臺灣榮總腦中風實作指引（TW VGH Stroke IG）, published by 高雄榮民總醫院 (VGHKS). This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/SitatechCo/TWVGHStroke_IG_Build/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: 腦中風－研究同意

此 Profile 說明本 IG 如何進一步定義 FHIR 的 Consent Resource，以呈現病人簽署的腦中風登錄研究同意書。

每份研究同意文件建一筆 Consent。有可查核的同意文件，且能確認同意狀態與範圍才建立。若來源只有「已簽署／未簽署」旗標或簽署日期，改存登錄表單（StrokeRegistryResponse），不建 Consent。因 TW Core 1.0.0 沒有 Consent Profile，故以 FHIR R4 Consent 為父層。

Usages:

• Use this Profile: 腦中風－EVT 登錄個案資料包
• Examples for this Profile: Consent/stroke-consent-example

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	同意狀態。[同意有效填 active] Binding: ConsentState (required): Indicates the state of the consent.
Consent.scope	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	同意範圍。[固定填 research] Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
Consent.scope.id		0..1	string	Unique id for inter-element referencing
Consent.scope.extension		0..*	Extension	Additional content defined by implementations
Consent.scope.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.scope.coding.id		0..1	string	Unique id for inter-element referencing
Consent.scope.coding.extension		0..*	Extension	Additional content defined by implementations
Consent.scope.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
Consent.scope.coding.version		0..1	string	Version of the system - if relevant
Consent.scope.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.scope.coding.display		0..1	string	Representation defined by the system
Consent.scope.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Consent.scope.text		0..1	string	Plain text representation of the concept
Consent.category	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	同意類別。[固定填 consentcategorycodes 的 research] Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
Consent.category.id		0..1	string	Unique id for inter-element referencing
Consent.category.extension		0..*	Extension	Additional content defined by implementations
Consent.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.category.coding.id		0..1	string	Unique id for inter-element referencing
Consent.category.coding.extension		0..*	Extension	Additional content defined by implementations
Consent.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
Consent.category.coding.version		0..1	string	Version of the system - if relevant
Consent.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.category.coding.display		0..1	string	Representation defined by the system
Consent.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Consent.category.text		0..1	string	Plain text representation of the concept
Consent.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Consent.dateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	簽署日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Consent.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－病人基本資料 | RelatedPerson)	簽署人。[病人本人參照 StrokePatient；代理人參照 RelatedPerson]
Consent.organization	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－醫療院所)	保管同意書的院所。[應參照 StrokeOrganization]
Consent.source[x]	S This element must be supported. Σ This element is included in summaries.	1..1		同意文件。[應填入同意書檔案或文件參照]
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceReference			Reference(DocumentReference)
Consent.policy	S This element must be supported.	0..*	BackboneElement	研究計畫或同意書規範。[policy.uri 填入規範網址]
Consent.policy.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.policy.uri	S This element must be supported. C	0..1	uri	規範網址。[應填入研究計畫或同意書版本的網址]
Consent.provision	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	同意內容
Consent.provision.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	同意或拒絕。[permit 或 deny] Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
Consent.provision.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	同意有效期間。[YYYY-MM-DD]
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.status	Base	required	ConsentState	📍4.0.1	FHIR Std.
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	FHIR Std.
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent		0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Consent.status	S This element must be supported.	1..1	code	同意狀態。[同意有效填 active]
Consent.scope	S This element must be supported.	1..1	CodeableConcept	同意範圍。[固定填 research] Required Pattern: At least the following
Consent.scope.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.scope.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
Consent.scope.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.category	S This element must be supported.	1..1	CodeableConcept	同意類別。[固定填 consentcategorycodes 的 research] Required Pattern: At least the following
Consent.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
Consent.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.patient	S This element must be supported.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Consent.dateTime	S This element must be supported.	0..1	dateTime	簽署日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Consent.performer	S This element must be supported.	0..*	Reference(腦中風－病人基本資料 | RelatedPerson)	簽署人。[病人本人參照 StrokePatient；代理人參照 RelatedPerson]
Consent.organization	S This element must be supported.	0..*	Reference(腦中風－醫療院所)	保管同意書的院所。[應參照 StrokeOrganization]
Consent.source[x]	S This element must be supported.	1..1		同意文件。[應填入同意書檔案或文件參照]
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceReference			Reference(DocumentReference)
Consent.policy	S This element must be supported.	0..*	BackboneElement	研究計畫或同意書規範。[policy.uri 填入規範網址]
Consent.policy.uri	S This element must be supported.	0..1	uri	規範網址。[應填入研究計畫或同意書版本的網址]
Consent.provision	S This element must be supported.	0..1	BackboneElement	同意內容
Consent.provision.type	S This element must be supported.	0..1	code	同意或拒絕。[permit 或 deny]
Consent.provision.period	S This element must be supported.	0..1	Period	同意有效期間。[YYYY-MM-DD]
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
Consent.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Consent.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Consent.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Consent.contained		0..*	Resource	Contained, inline Resources
Consent.extension		0..*	Extension	Additional content defined by implementations
Consent.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
Consent.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	同意狀態。[同意有效填 active] Binding: ConsentState (required): Indicates the state of the consent.
Consent.scope	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	同意範圍。[固定填 research] Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
Consent.scope.id		0..1	string	Unique id for inter-element referencing
Consent.scope.extension		0..*	Extension	Additional content defined by implementations
