CH EPR FHIR (R4), published by eHealth Suisse. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/ehealthsuisse/ch-epr-fhir/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
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Resource Profile: CH PPQm Consent

Swiss EPR Policy Set as a Consent

Usages:

• Derived from this Profile: EPR policy set based on template 201, EPR policy set based on template 202, EPR policy set based on template 203, EPR policy set based on template 301... Show 3 more, EPR policy set based on template 302, EPR policy set based on template 303 and EPR policy set based on template 304
• Use this Profile: CH PPQm Feed Request Bundle and CH PPQm Retrieve Response Bundle
• CapabilityStatements using this Profile: PPQm Policy Repository (server) and PPQm Policy Source and Consumer (client)

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, ch-epr-ppqm-template-structure
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by value:type.coding Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:policySetId	Σ	1..1	Identifier	UUID of the Policy Set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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 Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value	ΣC	1..1	string	UUID of the policy set in URN format Constraints: ch-epr-ppqm-uuid-format Example General: 123456
identifier:templateId	Σ	1..1	Identifier	Template ID of the policy set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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 Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value	Σ	1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required) Example General: 123456
status	?!Σ	1..1	code	Fixed status value Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active
scope	?!Σ	1..1	CodeableConcept	Fixed scope value Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
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 Fixed Value: (Complex)
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 Fixed Value: 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 Fixed Value: patient-privacy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
category	Σ	1..1	CodeableConcept	Fixed category value Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
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 Fixed Value: (Complex)
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 Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INFA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
identifier	Σ	1..1	EPRSPIDIdentifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
value	ΣC	1..1	string	The value that is unique Constraints: epr-spid-length, epr-spid-startswith76133761, epr-spid-modulus-10 Example General: 123456
policyRule	ΣC	1..1	CodeableConcept	ID of the referenced basis policy set Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
provision	Σ	1..1	BackboneElement	Constraints to the base Consent.policyRule
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	BackboneElement	Who|what controlled by this rule (or group, by role)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: EprRole (3.3.0-ci-build) (required)
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
identifier	Σ	0..1	Identifier	This element is present only in policy sets which reference a particular healthcare professional, group of healthcare professionals, patient, or representative
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Actor identifier type code (name qualifier)
value	Σ	1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative Example General: 123456
display	Σ	0..1	string	This element is present only in policy sets which reference indefinite sets of actors
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: EprPurposeOfUse (3.3.0-ci-build) (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.5
code	Σ	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Consent.identifier:policySetId.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:templateId.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:templateId.​value	Base	required	CH PPQm Policy Set Template ID	📦5.0.0-ci-build	This IG
Consent.status	Base	required	ConsentState	📍4.0.1	FHIR Std.
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	FHIR Std.
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	FHIR Std.
Consent.provision.actor.​role	Base	required	EprRole	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.actor.​reference.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.provision.actor.​reference.identifier.​type.coding	Base	required	CH PPQm Actor Identifier Type	📦5.0.0-ci-build	This IG
Consent.provision.purpose	Base	required	EprPurposeOfUse	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.data.​meaning	Base	required	ConsentDataMeaning	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates	conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format	lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Consent	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Consent	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Consent	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epr-spid-length	warning	Consent.patient.identifier.value	EPR-SPID must be exactly 18 characters long	matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Consent.patient.identifier.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually	(((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Consent.patient.identifier.value	EPR-SPID must start with 76133761	startsWith('76133761')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule	policy.exists() or policyRule.exists()
ppc-2	error	Consent	IF Scope=privacy, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Consent	IF Scope=research, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Consent	IF Scope=adr, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Consent	IF Scope=treatment, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ch-epr-ppqm-template-structure
Slices for identifier		2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by value:type.coding
identifier:All Slices				Content/Rules for all slices
value		0..1	string	The value that is unique
identifier:policySetId		1..1	Identifier	UUID of the Policy Set
use		0..0
type		1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
system		0..0
value	C	1..1	string	UUID of the policy set in URN format Constraints: ch-epr-ppqm-uuid-format
period		0..0
assigner		0..0
identifier:templateId		1..1	Identifier	Template ID of the policy set
use		0..0
type		1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
system		0..0
value		1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required)
period		0..0
assigner		0..0
status		1..1	code	Fixed status value Required Pattern: active
scope		1..1	CodeableConcept	Fixed scope value Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patient-privacy
coding		1..1	Coding	Code defined by a terminology system
category		1..1	CodeableConcept	Fixed category value Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INFA
coding		1..1	Coding	Code defined by a terminology system
patient		1..1	Reference(Patient)	Who the consent applies to
identifier		1..1	EPRSPIDIdentifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
dateTime		0..0
performer		0..0
organization		0..0
source[x]		0..0
policy		0..0
policyRule		1..1	CodeableConcept	ID of the referenced basis policy set
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
verification		0..0
provision		1..1	BackboneElement	Constraints to the base Consent.policyRule
type		0..0
period
start	C	0..1	dateTime	Start date of the policy set validity, yyyy-mm-dd Constraints: ch-epr-ppqm-date-format
end	C	1..1	dateTime	End date of the policy set validity, yyyy-mm-dd Constraints: ch-epr-ppqm-date-format
actor		1..1	BackboneElement	Who|what controlled by this rule (or group, by role)
role		1..1	CodeableConcept	How the actor is involved Binding: EprRole (3.3.0-ci-build) (required)
coding
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
code		1..1	code	EPR actor role code
reference
identifier		0..1	Identifier	This element is present only in policy sets which reference a particular healthcare professional, group of healthcare professionals, patient, or representative
use		0..0
type		1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required)
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Actor identifier type code (name qualifier)
userSelected		0..0
text		0..0
value		1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative
period		0..0
assigner		0..0
display		0..1	string	This element is present only in policy sets which reference indefinite sets of actors
action		0..0
securityLabel		0..0
purpose		0..*	Coding	Context of activities covered by this rule Binding: EprPurposeOfUse (3.3.0-ci-build) (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.5
code		1..1	code	Symbol in syntax defined by the system
class		0..0
code		0..0
dataPeriod		0..0
data		0..0
provision		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Consent.identifier:templateId.​value	Base	required	CH PPQm Policy Set Template ID	📦5.0.0-ci-build	This IG
Consent.provision.actor.​role	Base	required	EprRole	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.actor.​reference.identifier.​type.coding	Base	required	CH PPQm Actor Identifier Type	📦5.0.0-ci-build	This IG
Consent.provision.purpose	Base	required	EprPurposeOfUse	📍3.3.0-ci-build	CH Term v3.3

