | |
Definition | A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements. |
Short | Classification of the consent statement - for indexing/retrieval |
Control | 10..* |
Binding | For example codes, see Consent Category Codeshttp://hl7.org/fhir/ValueSet/consent-category (example to http://hl7.org/fhir/ValueSet/consent-category )A classification of the type of consents found in a consent statement |
Type | CodeableConcept |
Summary | true |
64. Consent.category.coding | |
Definition | A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 10..* |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
Slicing | This element introduces a set of slices on Consent.category.coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: |
66. Consent.category.coding:treatmentDirective | |
Slice Name | treatmentDirective |
Definition | Category SNOMED code used for indexing/retrieval of the HCIM TreatmentDirective. A reference to a code defined by a terminology system. |
Short | Code defined by a terminology system |
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. |
Control | 10..1* |
Type | Coding |
Summary | true |
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. |
68. Consent.category.coding:treatmentDirective.system | |
Definition | The identification of the code system that defines the meaning of the symbol in the code. |
Short | Identity of the terminology system |
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. |
Control | 10..1 |
Type | uri |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to be unambiguous about the source of the definition of the symbol. |
Fixed Value | http://snomed.info/sct |
70. Consent.category.coding:treatmentDirective.code | |
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). |
Short | Symbol in syntax defined by the system |
Control | 10..1 |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Requirements | Need to refer to a particular code in the system. |
Fixed Value | 11291000146105 |
72. Consent.patient | |
Definition | The patient/healthcare consumer to whom this consent applies. |
Short | Who the consent applies to |
Comments | Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person. |
Control | 1..1 |
Type | Reference(nl-core-patient, Patient) |
Summary | true |
74. Consent.period | |
Definition | Relevant time or time-period when this Consent is applicable. |
Short | Period that this consent applies |
Comments | This can be a subset of the period of the original statement. |
Control | 0..1 |
Type | Period |
Must Support | true |
Summary | true |
Meaning if Missing | all date ranges included |
76. Consent.period.start | |
Definition | Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted. The start of the period. The boundary is inclusive. |
Short | StartDateStarting time with inclusive boundary |
Comments | If the low element is missing, the meaning is that the low boundary is not known. |
Control | 0..1 This element is affected by the following invariants: per-1 |
Type | dateTime |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Must Support | true |
Summary | true |
Alternate Names | BeginDatum |
78. Consent.except | |
Definition | An exception to the base policy of this consent. An exception can be an addition or removal of access permissions. |
Short | Additional rule - addition or removal of permissions |
Comments | If a Consent.except is used in accordance with the HCIM TreatmentDirective, then the only time an except is in order, is when the value of the element NL-CM:2.1.4 TreatmentPermitted is YESBUT/JAMAAR. |
Control | 0..* |
Type | BackboneElement |
Summary | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count())) |
80. Consent.except.extension:restrictions | |
Slice Name | restrictions |
Definition | Optional Extension Element - found in all resources. |
Short | Optional Extensions Element |
Control | 0..1 This element is affected by the following invariants: ele-1 |
Type | Extension(HCIM TreatmentDirective Restrictions) (Extension Type: string) |
Must Support | true |
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) |
82. Consent.except.modifierExtension | |
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. |
Short | Extensions that cannot be ignored |
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. |
Control | 0..* |
Type | Extension |
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR |
Summary | true |
Alternate Names | extensions, user content, modifiers |
84. Consent.except.type | |
Definition | Action to take - permit or deny - when the exception conditions are met. |
Short | deny | permit |
Comments | If a Consent.except is used in accordance with the HCIM TreatmentDirective and the value of the element NL-CM:2.1.4 TreatmentPermitted is YESBUT/JAMAAR, then the value of this element SHALL be "deny" |
Control | 1..1 |
Binding | The codes SHALL be taken from ConsentExceptTypehttp://hl7.org/fhir/ValueSet/consent-except-type (required to http://hl7.org/fhir/ValueSet/consent-except-type )How an exception statement is applied, such as adding additional consent or removing consent |
Type | code |
Primitive Value | This primitive element may be present, or absent, or replaced by an extension |
Summary | true |
Guidance on how to interpret the contents of this table can be found here
0. Consent | |||||
Definition | A record of a healthcare consumer’s policy choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time. | ||||
Short | TreatmentDirective | ||||
Comments | Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives. | ||||
Control | 0..* | ||||
Alternate Names | BehandelAanwijzing | ||||
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty() )dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative ( contained.text.empty() )dom-4: 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-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource ( contained.where(('#'+id in %resource.descendants().reference).not()).empty() )ppc-1: Either a Policy or PolicyRule ( policy.exists() or policyRule.exists() )hcim-treatmentdirective-1: extension.additionalSources may only be used for AdvanceDirective references in addition to first reference in .source[x] ( extension.where(url = 'http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources').empty() or source.exists() ) | ||||
2. Consent.id | |||||
Definition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. | ||||
Short | Logical id of this artifact | ||||
Comments | The only time that a resource does not have an id is when it is being submitted to the server using a create operation. | ||||
Control | 0..1 | ||||
Type | id | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
4. Consent.meta | |||||
Definition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource. | ||||
Short | Metadata about the resource | ||||
Control | 0..1 | ||||
Type | Meta | ||||
Summary | true | ||||
6. Consent.implicitRules | |||||
Definition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. | ||||
Short | A set of rules under which this content was created | ||||
Comments | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation. | ||||
Control | 0..1 | ||||
Type | uri | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
8. Consent.language | |||||
Definition | The base language in which the resource is written. | ||||
Short | Language of the resource content | ||||
Comments | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from Common Languages (extensible to http://hl7.org/fhir/ValueSet/languages )A human language.
| ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
10. Consent.text | |||||
Definition | A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. | ||||
Short | Text summary of the resource, for human interpretation | ||||
Comments | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later. | ||||
Control | 0..1 This element is affected by the following invariants: dom-1 | ||||
Type | Narrative | ||||
Alternate Names | narrative, html, xhtml, display | ||||
12. Consent.contained | |||||
Definition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. | ||||
Short | Contained, inline Resources | ||||
Comments | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. | ||||
Control | 0..* | ||||
Type | Resource | ||||
Alternate Names | inline resources, anonymous resources, contained resources | ||||
14. Consent.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Slicing | This element introduces a set of slices on Consent.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
16. Consent.extension:verification | |||||
Slice Name | verification | ||||
Definition | Container of the Verification concept. This container contains all data elements of the Verification concept. | ||||
Short | Verification | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(HCIM TreatmentDirective Verification) (Complex Extension) | ||||
Is Modifier | false | ||||
Must Support | true | ||||
Alternate Names | Verificatie | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
18. Consent.extension:verification.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
20. Consent.extension:verification.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 1..* | ||||
Type | Extension | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
22. Consent.extension:verification.extension:Verified | |||||
Slice Name | Verified | ||||
Definition | An Extension | ||||
Short | Verified | ||||
Control | 1..1 | ||||
Type | Extension | ||||
Alternate Names | Geverifieerd | ||||
24. Consent.extension:verification.extension:Verified.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
26. Consent.extension:verification.extension:Verified.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
28. Consent.extension:verification.extension:Verified.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | Verified | ||||
30. Consent.extension:verification.extension:Verified.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | boolean | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
32. Consent.extension:verification.extension:Verified.value[x]:valueBoolean | |||||
Slice Name | valueBoolean | ||||
Definition | Indication of the fact that the treatment instruction has been verified with the patient, the patient’s family and/or the patient's authorized representative. | ||||
Short | Verified | ||||
Control | 0..1 | ||||
Type | boolean | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Alternate Names | Geverifieerd | ||||
34. Consent.extension:verification.extension:VerifiedWith | |||||
Slice Name | VerifiedWith | ||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..1 | ||||
Type | Extension | ||||
Must Support | true | ||||
36. Consent.extension:verification.extension:VerifiedWith.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
38. Consent.extension:verification.extension:VerifiedWith.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
40. Consent.extension:verification.extension:VerifiedWith.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | VerifiedWith | ||||
42. Consent.extension:verification.extension:VerifiedWith.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
44. Consent.extension:verification.extension:VerifiedWith.value[x]:valueCodeableConcept | |||||
Slice Name | valueCodeableConcept | ||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from GeverifieerdBijCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.4--20171231000000 )The person with whom the treatment instruction was discussed and verified. | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Must Support | true | ||||
46. Consent.extension:verification.extension:VerificationDate | |||||
Slice Name | VerificationDate | ||||
Definition | An Extension | ||||
Short | VerificationDate | ||||
Control | 0..1 | ||||
Type | Extension | ||||
Alternate Names | VerificatieDatum | ||||
48. Consent.extension:verification.extension:VerificationDate.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
50. Consent.extension:verification.extension:VerificationDate.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
52. Consent.extension:verification.extension:VerificationDate.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | VerificationDate | ||||
54. Consent.extension:verification.extension:VerificationDate.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
56. Consent.extension:verification.extension:VerificationDate.value[x]:valueDateTime | |||||
Slice Name | valueDateTime | ||||
Definition | Date on which the verification with the patient, the patient’s family and/or the patient's authorized representative took place. | ||||
Short | VerificationDate | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Alternate Names | VerificatieDatum | ||||
58. Consent.extension:verification.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Verification | ||||
60. Consent.extension:verification.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..0 | ||||
Type | Choice of: base64Binary, boolean, code, date, dateTime, decimal, id, instant, integer, markdown, oid, positiveInt, string, time, unsignedInt, uri, Address, Age, Annotation, Attachment, CodeableConcept, Coding, ContactPoint, Count, Distance, Duration, HumanName, Identifier, Money, Period, Quantity, Range, Ratio, Reference, SampledData, Signature, Timing, Meta | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
