FR Document Core (FHIR), publié par Agence du Numérique en Santé (ANS) - 2-10 Rue d'Oradour-sur-Glane, 75015 Paris. Ce guide n'est pas une publication autorisée ; C'est la version en intégration continue pour la version 0.1.0 construite par le CI Build FHIR (HL7® FHIR® Standard). Cette version est basée sur le contenu actuel de https://github.com/ansforge/interop-IG-fhir-document-core/ et change régulièrement. Voir le répertoire des versions publiées

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Profil de ressource: Consent - FR Advance directive Document

FRAdvanceDirectiveDocument permet d’indiquer si les directives anticipées du patient. Article L1111-11 du Code de la Santé Publique : « Toute personne majeure peut rédiger des directives anticipées pour le cas où elle serait un jour hors d'état d'exprimer sa volonté. Ces directives anticipées expriment la volonté de la personne relative à sa fin de vie en ce qui concerne les conditions de la poursuite, de la limitation, de l'arrêt ou du refus de traitement ou d'acte médicaux.»

Utilisations:

• Ce Profil n'est utilisé par aucun autre profil dans ce guide d'implémentation

Vous pouvez également vérifier les usages dans le FHIR IG Statistics

Vues formelles du contenu du profil

Description des profils, des différentiels, des instantanés et de leurs représentations.

• Tableau des éléments clés
• Tableau différentiel (differential)
• Tableau récapitulatif (snapshot)
• Statistiques/Références
• Tous

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Consent	C	0..*	Consent(4.0.1)	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SΣ	1..1	code	Statut Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Consent de type directive anticipée Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Motif requis: Au moins les éléments suivants
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valeur fixe : (Complexe)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : adr
display		1..1	string	Representation defined by the system Valeur fixe : Advance Directive
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
dateTime	SΣ	0..1	dateTime	Date de la directive anticipée
Slices pour source[x]	Σ	0..1		Documents Slice: Non ordonné, Fermé par type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceReference	SΣ	0..1	Reference(DocumentReference - FR Document reference Document(0.1.0))	Référence à un document externe
source[x]:sourceAttachment	SΣ	0..1	Attachment	Document encapsulé en B64
data		0..1	base64Binary	Representation en B64
url	Σ	0..1	url	URI Exemple General: http://www.acme.com/logo-small.png
provision	SΣ	0..1	BackboneElement	Constraints to the base Consent.policyRule
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..1	code	Procédure autorisée ou pas : Le type de la directive identifiée permet d’indiquer l’autorisation ou la non autorisation : - si l’élément <<provision.code>> est 'Autre directive' : dans ce cas, l'élément <<provision.type>> n'est pas présent - si l’élément <<provision.code>> est 'Directives anticipées' : dans ce cas, l'élément <<provision.type>> n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'sourceAttachment'. Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
code	Σ	0..*	CodeableConcept	Type de la directive anticipée Binding: JdvTypeDirectiveAnticipeeCisis (20260619134043) (required)
Documentation pour ce format

Bindings terminologiques

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Consent.status	Base	required	ConsentState	📍4.0.1	Std. FHIR
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	Std. FHIR
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	Std. FHIR
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	Std. FHIR
Consent.provision.code	Base	required	JDV Type Directive Anticipee CISIS	📍20260619134043	Terminologies de Santé v1.11

Contraintes

Id	Grade	Chemin(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	bonne pratique	Consent	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Consent.implicitRules, Consent.modifierExtension, Consent.status, Consent.scope, Consent.category, Consent.dateTime, Consent.source[x], Consent.source[x]:sourceReference, Consent.source[x]:sourceAttachment, Consent.source[x]:sourceAttachment.data, Consent.source[x]:sourceAttachment.url, Consent.provision, Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.code	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Consent.modifierExtension, Consent.provision.modifierExtension	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()

