FR Document Core (FHIR)
0.1.0 - ci-build

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

## Profil de ressource: Consent - FR Advance directive Document - Descriptions détaillées

Draft à partir de 2026-08-07

Définitions pour le fr-advance-directive-document profil de ressource

- Tableau des éléments clés
- Tableau différentiel (differential)
- Tableau récapitulatif (snapshot)

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Consent
Définition | A record of a healthcare consumer’s choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.
Court | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Commentaires | Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.
Contrôle | 0..*
Est modificateur | false
Résumé | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) ppc-1: Either a Policy or PolicyRule (`policy.exists() or policyRule.exists()`) ppc-2: IF Scope=privacy, there must be a patient (`patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()`) ppc-3: IF Scope=research, there must be a patient (`patient.exists() or scope.coding.where(system='something' and code='research').exists().not()`) ppc-4: IF Scope=adr, there must be a patient (`patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()`) ppc-5: IF Scope=treatment, there must be a patient (`patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()`) dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty()) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty()) dom-6: A resource should have narrative for robust management (text.`div`.exists()) ppc-1: Either a Policy or PolicyRule (policy.exists() or policyRule.exists()) ppc-2: IF Scope=privacy, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()) ppc-3: IF Scope=research, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='research').exists().not()) ppc-4: IF Scope=adr, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()) ppc-5: IF Scope=treatment, there must be a patient (patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not())
2. Consent.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. Consent.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. Consent.status
Définition | Indicates the current state of this consent.
Court | Statutdraft | proposed | active | rejected | inactive | entered-in-error
Commentaires | This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 (required to `http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1` ) Indicates the state of the consent.
Type | code
Est modificateur | true parce que This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. Consent.scope
Définition | A selector of the type of consent being presented: ADR, Privacy, Treatment, Research. This list is now extensible.
Court | Consent de type directive anticipéeWhich of the four areas this resource covers (extensible)
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ConsentScopeCodes http://hl7.org/fhir/ValueSet/consent-scope|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/consent-scope|4.0.1` ) The four anticipated uses for the Consent Resource.
Type | CodeableConcept
Est modificateur | true parce que Allows changes to codes based on scope selection
Doit être pris en charge (Must Support) | true
Résumé | true
Valeur de motif | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/consentscope", "code" : "adr", "display" : "Advance Directive" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. Consent.category
Définition | A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.
Court | Classification of the consent statement - for indexing/retrieval
Contrôle | 1..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category|4.0.1 (extensible to `http://hl7.org/fhir/ValueSet/consent-category|4.0.1` ) A classification of the type of consents found in a consent statement.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
12. Consent.dateTime
Définition | When this Consent was issued / created / indexed.
Court | Date de la directive anticipéeWhen this Consent was created or indexed
Commentaires | This is not the time of the original consent, but the time that this statement was made or derived.
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
14. Consent.source[x]
Définition | The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.
Court | DocumentsSource from which this consent is taken
Commentaires | The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.
Contrôle | 0..1
Type | Choix de : Attachment, Reference(Consent, DocumentReference, Contract, QuestionnaireResponse)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
Slicing | Cet élément introduit un ensemble de slices sur `Consent.source[x]`. Les slices sontNon ordonné et Closed, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
16. Consent.source[x]:sourceReference
Nom de la slice | sourceReference
Définition | The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.
Court | Référence à un document externeSource from which this consent is taken
Commentaires | The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.
Contrôle | 0..1
Type | Reference(DocumentReference - FR Document reference Document, Consent, DocumentReference, Contract, QuestionnaireResponse), Attachment
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
18. Consent.source[x]:sourceAttachment
Nom de la slice | sourceAttachment
Définition | The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.
Court | Document encapsulé en B64Source from which this consent is taken
Commentaires | The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.
Contrôle | 0..1
Type | Attachment, Reference(Consent, DocumentReference, Contract, QuestionnaireResponse)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
20. Consent.source[x]:sourceAttachment.data
Définition | The actual data of the attachment - a sequence of bytes, base64 encoded.