62. Consent.extension:comment | |||||
Slice Name | comment | ||||
Definition | Comments on the treatment instruction such as a written description of an end date which can be indicated as a date (“until discharge from hospital”). | ||||
Short | Comment | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Comment) (Extension Type: string) | ||||
Alternate Names | Toelichting | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
64. Consent.extension:treatment | |||||
Slice Name | treatment | ||||
Definition | Optional Extension Element - found in all resources. | ||||
Short | Optional Extensions Element | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(HCIM TreatmentDirective Treatment) (Extension Type: CodeableConcept) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
66. Consent.extension:treatment.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
68. Consent.extension:treatment.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
70. Consent.extension:treatment.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-Treatment | ||||
72. Consent.extension:treatment.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Slicing | This element introduces a set of slices on Consent.extension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
74. Consent.extension:treatment.value[x]:valueCodeableConcept | |||||
Slice Name | valueCodeableConcept | ||||
Definition | The medical treatment to which the treatment instruction applies. | ||||
Short | Treatment | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from ACP behandelingen waardelijst (extensible to http://hl7.nl/fhir/zorgviewer/ValueSet/ACPTreatmentCodelist )The medical treatment to which the treatment instruction applies. | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Must Support | true | ||||
Alternate Names | Behandeling | ||||
76. Consent.extension:additionalSources | |||||
Slice Name | additionalSources | ||||
Definition | Optional Extension Element - found in all resources. | ||||
Short | Optional Extensions Element | ||||
Comments | The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using this extension. | ||||
Control | 0..* This element is affected by the following invariants: ele-1 | ||||
Type | Extension(Consent additionalSource) (Extension Type: Choice of: Attachment, Identifier, Reference(Consent, DocumentReference, Contract, QuestionnaireResponse)) | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
78. Consent.extension:additionalSources.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
80. Consent.extension:additionalSources.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.extension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
82. Consent.extension:additionalSources.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/consent-additionalSources | ||||
84. Consent.extension:additionalSources.value[x] | |||||
Definition | A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter. | ||||
Short | AdvanceDirective | ||||
Control | 0..1 | ||||
Type | Choice of: Attachment, Identifier, Reference(HCIM AdvanceDirective, DocumentReference, Contract, QuestionnaireResponse) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
86. Consent.modifierExtension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 1..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Slicing | This element introduces a set of slices on Consent.modifierExtension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
88. Consent.modifierExtension:treatmentPermitted | |||||
Slice Name | treatmentPermitted | ||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 1..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(HCIM TreatmentDirective TreatmentPermitted) (Extension Type: CodeableConcept) | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
90. Consent.modifierExtension:treatmentPermitted.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
92. Consent.modifierExtension:treatmentPermitted.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.modifierExtension.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
94. Consent.modifierExtension:treatmentPermitted.url | |||||
Definition | Source of the definition for the extension code - a logical name or a URL. | ||||
Short | identifies the meaning of the extension | ||||
Comments | The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
Fixed Value | http://nictiz.nl/fhir/StructureDefinition/zib-TreatmentDirective-TreatmentPermitted | ||||
96. Consent.modifierExtension:treatmentPermitted.value[x] | |||||
Definition | Value of extension - may be a resource or one of a constrained set of the data types (see Extensibility in the spec for list). | ||||
Short | Value of extension | ||||
Control | 0..1 | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Slicing | This element introduces a set of slices on Consent.modifierExtension.value[x] . The slices areUnordered and Closed, and can be differentiated using the following discriminators: | ||||
98. Consent.modifierExtension:treatmentPermitted.value[x]:valueCodeableConcept | |||||
Slice Name | valueCodeableConcept | ||||
Definition | Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints. | ||||
Short | TreatmentPermitted | ||||
Control | 0..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from BehandelingToegestaanCodelijst (extensible to http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.2.1.2--20171231000000 )Indication of permission for the treatment, no permission for the treatment, or permission for the treatment with constraints. | ||||
Type | CodeableConcept | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Alternate Names | BehandelingToegestaan | ||||
100. Consent.identifier | |||||
Definition | Unique identifier for this copy of the Consent Statement. | ||||