Cette structure est dérivée de Consent

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Consent		0..*	Consent(4.0.1)	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
status	S	1..1	code	Statut
scope	S	1..1	CodeableConcept	Consent de type directive anticipée Motif requis: Au moins les éléments suivants
coding		1..*	Coding	Code defined by a terminology system Valeur fixe : (Complexe)
system		1..1	uri	Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : adr
display		1..1	string	Representation defined by the system Valeur fixe : Advance Directive
dateTime	S	0..1	dateTime	Date de la directive anticipée
Slices pour source[x]		0..1	Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)	Documents Slice: Non ordonné, Ouvert par type:$this
source[x]:sourceReference	S	0..1	Reference(DocumentReference - FR Document reference Document(0.1.0))	Référence à un document externe
source[x]:sourceAttachment	S	0..1	Attachment	Document encapsulé en B64
data		0..1	base64Binary	Representation en B64
url		0..1	url	URI
provision	S	0..1	BackboneElement	Constraints to the base Consent.policyRule
type		0..1	code	Procédure autorisée ou pas : Le type de la directive identifiée permet d’indiquer l’autorisation ou la non autorisation : - si l’élément <<provision.code>> est 'Autre directive' : dans ce cas, l'élément <<provision.type>> n'est pas présent - si l’élément <<provision.code>> est 'Directives anticipées' : dans ce cas, l'élément <<provision.type>> n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'sourceAttachment'.
code		0..*	CodeableConcept	Type de la directive anticipée Binding: JdvTypeDirectiveAnticipeeCisis (20260619134043) (required)
Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Consent.provision.code	Base	required	JDV Type Directive Anticipee CISIS	📍20260619134043	Terminologies de Santé v1.11

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Consent	C	0..*	Consent(4.0.1)	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Identifier for this record (external references) Exemple General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!SΣ	1..1	code	Statut Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Consent de type directive anticipée Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Motif requis: Au moins les éléments suivants
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valeur fixe : (Complexe)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : adr
display		1..1	string	Representation defined by the system Valeur fixe : Advance Directive
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient	Σ	0..1	Reference(Patient)	Who the consent applies to
dateTime	SΣ	0..1	dateTime	Date de la directive anticipée
performer	Σ	0..*	Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Who is agreeing to the policy and rules
organization	Σ	0..*	Reference(Organization)	Custodian of the consent
Slices pour source[x]	Σ	0..1		Documents Slice: Non ordonné, Fermé par type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceReference	SΣ	0..1	Reference(DocumentReference - FR Document reference Document(0.1.0))	Référence à un document externe
source[x]:sourceAttachment	SΣ	0..1	Attachment	Document encapsulé en B64
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Exemple General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max Exemple General: en-AU
data		0..1	base64Binary	Representation en B64
url	Σ	0..1	url	URI Exemple General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Exemple General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
policy		0..*	BackboneElement	Policies covered by this consent
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
authority	C	0..1	uri	Enforcement source for policy
uri	C	0..1	uri	Specific policy covered by this consent
policyRule	ΣC	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification	Σ	0..*	BackboneElement	Consent Verified by patient or family
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
verified	Σ	1..1	boolean	Has been verified
verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
verificationDate		0..1	dateTime	When consent verified
provision	SΣ	0..1	BackboneElement	Constraints to the base Consent.policyRule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..1	code	Procédure autorisée ou pas : Le type de la directive identifiée permet d’indiquer l’autorisation ou la non autorisation : - si l’élément <<provision.code>> est 'Autre directive' : dans ce cas, l'élément <<provision.type>> n'est pas présent - si l’élément <<provision.code>> est 'Directives anticipées' : dans ce cas, l'élément <<provision.type>> n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'sourceAttachment'. Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period	Σ	0..1	Period	Timeframe for this rule
actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
action	Σ	0..*	CodeableConcept	Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	Σ	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.
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	Σ	0..*	CodeableConcept	Type de la directive anticipée Binding: JdvTypeDirectiveAnticipeeCisis (20260619134043) (required)
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	Σ	0..*	BackboneElement	Data controlled by this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference	Σ	1..1	Reference(Resource)	The actual data reference
provision		0..*	Voir provision (Consent)	Nested Exception Rules
Documentation pour ce format