Consent.scope.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.scope.coding.id		0..1	string	Unique id for inter-element referencing
Consent.scope.coding.extension		0..*	Extension	Additional content defined by implementations
Consent.scope.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
Consent.scope.coding.version		0..1	string	Version of the system - if relevant
Consent.scope.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.scope.coding.display		0..1	string	Representation defined by the system
Consent.scope.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Consent.scope.text		0..1	string	Plain text representation of the concept
Consent.category	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	同意類別。[固定填 consentcategorycodes 的 research] Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
Consent.category.id		0..1	string	Unique id for inter-element referencing
Consent.category.extension		0..*	Extension	Additional content defined by implementations
Consent.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.category.coding.id		0..1	string	Unique id for inter-element referencing
Consent.category.coding.extension		0..*	Extension	Additional content defined by implementations
Consent.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
Consent.category.coding.version		0..1	string	Version of the system - if relevant
Consent.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.category.coding.display		0..1	string	Representation defined by the system
Consent.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Consent.category.text		0..1	string	Plain text representation of the concept
Consent.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Consent.dateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	簽署日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Consent.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－病人基本資料 | RelatedPerson)	簽署人。[病人本人參照 StrokePatient；代理人參照 RelatedPerson]
Consent.organization	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－醫療院所)	保管同意書的院所。[應參照 StrokeOrganization]
Consent.source[x]	S This element must be supported. Σ This element is included in summaries.	1..1		同意文件。[應填入同意書檔案或文件參照]
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceReference			Reference(DocumentReference)
Consent.policy	S This element must be supported.	0..*	BackboneElement	研究計畫或同意書規範。[policy.uri 填入規範網址]
Consent.policy.id		0..1	string	Unique id for inter-element referencing
Consent.policy.extension		0..*	Extension	Additional content defined by implementations
Consent.policy.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.policy.authority	C	0..1	uri	Enforcement source for policy
Consent.policy.uri	S This element must be supported. C	0..1	uri	規範網址。[應填入研究計畫或同意書版本的網址]
Consent.policyRule	Σ This element is included in summaries. C	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
Consent.verification	Σ This element is included in summaries.	0..*	BackboneElement	Consent Verified by patient or family
Consent.verification.id		0..1	string	Unique id for inter-element referencing
Consent.verification.extension		0..*	Extension	Additional content defined by implementations
Consent.verification.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.verification.verified	Σ This element is included in summaries.	1..1	boolean	Has been verified
Consent.verification.verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
Consent.verification.verificationDate		0..1	dateTime	When consent verified
Consent.provision	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	同意內容
Consent.provision.id		0..1	string	Unique id for inter-element referencing
Consent.provision.extension		0..*	Extension	Additional content defined by implementations
Consent.provision.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	同意或拒絕。[permit 或 deny] Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
Consent.provision.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	同意有效期間。[YYYY-MM-DD]
Consent.provision.actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
Consent.provision.actor.id		0..1	string	Unique id for inter-element referencing
Consent.provision.actor.extension		0..*	Extension	Additional content defined by implementations
Consent.provision.actor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.actor.role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
Consent.provision.actor.reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
Consent.provision.action	Σ This element is included in summaries.	0..*	CodeableConcept	Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
Consent.provision.securityLabel	Σ This element is included in summaries.	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Consent.provision.purpose	Σ This element is included in summaries.	0..*	Coding	Context of activities covered by this rule Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
Consent.provision.class	Σ This element is included in summaries.	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
Consent.provision.code	Σ This element is included in summaries.	0..*	CodeableConcept	e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
Consent.provision.dataPeriod	Σ This element is included in summaries.	0..1	Period	Timeframe for data controlled by this rule
Consent.provision.data	Σ This element is included in summaries.	0..*	BackboneElement	Data controlled by this rule
Consent.provision.data.id		0..1	string	Unique id for inter-element referencing
Consent.provision.data.extension		0..*	Extension	Additional content defined by implementations
Consent.provision.data.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.data.meaning	Σ This element is included in summaries.	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
Consent.provision.data.reference	Σ This element is included in summaries.	1..1	Reference(Resource)	The actual data reference
Consent.provision.provision		0..*	See provision (Consent)	Nested Exception Rules
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Consent.status	Base	required	ConsentState	📍4.0.1	FHIR Std.
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	FHIR Std.
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	FHIR Std.
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	FHIR Std.
Consent.provision.actor.​role	Base	extensible	SecurityRoleType	📍4.0.1	FHIR Std.
Consent.provision.action	Base	example	Consent Action Codes	📍4.0.1	FHIR Std.
Consent.provision.securityLabel	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Consent.provision.purpose	Base	extensible	PurposeOfUse	📍3.1.0	THO v7.4
Consent.provision.class	Base	extensible	Consent Content Class	📍4.0.1	FHIR Std.
Consent.provision.code	Base	example	Consent Content Codes	📍4.0.1	FHIR Std.
Consent.provision.data.​meaning	Base	required	ConsentDataMeaning	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from Consent