Short | Identifier for this record (external references) | ||||
Comments | This identifier is identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Summary | true | ||||
Example | <br/><b>General</b>:{ "system" : "urn:ietf:rfc:3986", "value" : "Local eCMS identifier" } | ||||
102. Consent.status | |||||
Definition | Indicates the current state of this consent. | ||||
Short | draft | proposed | active | rejected | inactive | entered-in-error | ||||
Comments | The HCIM treatmentDirective is not explicit on its intention. The expectation however is that any instantation of a TreatmentDirective is "active" unless stated otherwise. | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from ConsentState (required to http://hl7.org/fhir/ValueSet/consent-state-codes )Indicates the state of the consent | ||||
Type | code | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive. | ||||
104. Consent.category | |||||
Definition | A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements. | ||||
Short | Classification of the consent statement - for indexing/retrieval | ||||
Control | 1..* | ||||
Binding | For example codes, see Consent Category Codes (example to http://hl7.org/fhir/ValueSet/consent-category )A classification of the type of consents found in a consent statement | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
106. Consent.category.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
108. Consent.category.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.category.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
110. Consent.category.coding | |||||
Definition | A reference to a code defined by a terminology system. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 1..* | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
Slicing | This element introduces a set of slices on Consent.category.coding . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
112. Consent.category.coding:treatmentDirective | |||||
Slice Name | treatmentDirective | ||||
Definition | Category SNOMED code used for indexing/retrieval of the HCIM TreatmentDirective. | ||||
Short | Code defined by a terminology system | ||||
Comments | Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. | ||||
Control | 1..1 | ||||
Type | Coding | ||||
Summary | true | ||||
Requirements | Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings. | ||||
114. Consent.category.coding:treatmentDirective.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
116. Consent.category.coding:treatmentDirective.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.category.coding.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
118. Consent.category.coding:treatmentDirective.system | |||||
Definition | The identification of the code system that defines the meaning of the symbol in the code. | ||||
Short | Identity of the terminology system | ||||
Comments | The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously. | ||||
Control | 1..1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be unambiguous about the source of the definition of the symbol. | ||||
Fixed Value | http://snomed.info/sct | ||||
120. Consent.category.coding:treatmentDirective.version | |||||
Definition | The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. | ||||
Short | Version of the system - if relevant | ||||
Comments | Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. | ||||
Note | This is a business version Id, not a resource version Id (see discussion) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
122. Consent.category.coding:treatmentDirective.code | |||||
Definition | A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). | ||||
Short | Symbol in syntax defined by the system | ||||
Control | 1..1 | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to refer to a particular code in the system. | ||||
Fixed Value | 11291000146105 | ||||
124. Consent.category.coding:treatmentDirective.display | |||||
Definition | A representation of the meaning of the code in the system, following the rules of the system. | ||||
Short | Representation defined by the system | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Need to be able to carry a human-readable meaning of the code for readers that do not know the system. | ||||
126. Consent.category.coding:treatmentDirective.userSelected | |||||
Definition | Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays). | ||||
Short | If this coding was chosen directly by the user | ||||
Comments | Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. | ||||
Control | 0..1 | ||||
Type | boolean | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. | ||||
128. Consent.category.text | |||||
Definition | A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. | ||||
Short | Plain text representation of the concept | ||||
Comments | Very often the text is the same as a displayName of one of the codings. | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. | ||||
130. Consent.patient | |||||
Definition | The patient/healthcare consumer to whom this consent applies. | ||||
Short | Who the consent applies to | ||||
Comments | Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person. | ||||
Control | 1..1 | ||||
Type | Reference(nl-core-patient) | ||||
Summary | true | ||||
132. Consent.period | |||||
Definition | Relevant time or time-period when this Consent is applicable. | ||||
Short | Period that this consent applies | ||||
Comments | This can be a subset of the period of the original statement. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Must Support | true | ||||
Summary | true | ||||
Meaning if Missing | all date ranges included | ||||
134. Consent.period.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
136. Consent.period.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