Bindings terminologiques

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	Std. FHIR
Consent.status	Base	required	ConsentState	📍4.0.1	Std. FHIR
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	Std. FHIR
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	Std. FHIR
Consent.source[x]:sourceAttachment.​contentType	Base	required	MimeType	📍4.0.1	Std. FHIR
Consent.source[x]:sourceAttachment.​language	Base	preferred	Common Languages	📍4.0.1	Std. FHIR
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	Std. FHIR
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	Std. FHIR
Consent.provision.actor.​role	Base	extensible	SecurityRoleType	📍4.0.1	Std. FHIR
Consent.provision.action	Base	example	Consent Action Codes	📍4.0.1	Std. FHIR
Consent.provision.securityLabel	Base	extensible	SecurityLabels	📍4.0.1	Std. FHIR
Consent.provision.purpose	Base	extensible	PurposeOfUse	📍3.1.0	THO v7.3
Consent.provision.class	Base	extensible	Consent Content Class	📍4.0.1	Std. FHIR
Consent.provision.code	Base	required	JDV Type Directive Anticipee CISIS	📍20260619134043	Terminologies de Santé v1.11
Consent.provision.data.​meaning	Base	required	ConsentDataMeaning	📍4.0.1	Std. FHIR

Contraintes

Id	Grade	Chemin(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	bonne pratique	Consent	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Consent.meta, Consent.implicitRules, Consent.language, Consent.text, Consent.extension, Consent.modifierExtension, Consent.identifier, Consent.status, Consent.scope, Consent.category, Consent.patient, Consent.dateTime, Consent.performer, Consent.organization, Consent.source[x], Consent.source[x]:sourceReference, Consent.source[x]:sourceAttachment, Consent.source[x]:sourceAttachment.extension, Consent.source[x]:sourceAttachment.contentType, Consent.source[x]:sourceAttachment.language, Consent.source[x]:sourceAttachment.data, Consent.source[x]:sourceAttachment.url, Consent.source[x]:sourceAttachment.size, Consent.source[x]:sourceAttachment.hash, Consent.source[x]:sourceAttachment.title, Consent.source[x]:sourceAttachment.creation, Consent.policy, Consent.policy.extension, Consent.policy.modifierExtension, Consent.policy.authority, Consent.policy.uri, Consent.policyRule, Consent.verification, Consent.verification.extension, Consent.verification.modifierExtension, Consent.verification.verified, Consent.verification.verifiedWith, Consent.verification.verificationDate, Consent.provision, Consent.provision.extension, Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.period, Consent.provision.actor, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor.role, Consent.provision.actor.reference, Consent.provision.action, Consent.provision.securityLabel, Consent.provision.purpose, Consent.provision.class, Consent.provision.code, Consent.provision.dataPeriod, Consent.provision.data, Consent.provision.data.extension, Consent.provision.data.modifierExtension, Consent.provision.data.meaning, Consent.provision.data.reference, Consent.provision.provision	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Consent.extension, Consent.modifierExtension, Consent.source[x]:sourceAttachment.extension, Consent.policy.extension, Consent.policy.modifierExtension, Consent.verification.extension, Consent.verification.modifierExtension, Consent.provision.extension, Consent.provision.modifierExtension, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.data.extension, Consent.provision.data.modifierExtension	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()

Cette structure est dérivée de Consent

Résumé

Must-Support : 6 éléments

Structures

Cette structure fait référence à ces autres structures:

• DocumentReference - FR Document reference Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-document-reference-document|0.1.0)

Slices

Cette structure définit les slices suivantes:

• The element 1 is sliced based on the value of Consent.source[x]