Court | Representation en B64Data inline, base64ed
Commentaires | The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.
Contrôle | 0..1
Type | base64Binary
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | The data needs to able to be transmitted inline.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
22. Consent.source[x]:sourceAttachment.url
Définition | A location where the data can be accessed.
Court | URIUri where the data can be found
Commentaires | If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.
Contrôle | 0..1
Type | url
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | The data needs to be transmitted by reference.
Exemple | General: http://www.acme.com/logo-small.png
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
24. Consent.provision
Définition | An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.
Court | Constraints to the base Consent.policyRule
Contrôle | 0..1
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
26. Consent.provision.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count())) ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
28. Consent.provision.type
Définition | Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.
Court | 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'.deny | permit
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 (required to `http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1` ) How a rule statement is applied, such as adding additional consent or removing consent.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
30. Consent.provision.code
Définition | If this code is found in an instance, then the rule applies.
Court | Type de la directive anticipéee.g. LOINC or SNOMED CT code, etc. in the content
Commentaires | Typical use of this is a Document code with class = CDA.
Contrôle | 0..*
Binding | Les codes DOIVENT (SHALL) être pris de Pour des exemples de codes, voir JdvTypeDirectiveAnticipeeCisis (20260619134043)http://hl7.org/fhir/ValueSet/consent-content-code|4.0.1 (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-type-directive-anticipee-cisis|20260619134043` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Consent
2. Consent.status
Court | Statut
Doit être pris en charge (Must Support) | true
4. Consent.scope
Court | Consent de type directive anticipée
Doit être pris en charge (Must Support) | true
Valeur de motif | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/consentscope", "code" : "adr", "display" : "Advance Directive" }] }`
6. Consent.dateTime
Court | Date de la directive anticipée
Doit être pris en charge (Must Support) | true
8. Consent.source[x]
Court | Documents
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Slicing | Cet élément introduit un ensemble de slices sur `Consent.source[x]`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
10. Consent.source[x]:sourceReference
Nom de la slice | sourceReference
Court | Référence à un document externe
Contrôle | 0..1
Type | Reference(DocumentReference - FR Document reference Document)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Doit être pris en charge (Must Support) | true
12. Consent.source[x]:sourceAttachment
Nom de la slice | sourceAttachment
Court | Document encapsulé en B64
Contrôle | 0..1
Type | Attachment
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Doit être pris en charge (Must Support) | true
14. Consent.source[x]:sourceAttachment.data
Court | Representation en B64
16. Consent.source[x]:sourceAttachment.url
Court | URI
18. Consent.provision
Doit être pris en charge (Must Support) | true
20. Consent.provision.type
Court | 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'.
22. Consent.provision.code
Court | Type de la directive anticipée
Binding | Les codes DOIVENT (SHALL) être pris de JdvTypeDirectiveAnticipeeCisis (20260619134043) (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-type-directive-anticipee-cisis|20260619134043` )

Des conseils sur l'interprétation du contenu de ce tableau peuvent être trouvésici

0. Consent
Définition | A record of a healthcare consumer’s choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.
Court | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Commentaires | Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.
Contrôle | 0..*
Est modificateur | false
Résumé | false
Invariants | dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (`contained.contained.empty()`) dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (`contained.meta.security.empty()`) dom-6: A resource should have narrative for robust management (`text.`div`.exists()`) ppc-1: Either a Policy or PolicyRule (`policy.exists() or policyRule.exists()`) ppc-2: IF Scope=privacy, there must be a patient (`patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()`) ppc-3: IF Scope=research, there must be a patient (`patient.exists() or scope.coding.where(system='something' and code='research').exists().not()`) ppc-4: IF Scope=adr, there must be a patient (`patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()`) ppc-5: IF Scope=treatment, there must be a patient (`patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()`)
2. Consent.id
Définition | The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Court | Logical id of this artifact
Commentaires | The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Contrôle | 0..1
Type | id
Est modificateur | false
Résumé | true
4. Consent.meta
Définition | The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Court | Metadata about the resource
Contrôle | 0..1
Type | Meta
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
6. Consent.implicitRules
Définition | A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Court | A set of rules under which this content was created
Commentaires | Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Contrôle | 0..1
Type | uri
Est modificateur | true parce que This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
8. Consent.language
Définition | The base language in which the resource is written.