Slicing | This element introduces a set of slices on Consent.period.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
138. Consent.period.start | |||||
Definition | Date on which the treatment instruction went into effect. A ‘vague’ date, such as only the year, is permitted. | ||||
Short | StartDate | ||||
Comments | If the low element is missing, the meaning is that the low boundary is not known. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Must Support | true | ||||
Summary | true | ||||
Alternate Names | BeginDatum | ||||
140. Consent.period.end | |||||
Definition | Date on which the treatment instruction ends. A ‘vague’ date, such as only the year, is permitted. | ||||
Short | EndDate | ||||
Comments | The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has a end value of 2012-02-03. | ||||
Control | 0..1 This element is affected by the following invariants: per-1 | ||||
Type | dateTime | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Alternate Names | EindDatum | ||||
Meaning if Missing | If the end of the period is missing, it means that the period is ongoing | ||||
142. Consent.dateTime | |||||
Definition | When this Consent was issued / created / indexed. | ||||
Short | When this Consent was created or indexed | ||||
Comments | This is not the time of the original consent, but the time that this statement was made or derived. | ||||
Control | 0..1 | ||||
Type | dateTime | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
144. Consent.consentingParty | |||||
Definition | Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions. | ||||
Short | Who is agreeing to the policy and exceptions | ||||
Comments | Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian. | ||||
Control | 0..* | ||||
Type | Reference(nl-core-relatedperson, nl-core-organization, nl-core-patient, nl-core-practitioner) | ||||
Summary | true | ||||
Alternate Names | consentor | ||||
146. Consent.consentingParty.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
148. Consent.consentingParty.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Slicing | This element introduces a set of slices on Consent.consentingParty.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
150. Consent.consentingParty.extension:practitionerRole | |||||
Slice Name | practitionerRole | ||||
Definition | Optional Extension Element - found in all resources. | ||||
Short | Optional Extensions Element | ||||
Control | 0..1 | ||||
Type | Extension(PractitionerRole Reference) (Extension Type: Reference) | ||||
152. Consent.consentingParty.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
154. Consent.consentingParty.identifier | |||||
Definition | An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Summary | true | ||||
156. Consent.consentingParty.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
158. Consent.actor | |||||
Definition | Who or what is controlled by this consent. Use group to identify a set of actors by some property they share (e.g. 'admitting officers'). | ||||
Short | Who|what controlled by this consent (or group, by role) | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Summary | true | ||||
Meaning if Missing | There is no specific actor associated with the consent | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) ) | ||||
160. Consent.actor.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
162. Consent.actor.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
164. Consent.actor.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Summary | true | ||||
Alternate Names | extensions, user content, modifiers | ||||
166. Consent.actor.role | |||||
Definition | How the individual is involved in the resources content that is described in the consent. | ||||
Short | How the actor is involved | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SecurityRoleType (extensible to http://hl7.org/fhir/ValueSet/security-role-type )How an actor is involved in the consent considerations | ||||
Type | CodeableConcept | ||||
168. Consent.actor.reference | |||||
Definition | The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers'). | ||||
Short | Resource for the actor (or group, by role) | ||||
Control | 1..1 | ||||
Type | Reference(Device, Group, CareTeam, nl-core-organization, nl-core-patient, nl-core-practitioner, nl-core-relatedperson) | ||||
170. Consent.actor.reference.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
172. Consent.actor.reference.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Slicing | This element introduces a set of slices on Consent.actor.reference.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
174. Consent.actor.reference.extension:practitionerRole | |||||
Slice Name | practitionerRole | ||||
Definition | Optional Extension Element - found in all resources. | ||||
Short | Optional Extensions Element | ||||
Control | 0..1 | ||||
Type | Extension(PractitionerRole Reference) (Extension Type: Reference) | ||||
176. Consent.actor.reference.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
178. Consent.actor.reference.identifier | |||||
Definition | An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Summary | true | ||||
180. Consent.actor.reference.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
182. Consent.action | |||||
Definition | Actions controlled by this consent. | ||||
Short | Actions controlled by this consent | ||||
Comments | Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'. | ||||
Control | 0..* | ||||
Binding | For example codes, see Consent Action Codes (example to http://hl7.org/fhir/ValueSet/consent-action )Detailed codes for the consent action. | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
Meaning if Missing | all actions | ||||
184. Consent.organization | |||||