Constraints

Id	Grade	Path(s)	Description	Expression
ch-epr-ppqm-date-format	error	Consent.provision.period.start, Consent.provision.period.end	Timestamp must have precision of days, i.e. not contain the time part	toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates	conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format	lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, ch-epr-ppqm-template-structure
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by value:type.coding Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:policySetId	Σ	1..1	Identifier	UUID of the Policy Set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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 Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	ΣC	1..1	string	UUID of the policy set in URN format Constraints: ch-epr-ppqm-uuid-format Example General: 123456
identifier:templateId	Σ	1..1	Identifier	Template ID of the policy set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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 Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	Σ	1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required) Example General: 123456
status	?!Σ	1..1	code	Fixed status value Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active
scope	?!Σ	1..1	CodeableConcept	Fixed scope value Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
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 Fixed Value: (Complex)
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 Fixed Value: 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 Fixed Value: patient-privacy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	1..1	CodeableConcept	Fixed category value Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
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 Fixed Value: (Complex)
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 Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INFA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	EPRSPIDIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
value	ΣC	1..1	string	The value that is unique Constraints: epr-spid-length, epr-spid-startswith76133761, epr-spid-modulus-10 Example General: 123456
policyRule	ΣC	1..1	CodeableConcept	ID of the referenced basis policy set Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
provision	Σ	1..1	BackboneElement	Constraints to the base Consent.policyRule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	Timeframe for this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Start date of the policy set validity, yyyy-mm-dd Constraints: ch-epr-ppqm-date-format
end	ΣC	1..1	dateTime	End date of the policy set validity, yyyy-mm-dd Constraints: ch-epr-ppqm-date-format
actor		1..1	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: EprRole (3.3.0-ci-build) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EPR actor role code
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	This element is present only in policy sets which reference a particular healthcare professional, group of healthcare professionals, patient, or representative
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Actor identifier type code (name qualifier)
display	Σ	0..1	string	Representation defined by the system
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative Example General: 123456
display	Σ	0..1	string	This element is present only in policy sets which reference indefinite sets of actors
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: EprPurposeOfUse (3.3.0-ci-build) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.5
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Consent.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Consent.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:policySetId.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:templateId.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:templateId.​value	Base	required	CH PPQm Policy Set Template ID	📦5.0.0-ci-build	This IG
Consent.status	Base	required	ConsentState	📍4.0.1	FHIR Std.
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	FHIR Std.
Consent.patient.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	FHIR Std.
Consent.provision.actor.​role	Base	required	EprRole	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.actor.​reference.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Consent.provision.actor.​reference.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.provision.actor.​reference.identifier.​type.coding	Base	required	CH PPQm Actor Identifier Type	📦5.0.0-ci-build	This IG
Consent.provision.purpose	Base	required	EprPurposeOfUse	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.data.​meaning	Base	required	ConsentDataMeaning	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-epr-ppqm-date-format	error	Consent.provision.period.start, Consent.provision.period.end	Timestamp must have precision of days, i.e. not contain the time part	toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates	conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format	lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Consent	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Consent	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Consent	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epr-spid-length	warning	Consent.patient.identifier.value	EPR-SPID must be exactly 18 characters long	matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Consent.patient.identifier.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually	(((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Consent.patient.identifier.value	EPR-SPID must start with 76133761	startsWith('76133761')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule	policy.exists() or policyRule.exists()
ppc-2	error	Consent	IF Scope=privacy, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Consent	IF Scope=research, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Consent	IF Scope=adr, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Consent	IF Scope=treatment, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

This structure is derived from Consent

Summary

Mandatory: 18 elements(10 nested mandatory elements)
Prohibited: 35 elements

Structures

This structure refers to these other structures:

• EPR-SPID Identifier (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-epr-spid-identifier)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Consent.identifier