Summary

Mandatory: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
• 腦中風－醫療院所 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	同意狀態。[同意有效填 active] Binding: ConsentState (required): Indicates the state of the consent.
Consent.scope	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	同意範圍。[固定填 research] Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
Consent.scope.id		0..1	string	Unique id for inter-element referencing
Consent.scope.extension		0..*	Extension	Additional content defined by implementations
Consent.scope.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.scope.coding.id		0..1	string	Unique id for inter-element referencing
Consent.scope.coding.extension		0..*	Extension	Additional content defined by implementations
Consent.scope.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
Consent.scope.coding.version		0..1	string	Version of the system - if relevant
Consent.scope.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.scope.coding.display		0..1	string	Representation defined by the system
Consent.scope.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Consent.scope.text		0..1	string	Plain text representation of the concept
Consent.category	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	同意類別。[固定填 consentcategorycodes 的 research] Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
Consent.category.id		0..1	string	Unique id for inter-element referencing
Consent.category.extension		0..*	Extension	Additional content defined by implementations
Consent.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.category.coding.id		0..1	string	Unique id for inter-element referencing
Consent.category.coding.extension		0..*	Extension	Additional content defined by implementations
Consent.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
Consent.category.coding.version		0..1	string	Version of the system - if relevant
Consent.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.category.coding.display		0..1	string	Representation defined by the system
Consent.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Consent.category.text		0..1	string	Plain text representation of the concept
Consent.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Consent.dateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	簽署日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Consent.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－病人基本資料 | RelatedPerson)	簽署人。[病人本人參照 StrokePatient；代理人參照 RelatedPerson]
Consent.organization	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－醫療院所)	保管同意書的院所。[應參照 StrokeOrganization]
Consent.source[x]	S This element must be supported. Σ This element is included in summaries.	1..1		同意文件。[應填入同意書檔案或文件參照]
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceReference			Reference(DocumentReference)
Consent.policy	S This element must be supported.	0..*	BackboneElement	研究計畫或同意書規範。[policy.uri 填入規範網址]
Consent.policy.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.policy.uri	S This element must be supported. C	0..1	uri	規範網址。[應填入研究計畫或同意書版本的網址]
Consent.provision	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	同意內容
Consent.provision.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	同意或拒絕。[permit 或 deny] Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
Consent.provision.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	同意有效期間。[YYYY-MM-DD]
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.status	Base	required	ConsentState	📍4.0.1	FHIR Std.
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	FHIR Std.
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	FHIR Std.