Vue des éléments clés

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Consent	C	0..*	Consent(4.0.1)	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
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
status	?!SΣ	1..1	code	Statut Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Consent de type directive anticipée Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Motif requis: Au moins les éléments suivants
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valeur fixe : (Complexe)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : adr
display		1..1	string	Representation defined by the system Valeur fixe : Advance Directive
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
dateTime	SΣ	0..1	dateTime	Date de la directive anticipée
Slices pour source[x]	Σ	0..1		Documents Slice: Non ordonné, Fermé par type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceReference	SΣ	0..1	Reference(DocumentReference - FR Document reference Document(0.1.0))	Référence à un document externe
source[x]:sourceAttachment	SΣ	0..1	Attachment	Document encapsulé en B64
data		0..1	base64Binary	Representation en B64
url	Σ	0..1	url	URI Exemple General: http://www.acme.com/logo-small.png
provision	SΣ	0..1	BackboneElement	Constraints to the base Consent.policyRule
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..1	code	Procédure autorisée ou pas : Le type de la directive identifiée permet d’indiquer l’autorisation ou la non autorisation : - si l’élément <<provision.code>> est 'Autre directive' : dans ce cas, l'élément <<provision.type>> n'est pas présent - si l’élément <<provision.code>> est 'Directives anticipées' : dans ce cas, l'élément <<provision.type>> n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'sourceAttachment'. Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
code	Σ	0..*	CodeableConcept	Type de la directive anticipée Binding: JdvTypeDirectiveAnticipeeCisis (20260619134043) (required)
Documentation pour ce format

Bindings terminologiques

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Consent.status	Base	required	ConsentState	📍4.0.1	Std. FHIR
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	Std. FHIR
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	Std. FHIR
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	Std. FHIR
Consent.provision.code	Base	required	JDV Type Directive Anticipee CISIS	📍20260619134043	Terminologies de Santé v1.11

Contraintes

Id	Grade	Chemin(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	bonne pratique	Consent	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Consent.implicitRules, Consent.modifierExtension, Consent.status, Consent.scope, Consent.category, Consent.dateTime, Consent.source[x], Consent.source[x]:sourceReference, Consent.source[x]:sourceAttachment, Consent.source[x]:sourceAttachment.data, Consent.source[x]:sourceAttachment.url, Consent.provision, Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.code	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Consent.modifierExtension, Consent.provision.modifierExtension	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()

Vue différentielle

Cette structure est dérivée de Consent

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Consent		0..*	Consent(4.0.1)	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
status	S	1..1	code	Statut
scope	S	1..1	CodeableConcept	Consent de type directive anticipée Motif requis: Au moins les éléments suivants
coding		1..*	Coding	Code defined by a terminology system Valeur fixe : (Complexe)
system		1..1	uri	Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : adr
display		1..1	string	Representation defined by the system Valeur fixe : Advance Directive
dateTime	S	0..1	dateTime	Date de la directive anticipée
Slices pour source[x]		0..1	Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)	Documents Slice: Non ordonné, Ouvert par type:$this
source[x]:sourceReference	S	0..1	Reference(DocumentReference - FR Document reference Document(0.1.0))	Référence à un document externe
source[x]:sourceAttachment	S	0..1	Attachment	Document encapsulé en B64
data		0..1	base64Binary	Representation en B64
url		0..1	url	URI
provision	S	0..1	BackboneElement	Constraints to the base Consent.policyRule
type		0..1	code	Procédure autorisée ou pas : Le type de la directive identifiée permet d’indiquer l’autorisation ou la non autorisation : - si l’élément <<provision.code>> est 'Autre directive' : dans ce cas, l'élément <<provision.type>> n'est pas présent - si l’élément <<provision.code>> est 'Directives anticipées' : dans ce cas, l'élément <<provision.type>> n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'sourceAttachment'.
code		0..*	CodeableConcept	Type de la directive anticipée Binding: JdvTypeDirectiveAnticipeeCisis (20260619134043) (required)
Documentation pour ce format