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, ch-epr-ppqm-template-structure
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by value:type.coding Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
identifier:All Slices				Content/Rules for all slices
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
value	Σ	0..1	string	The value that is unique Example General: 123456
identifier:policySetId	Σ	1..1	Identifier	UUID of the Policy Set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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 Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value	ΣC	1..1	string	UUID of the policy set in URN format Constraints: ch-epr-ppqm-uuid-format Example General: 123456
identifier:templateId	Σ	1..1	Identifier	Template ID of the policy set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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 Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
value	Σ	1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required) Example General: 123456
status	?!Σ	1..1	code	Fixed status value Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active
scope	?!Σ	1..1	CodeableConcept	Fixed scope value Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
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 Fixed Value: (Complex)
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 Fixed Value: 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 Fixed Value: patient-privacy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
category	Σ	1..1	CodeableConcept	Fixed category value Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
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 Fixed Value: (Complex)
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 Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INFA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
coding	Σ	1..1	Coding	Code defined by a terminology system
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
identifier	Σ	1..1	EPRSPIDIdentifier	Logical reference, when literal reference is not known
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
value	ΣC	1..1	string	The value that is unique Constraints: epr-spid-length, epr-spid-startswith76133761, epr-spid-modulus-10 Example General: 123456
policyRule	ΣC	1..1	CodeableConcept	ID of the referenced basis policy set Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
coding	Σ	1..1	Coding	Code defined by a terminology system
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
provision	Σ	1..1	BackboneElement	Constraints to the base Consent.policyRule
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor		1..1	BackboneElement	Who|what controlled by this rule (or group, by role)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: EprRole (3.3.0-ci-build) (required)
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
identifier	Σ	0..1	Identifier	This element is present only in policy sets which reference a particular healthcare professional, group of healthcare professionals, patient, or representative
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required)
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Actor identifier type code (name qualifier)
value	Σ	1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative Example General: 123456
display	Σ	0..1	string	This element is present only in policy sets which reference indefinite sets of actors
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: EprPurposeOfUse (3.3.0-ci-build) (required)
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.5
code	Σ	1..1	code	Symbol in syntax defined by the system
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Consent.identifier:policySetId.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:templateId.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:templateId.​value	Base	required	CH PPQm Policy Set Template ID	📦5.0.0-ci-build	This IG
Consent.status	Base	required	ConsentState	📍4.0.1	FHIR Std.
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	FHIR Std.
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	FHIR Std.
Consent.provision.actor.​role	Base	required	EprRole	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.actor.​reference.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.provision.actor.​reference.identifier.​type.coding	Base	required	CH PPQm Actor Identifier Type	📦5.0.0-ci-build	This IG