Definition | The organization that manages the consent, and the framework within which it is executed. | ||||
Short | Custodian of the consent | ||||
Control | 0..* | ||||
Type | Reference(nl-core-organization) | ||||
Summary | true | ||||
Alternate Names | custodian | ||||
186. Consent.source[x] | |||||
Definition | A (written) statement in which a person indicates wishes concerning future medical action, in the event that this person is at that point no longer (deemed) capable of taking decisions on the matter. | ||||
Short | AdvanceDirective | ||||
Comments | The cardinality of the source element does not comply with the cardinality of the AdvanceDirective concept (NL-CM:2.1.14) specified in the HCIM TreatmentDirective. Additional AdvanceDirective references can be added using the additionalSources extension. | ||||
Control | 0..1 | ||||
Type | Choice of: Attachment, Identifier, Reference(HCIM AdvanceDirective, DocumentReference, Contract, QuestionnaireResponse) | ||||
[x] Note | SeeChoice of Data Typesfor further information about how to use [x] | ||||
Summary | true | ||||
Alternate Names | Wilsverklaring | ||||
188. Consent.policy | |||||
Definition | The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law. | ||||
Short | Policies covered by this consent | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) ) | ||||
190. Consent.policy.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
192. Consent.policy.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
194. Consent.policy.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Summary | true | ||||
Alternate Names | extensions, user content, modifiers | ||||
196. Consent.policy.authority | |||||
Definition | Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives. | ||||
Short | Enforcement source for policy | ||||
Control | 0..1 This element is affected by the following invariants: ppc-1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
198. Consent.policy.uri | |||||
Definition | The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law. | ||||
Short | Specific policy covered by this consent | ||||
Comments | Either | ||||
Control | 0..1 This element is affected by the following invariants: ppc-1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Example | <br/><b>General Dutch Law</b>:http://wetten.overheid.nl/ | ||||
200. Consent.policyRule | |||||
Definition | A referece to the specific computable policy. | ||||
Short | Policy that this consents to | ||||
Comments | If the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource. | ||||
Control | 0..1 This element is affected by the following invariants: ppc-1 | ||||
Type | uri | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
Requirements | Might be a unique identifier of a policy set in XACML, or other rules engine. | ||||
202. Consent.securityLabel | |||||
Definition | A set of security labels that define which resources are controlled by this consent. If more than one label is specified, all resources must have all the specified labels. | ||||
Short | Security Labels that define affected resources | ||||
Comments | If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?). | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to http://hl7.org/fhir/ValueSet/security-labels )Security Labels from the Healthcare Privacy and Security Classification System. | ||||
Type | Coding | ||||
Summary | true | ||||
204. Consent.purpose | |||||
Definition | The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent. | ||||
Short | Context of activities for which the agreement is made | ||||
Comments | This element is for discoverability / documentation, and does not modify or qualify the policy (e.g. the policy itself describes the purposes for which it applies). | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from PurposeOfUse (extensible to http://hl7.org/fhir/ValueSet/v3-PurposeOfUse )What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels | ||||
Type | Coding | ||||
Summary | true | ||||
206. Consent.dataPeriod | |||||
Definition | Clinical or Operational Relevant period of time that bounds the data controlled by this consent. | ||||
Short | Timeframe for data controlled by this consent | ||||
Comments | This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Summary | true | ||||
208. Consent.data | |||||
Definition | The resources controlled by this consent, if specific resources are referenced. | ||||
Short | Data controlled by this consent | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Summary | true | ||||
Meaning if Missing | all data | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) ) | ||||
210. Consent.data.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
212. Consent.data.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
214. Consent.data.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Summary | true | ||||
Alternate Names | extensions, user content, modifiers | ||||
216. Consent.data.meaning | |||||
Definition | How the resource reference is interpreted when testing consent restrictions. | ||||
Short | instance | related | dependents | authoredby | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from ConsentDataMeaning (required to http://hl7.org/fhir/ValueSet/consent-data-meaning )How a resource reference is interpreted when testing consent restrictions | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
218. Consent.data.reference | |||||
Definition | A reference to a specific resource that defines which resources are covered by this consent. | ||||
Short | The actual data reference | ||||
Control | 1..1 | ||||
Type | Reference(Resource) | ||||
Summary | true | ||||
220. Consent.except | |||||
Definition | An exception to the base policy of this consent. An exception can be an addition or removal of access permissions. | ||||