Court | Language of the resource content
Commentaires | Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
10. Consent.text
Définition | A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Court | Text summary of the resource, for human interpretation
Commentaires | Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Contrôle | 0..1
Type | Narrative
Est modificateur | false
Résumé | false
Noms alternatifs | narrative, html, xhtml, display
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
12. Consent.contained
Définition | These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Court | Contained, inline Resources
Commentaires | This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Contrôle | 0..*
Type | Resource
Est modificateur | false
Résumé | false
Noms alternatifs | inline resources, anonymous resources, contained resources
14. Consent.extension
Définition | May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
16. Consent.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Résumé | false
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
18. Consent.identifier
Définition | Unique identifier for this copy of the Consent Statement.
Court | Identifier for this record (external references)
Commentaires | This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.
Note | Ceci est un identifiant métier, pas un identifiant de ressource (voir discussion)
Contrôle | 0..*
Type | Identifier
Est modificateur | false
Résumé | true
Exemple | General: { "system" : "http://acme.org/identifier/local/eCMS", "value" : "Local eCMS identifier" }
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
20. Consent.status
Définition | Indicates the current state of this consent.
Court | Statut
Commentaires | This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de ConsentState (required to `http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1` ) Indicates the state of the consent.
Type | code
Est modificateur | true parce que This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Exigences | The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
22. Consent.scope
Définition | A selector of the type of consent being presented: ADR, Privacy, Treatment, Research. This list is now extensible.
Court | Consent de type directive anticipée
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ConsentScopeCodes (extensible to `http://hl7.org/fhir/ValueSet/consent-scope|4.0.1` ) The four anticipated uses for the Consent Resource.
Type | CodeableConcept
Est modificateur | true parce que Allows changes to codes based on scope selection
Doit être pris en charge (Must Support) | true
Résumé | true
Valeur de motif | `{ "coding" : [{ "system" : "http://terminology.hl7.org/CodeSystem/consentscope", "code" : "adr", "display" : "Advance Directive" }] }`
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
24. Consent.category
Définition | A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.
Court | Classification of the consent statement - for indexing/retrieval
Contrôle | 1..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ConsentCategoryCodes (extensible to `http://hl7.org/fhir/ValueSet/consent-category|4.0.1` ) A classification of the type of consents found in a consent statement.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
26. Consent.patient
Définition | The patient/healthcare consumer to whom this consent applies.
Court | Who the consent applies to
Commentaires | Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.
Contrôle | 0..1
Type | Reference(Patient)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
28. Consent.dateTime
Définition | When this Consent was issued / created / indexed.
Court | Date de la directive anticipée
Commentaires | This is not the time of the original consent, but the time that this statement was made or derived.
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
30. Consent.performer
Définition | Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.
Court | Who is agreeing to the policy and rules
Commentaires | Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.
Contrôle | 0..*
Type | Reference(Organization, Patient, Practitioner, RelatedPerson, PractitionerRole)
Est modificateur | false
Résumé | true
Noms alternatifs | consentor
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
32. Consent.organization
Définition | The organization that manages the consent, and the framework within which it is executed.
Court | Custodian of the consent
Contrôle | 0..*
Type | Reference(Organization)
Est modificateur | false
Résumé | true
Noms alternatifs | custodian
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
34. Consent.source[x]
Définition | The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.
Court | Documents
Commentaires | The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.
Contrôle | 0..1
Type | Choix de : Attachment, Reference(Consent, DocumentReference, Contract, QuestionnaireResponse)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
Slicing | Cet élément introduit un ensemble de slices sur `Consent.source[x]`. Les slices sontNon ordonné et Closed, et peut être différencié en utilisant les discriminateurs suivants : type @ $this
36. Consent.source[x]:sourceReference
Nom de la slice | sourceReference
Définition | The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.