Constraints

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

Differential View

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent		0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Consent.status	S This element must be supported.	1..1	code	同意狀態。[同意有效填 active]
Consent.scope	S This element must be supported.	1..1	CodeableConcept	同意範圍。[固定填 research] Required Pattern: At least the following
Consent.scope.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.scope.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
Consent.scope.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.category	S This element must be supported.	1..1	CodeableConcept	同意類別。[固定填 consentcategorycodes 的 research] Required Pattern: At least the following
Consent.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
Consent.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.patient	S This element must be supported.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Consent.dateTime	S This element must be supported.	0..1	dateTime	簽署日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Consent.performer	S This element must be supported.	0..*	Reference(腦中風－病人基本資料 | RelatedPerson)	簽署人。[病人本人參照 StrokePatient；代理人參照 RelatedPerson]
Consent.organization	S This element must be supported.	0..*	Reference(腦中風－醫療院所)	保管同意書的院所。[應參照 StrokeOrganization]
Consent.source[x]	S This element must be supported.	1..1		同意文件。[應填入同意書檔案或文件參照]
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceReference			Reference(DocumentReference)
Consent.policy	S This element must be supported.	0..*	BackboneElement	研究計畫或同意書規範。[policy.uri 填入規範網址]
Consent.policy.uri	S This element must be supported.	0..1	uri	規範網址。[應填入研究計畫或同意書版本的網址]
Consent.provision	S This element must be supported.	0..1	BackboneElement	同意內容
Consent.provision.type	S This element must be supported.	0..1	code	同意或拒絕。[permit 或 deny]
Consent.provision.period	S This element must be supported.	0..1	Period	同意有效期間。[YYYY-MM-DD]
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
Consent.id	Σ This element is included in summaries.	0..1	id	Logical id of this artifact
Consent.meta	Σ This element is included in summaries.	0..1	Meta	Metadata about the resource
Consent.implicitRules	?! This element is a modifier element. Σ This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Consent.language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
Consent.text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
Consent.contained		0..*	Resource	Contained, inline Resources
Consent.extension		0..*	Extension	Additional content defined by implementations
Consent.modifierExtension	?! This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Consent.identifier	Σ This element is included in summaries.	0..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
Consent.status	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	code	同意狀態。[同意有效填 active] Binding: ConsentState (required): Indicates the state of the consent.
Consent.scope	?! This element is a modifier element. S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	同意範圍。[固定填 research] Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
Consent.scope.id		0..1	string	Unique id for inter-element referencing
Consent.scope.extension		0..*	Extension	Additional content defined by implementations
Consent.scope.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.scope.coding.id		0..1	string	Unique id for inter-element referencing
Consent.scope.coding.extension		0..*	Extension	Additional content defined by implementations
Consent.scope.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
Consent.scope.coding.version		0..1	string	Version of the system - if relevant
Consent.scope.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.scope.coding.display		0..1	string	Representation defined by the system
Consent.scope.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Consent.scope.text		0..1	string	Plain text representation of the concept
Consent.category	S This element must be supported. Σ This element is included in summaries.	1..1	CodeableConcept	同意類別。[固定填 consentcategorycodes 的 research] Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
Consent.category.id		0..1	string	Unique id for inter-element referencing
Consent.category.extension		0..*	Extension	Additional content defined by implementations
Consent.category.coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
Consent.category.coding.id		0..1	string	Unique id for inter-element referencing
Consent.category.coding.extension		0..*	Extension	Additional content defined by implementations
Consent.category.coding.system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentcategorycodes
Consent.category.coding.version		0..1	string	Version of the system - if relevant
Consent.category.coding.code		1..1	code	Symbol in syntax defined by the system Fixed Value: research
Consent.category.coding.display		0..1	string	Representation defined by the system
Consent.category.coding.userSelected		0..1	boolean	If this coding was chosen directly by the user
Consent.category.text		0..1	string	Plain text representation of the concept
Consent.patient	S This element must be supported. Σ This element is included in summaries.	1..1	Reference(腦中風－病人基本資料)	病人。[應參照 StrokePatient]
Consent.dateTime	S This element must be supported. Σ This element is included in summaries.	0..1	dateTime	簽署日期。[YYYY-MM-DD；時區確認後填 YYYY-MM-DDThh:mm:ss＋時區]
Consent.performer	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－病人基本資料 | RelatedPerson)	簽署人。[病人本人參照 StrokePatient；代理人參照 RelatedPerson]