Short | Additional rule - addition or removal of permissions | ||||
Comments | If a Consent.except is used in accordance with the HCIM TreatmentDirective, then the only time an except is in order, is when the value of the element NL-CM:2.1.4 TreatmentPermitted is YESBUT/JAMAAR. | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Summary | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) ) | ||||
222. Consent.except.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
224. Consent.except.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Slicing | This element introduces a set of slices on Consent.except.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
226. Consent.except.extension:restrictions | |||||
Slice Name | restrictions | ||||
Definition | Optional Extension Element - found in all resources. | ||||
Short | Optional Extensions Element | ||||
Control | 0..1 This element is affected by the following invariants: ele-1 | ||||
Type | Extension(HCIM TreatmentDirective Restrictions) (Extension Type: string) | ||||
Must Support | true | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) )ext-1: Must have either extensions or value[x], not both ( extension.exists() != value.exists() ) | ||||
228. Consent.except.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Summary | true | ||||
Alternate Names | extensions, user content, modifiers | ||||
230. Consent.except.type | |||||
Definition | Action to take - permit or deny - when the exception conditions are met. | ||||
Short | deny | permit | ||||
Comments | If a Consent.except is used in accordance with the HCIM TreatmentDirective and the value of the element NL-CM:2.1.4 TreatmentPermitted is YESBUT/JAMAAR, then the value of this element SHALL be "deny" | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from ConsentExceptType (required to http://hl7.org/fhir/ValueSet/consent-except-type )How an exception statement is applied, such as adding additional consent or removing consent | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
232. Consent.except.period | |||||
Definition | The timeframe in this exception is valid. | ||||
Short | Timeframe for this exception | ||||
Control | 0..1 | ||||
Type | Period | ||||
Summary | true | ||||
234. Consent.except.actor | |||||
Definition | Who or what is controlled by this Exception. Use group to identify a set of actors by some property they share (e.g. 'admitting officers'). | ||||
Short | Who|what controlled by this exception (or group, by role) | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Summary | true | ||||
Meaning if Missing | There is no specific actor associated with the exception | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) ) | ||||
236. Consent.except.actor.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
238. Consent.except.actor.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
240. Consent.except.actor.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Summary | true | ||||
Alternate Names | extensions, user content, modifiers | ||||
242. Consent.except.actor.role | |||||
Definition | How the individual is involved in the resources content that is described in the exception. | ||||
Short | How the actor is involved | ||||
Control | 1..1 | ||||
Binding | Unless not suitable, these codes SHALL be taken from SecurityRoleType (extensible to http://hl7.org/fhir/ValueSet/security-role-type )How an actor is involved in the consent considerations | ||||
Type | CodeableConcept | ||||
244. Consent.except.actor.reference | |||||
Definition | The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers'). | ||||
Short | Resource for the actor (or group, by role) | ||||
Control | 1..1 | ||||
Type | Reference(Device, Group, CareTeam, nl-core-organization, nl-core-patient, nl-core-practitioner, nl-core-relatedperson) | ||||
246. Consent.except.actor.reference.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
248. Consent.except.actor.reference.extension | |||||
Definition | An Extension | ||||
Short | Extension | ||||
Control | 0..* | ||||
Type | Extension | ||||
Slicing | This element introduces a set of slices on Consent.except.actor.reference.extension . The slices areUnordered and Open, and can be differentiated using the following discriminators: | ||||
250. Consent.except.actor.reference.extension:practitionerRole | |||||
Slice Name | practitionerRole | ||||
Definition | Optional Extension Element - found in all resources. | ||||
Short | Optional Extensions Element | ||||
Control | 0..1 | ||||
Type | Extension(PractitionerRole Reference) (Extension Type: Reference) | ||||
252. Consent.except.actor.reference.reference | |||||
Definition | A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources. | ||||
Short | Literal reference, Relative, internal or absolute URL | ||||
Comments | Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server. | ||||
Control | 0..1 This element is affected by the following invariants: ref-1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
254. Consent.except.actor.reference.identifier | |||||
Definition | An identifier for the other resource. This is used when there is no way to reference the other resource directly, either because the entity is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference. | ||||
Short | Logical reference, when literal reference is not known | ||||
Comments | When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy. When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it. | ||||
Note | This is a business identifier, not a resource identifier (see discussion) | ||||
Control | 0..1 | ||||
Type | Identifier | ||||
Summary | true | ||||
256. Consent.except.actor.reference.display | |||||
Definition | Plain text narrative that identifies the resource in addition to the resource reference. | ||||