Court | Référence à un document externe
Commentaires | The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.
Contrôle | 0..1
Type | Reference(DocumentReference - FR Document reference Document)
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
38. Consent.source[x]:sourceAttachment
Nom de la slice | sourceAttachment
Définition | The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.
Court | Document encapsulé en B64
Commentaires | The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.
Contrôle | 0..1
Type | Attachment
Note [x] | VoirChoix de types de donnéespour plus d'informations sur l'utilisation de [x]
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
40. Consent.source[x]:sourceAttachment.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
42. Consent.source[x]:sourceAttachment.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
Slicing | Cet élément introduit un ensemble de slices sur `Consent.source[x].extension`. Les slices sontNon ordonné et Open, et peut être différencié en utilisant les discriminateurs suivants : value @ url
44. Consent.source[x]:sourceAttachment.contentType
Définition | Identifies the type of the data in the attachment and allows a method to be chosen to interpret or render the data. Includes mime type parameters such as charset where appropriate.
Court | Mime type of the content, with charset etc.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de Mime Types (required to `http://hl7.org/fhir/ValueSet/mimetypes|4.0.1` ) The mime type of an attachment. Any valid mime type is allowed.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Processors of the data need to be able to know how to interpret the data.
Exemple | General: text/plain; charset=UTF-8, image/png
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
46. Consent.source[x]:sourceAttachment.language
Définition | The human language of the content. The value can be any valid value according to BCP 47.
Court | Human language of the content (BCP-47)
Contrôle | 0..1
Binding | Les codes DEVRAIENT (SHOULD) être pris de CommonLanguages (preferred to `http://hl7.org/fhir/ValueSet/languages|4.0.1` ) A human language.
Bindings Additionnels | But
AllLanguages | Binding Max
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Users need to be able to choose between the languages in a set of attachments.
Exemple | General: en-AU
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
48. Consent.source[x]:sourceAttachment.data
Définition | The actual data of the attachment - a sequence of bytes, base64 encoded.
Court | Representation en B64
Commentaires | The base64-encoded data SHALL be expressed in the same character set as the base resource XML or JSON.
Contrôle | 0..1
Type | base64Binary
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Exigences | The data needs to able to be transmitted inline.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
50. Consent.source[x]:sourceAttachment.url
Définition | A location where the data can be accessed.
Court | URI
Commentaires | If both data and url are provided, the url SHALL point to the same content as the data contains. Urls may be relative references or may reference transient locations such as a wrapping envelope using cid: though this has ramifications for using signatures. Relative URLs are interpreted relative to the service url, like a resource reference, rather than relative to the resource itself. If a URL is provided, it SHALL resolve to actual data.
Contrôle | 0..1
Type | url
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | The data needs to be transmitted by reference.
Exemple | General: http://www.acme.com/logo-small.png
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
52. Consent.source[x]:sourceAttachment.size
Définition | The number of bytes of data that make up this attachment (before base64 encoding, if that is done).
Court | Number of bytes of content (if url provided)
Commentaires | The number of bytes is redundant if the data is provided as a base64binary, but is useful if the data is provided as a url reference.
Contrôle | 0..1
Type | unsignedInt
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Representing the size allows applications to determine whether they should fetch the content automatically in advance, or refuse to fetch it at all.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
54. Consent.source[x]:sourceAttachment.hash
Définition | The calculated hash of the data using SHA-1. Represented using base64.
Court | Hash of the data (sha-1, base64ed)
Commentaires | The hash is calculated on the data prior to base64 encoding, if the data is based64 encoded. The hash is not intended to support digital signatures. Where protection against malicious threats a digital signature should be considered, see Provenance.signature for mechanism to protect a resource with a digital signature.
Contrôle | 0..1
Type | base64Binary
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Included so that applications can verify that the contents of a location have not changed due to technical failures (e.g., storage rot, transport glitch, incorrect version).
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
56. Consent.source[x]:sourceAttachment.title
Définition | A label or set of text to display in place of the data.