Consent.provision.purpose	Base	required	EprPurposeOfUse	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.data.​meaning	Base	required	ConsentDataMeaning	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates	conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format	lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Consent	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Consent	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Consent	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epr-spid-length	warning	Consent.patient.identifier.value	EPR-SPID must be exactly 18 characters long	matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Consent.patient.identifier.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually	(((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Consent.patient.identifier.value	EPR-SPID must start with 76133761	startsWith('76133761')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule	policy.exists() or policyRule.exists()
ppc-2	error	Consent	IF Scope=privacy, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Consent	IF Scope=research, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Consent	IF Scope=adr, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Consent	IF Scope=treatment, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

Differential View

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ch-epr-ppqm-template-structure
Slices for identifier		2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by value:type.coding
identifier:All Slices				Content/Rules for all slices
value		0..1	string	The value that is unique
identifier:policySetId		1..1	Identifier	UUID of the Policy Set
use		0..0
type		1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
system		0..0
value	C	1..1	string	UUID of the policy set in URN format Constraints: ch-epr-ppqm-uuid-format
period		0..0
assigner		0..0
identifier:templateId		1..1	Identifier	Template ID of the policy set
use		0..0
type		1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
system		0..0
value		1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required)
period		0..0
assigner		0..0
status		1..1	code	Fixed status value Required Pattern: active
scope		1..1	CodeableConcept	Fixed scope value Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: patient-privacy
coding		1..1	Coding	Code defined by a terminology system
category		1..1	CodeableConcept	Fixed category value Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INFA
coding		1..1	Coding	Code defined by a terminology system
patient		1..1	Reference(Patient)	Who the consent applies to
identifier		1..1	EPRSPIDIdentifier	Logical reference, when literal reference is not known
use		0..0
type		0..0
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
period		0..0
assigner		0..0
display		0..0
dateTime		0..0
performer		0..0
organization		0..0
source[x]		0..0
policy		0..0
policyRule		1..1	CodeableConcept	ID of the referenced basis policy set
coding		1..1	Coding	Code defined by a terminology system
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Symbol in syntax defined by the system
userSelected		0..0
verification		0..0
provision		1..1	BackboneElement	Constraints to the base Consent.policyRule
type		0..0
period
start	C	0..1	dateTime	Start date of the policy set validity, yyyy-mm-dd Constraints: ch-epr-ppqm-date-format
end	C	1..1	dateTime	End date of the policy set validity, yyyy-mm-dd Constraints: ch-epr-ppqm-date-format
actor		1..1	BackboneElement	Who|what controlled by this rule (or group, by role)
role		1..1	CodeableConcept	How the actor is involved Binding: EprRole (3.3.0-ci-build) (required)
coding
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
code		1..1	code	EPR actor role code
reference
identifier		0..1	Identifier	This element is present only in policy sets which reference a particular healthcare professional, group of healthcare professionals, patient, or representative
use		0..0
type		1..1	CodeableConcept	Description of identifier
coding		1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required)
system		1..1	uri	Identity of the terminology system
version		0..0
code		1..1	code	Actor identifier type code (name qualifier)
userSelected		0..0
text		0..0
value		1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative
period		0..0
assigner		0..0
display		0..1	string	This element is present only in policy sets which reference indefinite sets of actors
action		0..0
securityLabel		0..0
purpose		0..*	Coding	Context of activities covered by this rule Binding: EprPurposeOfUse (3.3.0-ci-build) (required)
system		1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.5
code		1..1	code	Symbol in syntax defined by the system
class		0..0
code		0..0
dataPeriod		0..0
data		0..0
provision		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Consent.identifier:templateId.​value	Base	required	CH PPQm Policy Set Template ID	📦5.0.0-ci-build	This IG
Consent.provision.actor.​role	Base	required	EprRole	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.actor.​reference.identifier.​type.coding	Base	required	CH PPQm Actor Identifier Type	📦5.0.0-ci-build	This IG
Consent.provision.purpose	Base	required	EprPurposeOfUse	📍3.3.0-ci-build	CH Term v3.3