Consent.organization	S This element must be supported. Σ This element is included in summaries.	0..*	Reference(腦中風－醫療院所)	保管同意書的院所。[應參照 StrokeOrganization]
Consent.source[x]	S This element must be supported. Σ This element is included in summaries.	1..1		同意文件。[應填入同意書檔案或文件參照]
Consent.source[x].sourceAttachment			Attachment
Consent.source[x].sourceReference			Reference(DocumentReference)
Consent.policy	S This element must be supported.	0..*	BackboneElement	研究計畫或同意書規範。[policy.uri 填入規範網址]
Consent.policy.id		0..1	string	Unique id for inter-element referencing
Consent.policy.extension		0..*	Extension	Additional content defined by implementations
Consent.policy.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.policy.authority	C	0..1	uri	Enforcement source for policy
Consent.policy.uri	S This element must be supported. C	0..1	uri	規範網址。[應填入研究計畫或同意書版本的網址]
Consent.policyRule	Σ This element is included in summaries. C	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
Consent.verification	Σ This element is included in summaries.	0..*	BackboneElement	Consent Verified by patient or family
Consent.verification.id		0..1	string	Unique id for inter-element referencing
Consent.verification.extension		0..*	Extension	Additional content defined by implementations
Consent.verification.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.verification.verified	Σ This element is included in summaries.	1..1	boolean	Has been verified
Consent.verification.verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
Consent.verification.verificationDate		0..1	dateTime	When consent verified
Consent.provision	S This element must be supported. Σ This element is included in summaries.	0..1	BackboneElement	同意內容
Consent.provision.id		0..1	string	Unique id for inter-element referencing
Consent.provision.extension		0..*	Extension	Additional content defined by implementations
Consent.provision.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.type	S This element must be supported. Σ This element is included in summaries.	0..1	code	同意或拒絕。[permit 或 deny] Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
Consent.provision.period	S This element must be supported. Σ This element is included in summaries.	0..1	Period	同意有效期間。[YYYY-MM-DD]
Consent.provision.actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
Consent.provision.actor.id		0..1	string	Unique id for inter-element referencing
Consent.provision.actor.extension		0..*	Extension	Additional content defined by implementations
Consent.provision.actor.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.actor.role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
Consent.provision.actor.reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
Consent.provision.action	Σ This element is included in summaries.	0..*	CodeableConcept	Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
Consent.provision.securityLabel	Σ This element is included in summaries.	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
Consent.provision.purpose	Σ This element is included in summaries.	0..*	Coding	Context of activities covered by this rule Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
Consent.provision.class	Σ This element is included in summaries.	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
Consent.provision.code	Σ This element is included in summaries.	0..*	CodeableConcept	e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
Consent.provision.dataPeriod	Σ This element is included in summaries.	0..1	Period	Timeframe for data controlled by this rule
Consent.provision.data	Σ This element is included in summaries.	0..*	BackboneElement	Data controlled by this rule
Consent.provision.data.id		0..1	string	Unique id for inter-element referencing
Consent.provision.data.extension		0..*	Extension	Additional content defined by implementations
Consent.provision.data.modifierExtension	?! This element is a modifier element. Σ This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Consent.provision.data.meaning	Σ This element is included in summaries.	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
Consent.provision.data.reference	Σ This element is included in summaries.	1..1	Reference(Resource)	The actual data reference
Consent.provision.provision		0..*	See provision (Consent)	Nested Exception Rules
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Consent.status	Base	required	ConsentState	📍4.0.1	FHIR Std.
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	FHIR Std.
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	FHIR Std.
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	FHIR Std.
Consent.provision.actor.​role	Base	extensible	SecurityRoleType	📍4.0.1	FHIR Std.
Consent.provision.action	Base	example	Consent Action Codes	📍4.0.1	FHIR Std.
Consent.provision.securityLabel	Base	extensible	SecurityLabels	📍4.0.1	FHIR Std.
Consent.provision.purpose	Base	extensible	PurposeOfUse	📍3.1.0	THO v7.4
Consent.provision.class	Base	extensible	Consent Content Class	📍4.0.1	FHIR Std.
Consent.provision.code	Base	example	Consent Content Codes	📍4.0.1	FHIR Std.
Consent.provision.data.​meaning	Base	required	ConsentDataMeaning	📍4.0.1	FHIR Std.

Constraints

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

This structure is derived from Consent

Summary

Mandatory: 2 elements
Must-Support: 13 elements

Structures

This structure refers to these other structures:

• 腦中風－病人基本資料 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokePatient)
• 腦中風－醫療院所 (http://vgh-stroke-ig.fhir.tw/StructureDefinition/StrokeOrganization)

Other representations of profile: CSV, Excel, Schematron