Court | Label to display in place of the data
Contrôle | 0..1
Type | string
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | Applications need a label to display to a human user in place of the actual data if the data cannot be rendered or perceived by the viewer.
Exemple | General: Official Corporate Logo
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
58. Consent.source[x]:sourceAttachment.creation
Définition | The date that the attachment was first created.
Court | Date attachment was first created
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Exigences | This is often tracked as an integrity issue for use of the attachment.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
60. Consent.policy
Définition | The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.
Court | Policies covered by this consent
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
62. Consent.policy.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
64. Consent.policy.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
66. Consent.policy.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
68. Consent.policy.authority
Définition | Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives.
Court | Enforcement source for policy
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ppc-1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
70. Consent.policy.uri
Définition | The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.
Court | Specific policy covered by this consent
Commentaires | This element is for discoverability / documentation and does not modify or qualify the policy rules.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ppc-1
Type | uri
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
72. Consent.policyRule
Définition | A reference to the specific base computable regulation or policy.
Court | Regulation that this consents to
Commentaires | If the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource.
Contrôle | 0..1 Cet élément est affecté par les invariants suivants : ppc-1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ConsentPolicyRuleCodes (extensible to `http://hl7.org/fhir/ValueSet/consent-policy|4.0.1` ) Regulatory policy examples.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Exigences | Might be a unique identifier of a policy set in XACML, or other rules engine.
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
74. Consent.verification
Définition | Whether a treatment instruction (e.g. artificial respiration yes or no) was verified with the patient, his/her family or another authorized person.
Court | Consent Verified by patient or family
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
76. Consent.verification.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
78. Consent.verification.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
80. Consent.verification.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
82. Consent.verification.verified
Définition | Has the instruction been verified.
Court | Has been verified
Contrôle | 1..1
Type | boolean
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
84. Consent.verification.verifiedWith
Définition | Who verified the instruction (Patient, Relative or other Authorized Person).
Court | Person who verified
Contrôle | 0..1
Type | Reference(Patient, RelatedPerson)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
86. Consent.verification.verificationDate
Définition | Date verification was collected.
Court | When consent verified
Contrôle | 0..1
Type | dateTime
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
88. Consent.provision
Définition | An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.
Court | Constraints to the base Consent.policyRule
Contrôle | 0..1
Type | BackboneElement
Est modificateur | false
Doit être pris en charge (Must Support) | true
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
90. Consent.provision.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
92. Consent.provision.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
94. Consent.provision.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
96. Consent.provision.type
Définition | Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.
Court | 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'.
Contrôle | 0..1
Binding | Les codes DOIVENT (SHALL) être pris de ConsentProvisionType (required to `http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1` ) How a rule statement is applied, such as adding additional consent or removing consent.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
98. Consent.provision.period
Définition | The timeframe in this rule is valid.
Court | Timeframe for this rule
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
100. Consent.provision.actor
Définition | Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').
Court | Who|what controlled by this rule (or group, by role)
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | false
Signification si manquant | There is no specific actor associated with the exception
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
102. Consent.provision.actor.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
104. Consent.provision.actor.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
106. Consent.provision.actor.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
108. Consent.provision.actor.role
Définition | How the individual is involved in the resources content that is described in the exception.
Court | How the actor is involved
Contrôle | 1..1
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de SecurityRoleType (extensible to `http://hl7.org/fhir/ValueSet/security-role-type|4.0.1` ) How an actor is involved in the consent considerations.
Type | CodeableConcept
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
110. Consent.provision.actor.reference
Définition | The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').
Court | Resource for the actor (or group, by role)
Contrôle | 1..1
Type | Reference(Device, Group, CareTeam, Organization, Patient, Practitioner, RelatedPerson, PractitionerRole)
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
112. Consent.provision.action
Définition | Actions controlled by this Rule.
Court | Actions controlled by this rule
Commentaires | Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.
Contrôle | 0..*
Binding | Pour des exemples de codes, voir ConsentActionCodes (example to `http://hl7.org/fhir/ValueSet/consent-action|4.0.1` ) Detailed codes for the consent action.