Constraints

Id	Grade	Path(s)	Description	Expression
ch-epr-ppqm-date-format	error	Consent.provision.period.start, Consent.provision.period.end	Timestamp must have precision of days, i.e. not contain the time part	toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates	conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format	lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5, ch-epr-ppqm-template-structure
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
Slices for identifier	Σ	2..*	Identifier	Identifier for this record (external references) Slice: Unordered, Open by value:type.coding Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
identifier:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
identifier:policySetId	Σ	1..1	Identifier	UUID of the Policy Set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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 Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: policySetId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	ΣC	1..1	string	UUID of the policy set in URN format Constraints: ch-epr-ppqm-uuid-format Example General: 123456
identifier:templateId	Σ	1..1	Identifier	Template ID of the policy set Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Required Pattern: At least the following
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 Fixed Value: http://fhir.ch/ig/ch-epr-fhir/CodeSystem/PpqmConsentIdentifierType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: templateId
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
value	Σ	1..1	string	Template ID of the policy set Binding: CH PPQm Policy Set Template ID (required) Example General: 123456
status	?!Σ	1..1	code	Fixed status value Binding: ConsentState (required): Indicates the state of the consent. Required Pattern: active
scope	?!Σ	1..1	CodeableConcept	Fixed scope value Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
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 Fixed Value: (Complex)
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 Fixed Value: 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 Fixed Value: patient-privacy
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
category	Σ	1..1	CodeableConcept	Fixed category value Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement. Required Pattern: At least the following
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 Fixed Value: (Complex)
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 Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: INFA
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	1..1	EPRSPIDIdentifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	The namespace for the identifier value Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.3
value	ΣC	1..1	string	The value that is unique Constraints: epr-spid-length, epr-spid-startswith76133761, epr-spid-modulus-10 Example General: 123456
policyRule	ΣC	1..1	CodeableConcept	ID of the referenced basis policy set Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
text	Σ	0..1	string	Plain text representation of the concept
provision	Σ	1..1	BackboneElement	Constraints to the base Consent.policyRule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
period	Σ	0..1	Period	Timeframe for this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	0..1	dateTime	Start date of the policy set validity, yyyy-mm-dd Constraints: ch-epr-ppqm-date-format
end	ΣC	1..1	dateTime	End date of the policy set validity, yyyy-mm-dd Constraints: ch-epr-ppqm-date-format
actor		1..1	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: EprRole (3.3.0-ci-build) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	EPR actor role code
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	This element is present only in policy sets which reference a particular healthcare professional, group of healthcare professionals, patient, or representative
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	Σ	1..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	1..1	Coding	Code defined by a terminology system Binding: CH PPQm Actor Identifier Type (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Actor identifier type code (name qualifier)
display	Σ	0..1	string	Representation defined by the system
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	ID of an healthcare professional, group of healthcare professionals, patient, or representative Example General: 123456
display	Σ	0..1	string	This element is present only in policy sets which reference indefinite sets of actors
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: EprPurposeOfUse (3.3.0-ci-build) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.5
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Consent.language	Base	preferred	Common Languages	📍4.0.1	FHIR Std.
Consent.identifier.use	Base	required	IdentifierUse	📍4.0.1	FHIR Std.
Consent.identifier.type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:policySetId.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:templateId.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.identifier:templateId.​value	Base	required	CH PPQm Policy Set Template ID	📦5.0.0-ci-build	This IG
Consent.status	Base	required	ConsentState	📍4.0.1	FHIR Std.
Consent.scope	Base	extensible	Consent Scope Codes	📍4.0.1	FHIR Std.
Consent.category	Base	extensible	Consent Category Codes	📍4.0.1	FHIR Std.
Consent.patient.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Consent.policyRule	Base	extensible	Consent PolicyRule Codes	📍4.0.1	FHIR Std.
Consent.provision.actor.​role	Base	required	EprRole	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.actor.​reference.type	Base	extensible	ResourceType	📍4.0.1	FHIR Std.
Consent.provision.actor.​reference.identifier.​type	Base	extensible	IdentifierType	📍4.0.1	FHIR Std.
Consent.provision.actor.​reference.identifier.​type.coding	Base	required	CH PPQm Actor Identifier Type	📦5.0.0-ci-build	This IG
Consent.provision.purpose	Base	required	EprPurposeOfUse	📍3.3.0-ci-build	CH Term v3.3
Consent.provision.data.​meaning	Base	required	ConsentDataMeaning	📍4.0.1	FHIR Std.