Bindings terminologiques (différentiel)

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Consent.provision.code	Base	required	JDV Type Directive Anticipee CISIS	📍20260619134043	Terminologies de Santé v1.11

Vue d'ensembleView

Nom	Drapeaux	Card.	Type	Description et contraintes    Filter: Bindings Contraintes Obligations
Consent	C	0..*	Consent(4.0.1)	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored Constraints: ext-1
identifier	Σ	0..*	Identifier	Identifier for this record (external references) Exemple General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!SΣ	1..1	code	Statut Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Consent de type directive anticipée Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Motif requis: Au moins les éléments suivants
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Valeur fixe : (Complexe)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Valeur fixe : http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Valeur fixe : adr
display		1..1	string	Representation defined by the system Valeur fixe : Advance Directive
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	Σ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient	Σ	0..1	Reference(Patient)	Who the consent applies to
dateTime	SΣ	0..1	dateTime	Date de la directive anticipée
performer	Σ	0..*	Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Who is agreeing to the policy and rules
organization	Σ	0..*	Reference(Organization)	Custodian of the consent
Slices pour source[x]	Σ	0..1		Documents Slice: Non ordonné, Fermé par type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceReference	SΣ	0..1	Reference(DocumentReference - FR Document reference Document(0.1.0))	Référence à un document externe
source[x]:sourceAttachment	SΣ	0..1	Attachment	Document encapsulé en B64
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Non ordonné, Ouvert par value:url Constraints: ext-1
contentType	Σ	0..1	code	Mime type of the content, with charset etc. Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Exemple General: text/plain; charset=UTF-8, image/png
language	Σ	0..1	code	Human language of the content (BCP-47) Binding: CommonLanguages (preferred): A human language. Bindings Additionnels But AllLanguages Binding Max Exemple General: en-AU
data		0..1	base64Binary	Representation en B64
url	Σ	0..1	url	URI Exemple General: http://www.acme.com/logo-small.png
size	Σ	0..1	unsignedInt	Number of bytes of content (if url provided)
hash	Σ	0..1	base64Binary	Hash of the data (sha-1, base64ed)
title	Σ	0..1	string	Label to display in place of the data Exemple General: Official Corporate Logo
creation	Σ	0..1	dateTime	Date attachment was first created
policy		0..*	BackboneElement	Policies covered by this consent
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
authority	C	0..1	uri	Enforcement source for policy
uri	C	0..1	uri	Specific policy covered by this consent
policyRule	ΣC	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification	Σ	0..*	BackboneElement	Consent Verified by patient or family
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
verified	Σ	1..1	boolean	Has been verified
verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
verificationDate		0..1	dateTime	When consent verified
provision	SΣ	0..1	BackboneElement	Constraints to the base Consent.policyRule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
type	Σ	0..1	code	Procédure autorisée ou pas : Le type de la directive identifiée permet d’indiquer l’autorisation ou la non autorisation : - si l’élément <<provision.code>> est 'Autre directive' : dans ce cas, l'élément <<provision.type>> n'est pas présent - si l’élément <<provision.code>> est 'Directives anticipées' : dans ce cas, l'élément <<provision.type>> n'est pas présent et un document encodé en B64 est encapsulé dans l'élément 'sourceAttachment'. Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period	Σ	0..1	Period	Timeframe for this rule
actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
action	Σ	0..*	CodeableConcept	Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	Σ	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.
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	Σ	0..*	CodeableConcept	Type de la directive anticipée Binding: JdvTypeDirectiveAnticipeeCisis (20260619134043) (required)
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	Σ	0..*	BackboneElement	Data controlled by this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Constraints: ext-1
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized Constraints: ext-1
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference	Σ	1..1	Reference(Resource)	The actual data reference
provision		0..*	Voir provision (Consent)	Nested Exception Rules
Documentation pour ce format