Type | CodeableConcept
Est modificateur | false
Résumé | true
Signification si manquant | all actions
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
114. Consent.provision.securityLabel
Définition | A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.
Court | Security Labels that define affected resources
Commentaires | If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict.
Contrôle | 0..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de All Security Labels (extensible to `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` ) Security Labels from the Healthcare Privacy and Security Classification System.
Type | Coding
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
116. Consent.provision.purpose
Définition | The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.
Court | Context of activities covered by this rule
Commentaires | When the purpose of use tag is on the data, access request purpose of use shall not conflict.
Contrôle | 0..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de PurposeOfUse (3.1.0) (extensible to `http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0` ) What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
Type | Coding
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
118. Consent.provision.class
Définition | The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.
Court | e.g. Resource Type, Profile, CDA, etc.
Commentaires | Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.
Contrôle | 0..*
Binding | Sauf si inapproprié, ces codes DOIVENT (SHALL) être pris de ConsentContentClass (extensible to `http://hl7.org/fhir/ValueSet/consent-content-class|4.0.1` ) The class (type) of information a consent rule covers.
Type | Coding
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
120. Consent.provision.code
Définition | If this code is found in an instance, then the rule applies.
Court | Type de la directive anticipée
Commentaires | Typical use of this is a Document code with class = CDA.
Contrôle | 0..*
Binding | Les codes DOIVENT (SHALL) être pris de JdvTypeDirectiveAnticipeeCisis (20260619134043) (required to `https://smt.esante.gouv.fr/fhir/ValueSet/jdv-type-directive-anticipee-cisis|20260619134043` )
Type | CodeableConcept
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
122. Consent.provision.dataPeriod
Définition | Clinical or Operational Relevant period of time that bounds the data controlled by this rule.
Court | Timeframe for data controlled by this rule
Commentaires | This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.
Contrôle | 0..1
Type | Period
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
124. Consent.provision.data
Définition | The resources controlled by this rule if specific resources are referenced.
Court | Data controlled by this rule
Contrôle | 0..*
Type | BackboneElement
Est modificateur | false
Résumé | true
Signification si manquant | all data
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
126. Consent.provision.data.id
Définition | Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Court | Unique id for inter-element referencing
Contrôle | 0..1
Type | string
Est modificateur | false
Format XML | Dans le format XML, cette propriété est représentée comme attribut.
Résumé | false
128. Consent.provision.data.extension
Définition | May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Court | Additional content defined by implementations
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | false
Résumé | false
Noms alternatifs | extensions, user content
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
130. Consent.provision.data.modifierExtension
Définition | May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Court | Extensions that cannot be ignored even if unrecognized
Commentaires | There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Contrôle | 0..*
Type | Extension
Est modificateur | true parce que Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
Résumé | true
Exigences | Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Noms alternatifs | extensions, user content, modifiers
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`) ext-1: Must have either extensions or value[x], not both (`extension.exists() != value.exists()`)
132. Consent.provision.data.meaning
Définition | How the resource reference is interpreted when testing consent restrictions.
Court | instance | related | dependents | authoredby
Contrôle | 1..1
Binding | Les codes DOIVENT (SHALL) être pris de ConsentDataMeaning (required to `http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1` ) How a resource reference is interpreted when testing consent restrictions.
Type | code
Est modificateur | false
Valeur primitive | Cet élément primitif peut être présent, absent ou remplacé par une extension
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
134. Consent.provision.data.reference
Définition | A reference to a specific resource that defines which resources are covered by this consent.
Court | The actual data reference
Contrôle | 1..1
Type | Reference(Resource)
Est modificateur | false
Résumé | true
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)
136. Consent.provision.provision
Définition | Rules which provide exceptions to the base rule or subrules.
Court | Nested Exception Rules
Contrôle | 0..*
Type | Voirttp://hl7.org/fhir/StructureDefinition/Consent#Consent.provision
Est modificateur | false
Résumé | false
Invariants | ele-1: All FHIR elements must have a @value or children (`hasValue() or (children().count() > id.count())`)