Constraints

Id	Grade	Path(s)	Description	Expression
ch-epr-ppqm-date-format	error	Consent.provision.period.start, Consent.provision.period.end	Timestamp must have precision of days, i.e. not contain the time part	toString().matches('^[0-9]{4}-[0-9]{2}-[0-9]{2}$')
ch-epr-ppqm-template-structure	error	Consent	The resource shall correspond to one of official policy set templates	conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format	error	Consent.identifier:policySetId.value	The policy set ID must be a UUID in URN format	lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources	contained.contained.empty()
dom-3	error	Consent	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource	contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated	contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Consent	If a resource is contained in another resource, it SHALL NOT have a security label	contained.meta.security.empty()
dom-6	best practice	Consent	A resource should have narrative for robust management	text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children	hasValue() or (children().count() > id.count())
epr-spid-length	warning	Consent.patient.identifier.value	EPR-SPID must be exactly 18 characters long	matches('^[0-9]{18}$')
epr-spid-modulus-10	warning	Consent.patient.identifier.value	EPR-SPID must pass the modulus 10 check - https://www.gs1.org/services/how-calculate-check-digit-manually	(((10-((68+(substring(8,1).toInteger()*3)+(substring(9,1).toInteger()*1)+(substring(10,1).toInteger()*3)+(substring(11,1).toInteger()*1)+(substring(12,1).toInteger()*3)+(substring(13,1).toInteger()*1)+(substring(14,1).toInteger()*3)+(substring(15,1).toInteger()*1)+(substring(16,1).toInteger()*3))mod(10)))mod(10))=substring(17,1).toInteger())
epr-spid-startswith76133761	warning	Consent.patient.identifier.value	EPR-SPID must start with 76133761	startsWith('76133761')
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both	extension.exists() != value.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule	policy.exists() or policyRule.exists()
ppc-2	error	Consent	IF Scope=privacy, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Consent	IF Scope=research, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Consent	IF Scope=adr, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Consent	IF Scope=treatment, there must be a patient	patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

This structure is derived from Consent

Summary

Mandatory: 18 elements(10 nested mandatory elements)
Prohibited: 35 elements

Structures

This structure refers to these other structures:

• EPR-SPID Identifier (http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-epr-spid-identifier)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Consent.identifier