Bindings terminologiques

Chemin	Statut	Usage	Jeu de valeurs (ValueSet)	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	Std. FHIR
Consent.status	Base	required	ConsentState	📍4.0.1	Std. FHIR
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	Std. FHIR
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	Std. FHIR
Consent.source[x]:sourceAttachment.​contentType	Base	required	MimeType	📍4.0.1	Std. FHIR
Consent.source[x]:sourceAttachment.​language	Base	preferred	Common Languages	📍4.0.1	Std. FHIR
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	Std. FHIR
Consent.provision.type	Base	required	ConsentProvisionType	📍4.0.1	Std. FHIR
Consent.provision.actor.​role	Base	extensible	SecurityRoleType	📍4.0.1	Std. FHIR
Consent.provision.action	Base	example	Consent Action Codes	📍4.0.1	Std. FHIR
Consent.provision.securityLabel	Base	extensible	SecurityLabels	📍4.0.1	Std. FHIR
Consent.provision.purpose	Base	extensible	PurposeOfUse	📍3.1.0	THO v7.3
Consent.provision.class	Base	extensible	Consent Content Class	📍4.0.1	Std. FHIR
Consent.provision.code	Base	required	JDV Type Directive Anticipee CISIS	📍20260619134043	Terminologies de Santé v1.11
Consent.provision.data.​meaning	Base	required	ConsentDataMeaning	📍4.0.1	Std. FHIR

Contraintes

Id	Grade	Chemin(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	bonne pratique	Consent	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	Consent.meta, Consent.implicitRules, Consent.language, Consent.text, Consent.extension, Consent.modifierExtension, Consent.identifier, Consent.status, Consent.scope, Consent.category, Consent.patient, Consent.dateTime, Consent.performer, Consent.organization, Consent.source[x], Consent.source[x]:sourceReference, Consent.source[x]:sourceAttachment, Consent.source[x]:sourceAttachment.extension, Consent.source[x]:sourceAttachment.contentType, Consent.source[x]:sourceAttachment.language, Consent.source[x]:sourceAttachment.data, Consent.source[x]:sourceAttachment.url, Consent.source[x]:sourceAttachment.size, Consent.source[x]:sourceAttachment.hash, Consent.source[x]:sourceAttachment.title, Consent.source[x]:sourceAttachment.creation, Consent.policy, Consent.policy.extension, Consent.policy.modifierExtension, Consent.policy.authority, Consent.policy.uri, Consent.policyRule, Consent.verification, Consent.verification.extension, Consent.verification.modifierExtension, Consent.verification.verified, Consent.verification.verifiedWith, Consent.verification.verificationDate, Consent.provision, Consent.provision.extension, Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.period, Consent.provision.actor, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor.role, Consent.provision.actor.reference, Consent.provision.action, Consent.provision.securityLabel, Consent.provision.purpose, Consent.provision.class, Consent.provision.code, Consent.provision.dataPeriod, Consent.provision.data, Consent.provision.data.extension, Consent.provision.data.modifierExtension, Consent.provision.data.meaning, Consent.provision.data.reference, Consent.provision.provision	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
ext-1	error	Consent.extension, Consent.modifierExtension, Consent.source[x]:sourceAttachment.extension, Consent.policy.extension, Consent.policy.modifierExtension, Consent.verification.extension, Consent.verification.modifierExtension, Consent.provision.extension, Consent.provision.modifierExtension, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.data.extension, Consent.provision.data.modifierExtension	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()

Cette structure est dérivée de Consent

Résumé

Must-Support : 6 éléments

Structures

Cette structure fait référence à ces autres structures:

• DocumentReference - FR Document reference Document (https://interop.esante.gouv.fr/ig/fhir/document-core/StructureDefinition/fr-document-reference-document|0.1.0)

Slices

Cette structure définit les slices suivantes:

• The element 1 is sliced based on the value of Consent.source[x]

Autres représentations du profil : CSV, Excel, Schematron