Short | Text alternative for the resource | ||||
Comments | This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it. | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
258. Consent.except.action | |||||
Definition | Actions controlled by this Exception. | ||||
Short | Actions controlled by this exception | ||||
Comments | Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'. | ||||
Control | 0..* | ||||
Binding | For example codes, see Consent Action Codes (example to http://hl7.org/fhir/ValueSet/consent-action )Detailed codes for the consent action. | ||||
Type | CodeableConcept | ||||
Summary | true | ||||
Meaning if Missing | all actions | ||||
260. Consent.except.securityLabel | |||||
Definition | A set of security labels that define which resources are controlled by this exception. If more than one label is specified, all resources must have all the specified labels. | ||||
Short | Security Labels that define affected resources | ||||
Comments | If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?). | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from All Security Labels (extensible to http://hl7.org/fhir/ValueSet/security-labels )Security Labels from the Healthcare Privacy and Security Classification System. | ||||
Type | Coding | ||||
Summary | true | ||||
262. Consent.except.purpose | |||||
Definition | The context of the activities a user is taking - why the user is accessing the data - that are controlled by this exception. | ||||
Short | Context of activities covered by this exception | ||||
Comments | E.g. if the purpose is 'research', then the operational context must be research, in order for the consent to apply. Not all of the security labels make sense for use in this element (may define a narrower value set?). | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from PurposeOfUse (extensible to http://hl7.org/fhir/ValueSet/v3-PurposeOfUse )What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels | ||||
Type | Coding | ||||
Summary | true | ||||
264. Consent.except.class | |||||
Definition | The class of information covered by this exception. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to. | ||||
Short | e.g. Resource Type, Profile, or CDA etc | ||||
Comments | Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere. | ||||
Control | 0..* | ||||
Binding | Unless not suitable, these codes SHALL be taken from Consent Content Class (extensible to http://hl7.org/fhir/ValueSet/consent-content-class )The class (type) of information a consent rule covers | ||||
Type | Coding | ||||
Summary | true | ||||
266. Consent.except.code | |||||
Definition | If this code is found in an instance, then the exception applies. | ||||
Short | e.g. LOINC or SNOMED CT code, etc in the content | ||||
Comments | Typical use of this is a Document code with class = CDA. | ||||
Control | 0..* | ||||
Binding | For example codes, see Consent Content Codes (example to http://hl7.org/fhir/ValueSet/consent-content-code )If this code is found in an instance, then the exception applies | ||||
Type | Coding | ||||
Summary | true | ||||
268. Consent.except.dataPeriod | |||||
Definition | Clinical or Operational Relevant period of time that bounds the data controlled by this exception. | ||||
Short | Timeframe for data controlled by this exception | ||||
Comments | This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement. | ||||
Control | 0..1 | ||||
Type | Period | ||||
Summary | true | ||||
270. Consent.except.data | |||||
Definition | The resources controlled by this exception, if specific resources are referenced. | ||||
Short | Data controlled by this exception | ||||
Control | 0..* | ||||
Type | BackboneElement | ||||
Summary | true | ||||
Meaning if Missing | all data | ||||
Invariants | ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()) ) | ||||
272. Consent.except.data.id | |||||
Definition | unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. | ||||
Short | xml:id (or equivalent in JSON) | ||||
Control | 0..1 | ||||
Type | string | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
XML Format | In the XML format, this property is represented as an attribute. | ||||
274. Consent.except.data.extension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. | ||||
Short | Additional Content defined by implementations | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Alternate Names | extensions, user content | ||||
276. Consent.except.data.modifierExtension | |||||
Definition | May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. | ||||
Short | Extensions that cannot be ignored | ||||
Comments | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. | ||||
Control | 0..* | ||||
Type | Extension | ||||
Is Modifier | true because No Modifier Reason provideed in previous versions of FHIR | ||||
Summary | true | ||||
Alternate Names | extensions, user content, modifiers | ||||
278. Consent.except.data.meaning | |||||
Definition | How the resource reference is interpreted when testing consent restrictions. | ||||
Short | instance | related | dependents | authoredby | ||||
Control | 1..1 | ||||
Binding | The codes SHALL be taken from ConsentDataMeaning (required to http://hl7.org/fhir/ValueSet/consent-data-meaning )How a resource reference is interpreted when testing consent restrictions | ||||
Type | code | ||||
Primitive Value | This primitive element may be present, or absent, or replaced by an extension | ||||
Summary | true | ||||
280. Consent.except.data.reference | |||||
Definition | A reference to a specific resource that defines which resources are covered by this consent. | ||||
Short | The actual data reference | ||||
Control | 1..1 | ||||
Type | Reference(Resource) | ||||
Summary | true |