CH EPR FHIR (R4)
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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

Resource Profile: EPR policy set based on template 201

Official URL: http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201 Version: 5.0.0-ci-build
Active as of 2025-10-20 Computable Name: PpqmConsentTemplate201

Copyright/Legal: CC0-1.0

EPR policy set based on template 201 – grants the patient the full access to the their EPR. This policy set shall be created during the patient's onboarding.

Usages:

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.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* PpqmConsent 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, ch-epr-ppqm-provision-actor-is-patient, ch-epr-ppqm-patient-references-equal
... 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: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)
Required Pattern: 201
... 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
Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
..... 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)
...... coding Σ 0..* 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: urn:oid:2.16.756.5.30.1.127.3.10.6
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
....... code Σ 1..1 code EPR actor role code
..... reference 1..1 Reference(Patient) Resource for the actor (or group, by role)
...... identifier Σ 0..1 EPRSPIDIdentifier 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)

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: urn:ietf:rfc:3986
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:e-health-suisse:2015:epr-spid
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
......... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.policyRule.coding Base required CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates 📦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 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.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.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}$')
ch-epr-ppqm-patient-references-equal error Consent If literal references are provided for the patient in 201, they shall be equal provision[0].actor.reference.reference.empty() or patient.reference.empty() or provision[0].actor.reference.reference = patient.reference
ch-epr-ppqm-provision-actor-is-patient error Consent The provision.actor and patient SHALL be the same provision[0].actor.reference.identifier[0].value = patient.identifier.value
ch-epr-ppqm-template-structure error Consent The resource shall correspond to one of official policy set templates conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format error Consent.identifier:policySetId.value The policy set ID must be a UUID in URN format lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
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 PpqmConsent

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* PpqmConsent 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-provision-actor-is-patient, ch-epr-ppqm-patient-references-equal
... Slices for identifier Content/Rules for all slices
.... identifier:templateId 1..1 Identifier Template ID of the policy set
..... value 1..1 string Template ID of the policy set
Required Pattern: 201
... policyRule
.... coding 1..1 Coding Code defined by a terminology system
Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
... provision
.... period 0..0
.... actor
..... role
...... coding 0..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.6
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
..... reference 1..1 Reference(Patient) Resource for the actor (or group, by role)
...... identifier 0..1 EPRSPIDIdentifier This element is present only in policy sets which reference a particular healthcare professional, group of healthcare professionals, patient, or representative
....... type
........ 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: urn:ietf:rfc:3986
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:e-health-suisse:2015:epr-spid
...... display 0..0
.... purpose 0..0

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Consent.policyRule.coding Base required CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates 📦5.0.0-ci-build This IG

Constraints

Id Grade Path(s) Description Expression
ch-epr-ppqm-patient-references-equal error Consent If literal references are provided for the patient in 201, they shall be equal provision[0].actor.reference.reference.empty() or patient.reference.empty() or provision[0].actor.reference.reference = patient.reference
ch-epr-ppqm-provision-actor-is-patient error Consent The provision.actor and patient SHALL be the same provision[0].actor.reference.identifier[0].value = patient.identifier.value
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* PpqmConsent 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, ch-epr-ppqm-provision-actor-is-patient, ch-epr-ppqm-patient-references-equal
... 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
... 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: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)
Required Pattern: 201
... 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
Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (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 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
.... 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

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: urn:oid:2.16.756.5.30.1.127.3.10.6
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... 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(Patient) 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 EPRSPIDIdentifier 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)

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: urn:ietf:rfc:3986
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:e-health-suisse:2015:epr-spid
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
......... 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

doco 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: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.policyRule.coding Base required CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates 📦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.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.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}$')
ch-epr-ppqm-patient-references-equal error Consent If literal references are provided for the patient in 201, they shall be equal provision[0].actor.reference.reference.empty() or patient.reference.empty() or provision[0].actor.reference.reference = patient.reference
ch-epr-ppqm-provision-actor-is-patient error Consent The provision.actor and patient SHALL be the same provision[0].actor.reference.identifier[0].value = patient.identifier.value
ch-epr-ppqm-template-structure error Consent The resource shall correspond to one of official policy set templates conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format error Consent.identifier:policySetId.value The policy set ID must be a UUID in URN format lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
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 PpqmConsent

Summary

Prohibited: 3 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* PpqmConsent 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, ch-epr-ppqm-provision-actor-is-patient, ch-epr-ppqm-patient-references-equal
... 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: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)
Required Pattern: 201
... 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
Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
..... 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)
...... coding Σ 0..* 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: urn:oid:2.16.756.5.30.1.127.3.10.6
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system Σ 1..1 uri Identity of the terminology system
Required Pattern: urn:oid:2.16.756.5.30.1.127.3.10.6
....... code Σ 1..1 code EPR actor role code
..... reference 1..1 Reference(Patient) Resource for the actor (or group, by role)
...... identifier Σ 0..1 EPRSPIDIdentifier 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)

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: urn:ietf:rfc:3986
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:e-health-suisse:2015:epr-spid
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
......... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
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.policyRule.coding Base required CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates 📦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 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.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.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}$')
ch-epr-ppqm-patient-references-equal error Consent If literal references are provided for the patient in 201, they shall be equal provision[0].actor.reference.reference.empty() or patient.reference.empty() or provision[0].actor.reference.reference = patient.reference
ch-epr-ppqm-provision-actor-is-patient error Consent The provision.actor and patient SHALL be the same provision[0].actor.reference.identifier[0].value = patient.identifier.value
ch-epr-ppqm-template-structure error Consent The resource shall correspond to one of official policy set templates conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format error Consent.identifier:policySetId.value The policy set ID must be a UUID in URN format lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
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 PpqmConsent

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* PpqmConsent 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-provision-actor-is-patient, ch-epr-ppqm-patient-references-equal
... Slices for identifier Content/Rules for all slices
.... identifier:templateId 1..1 Identifier Template ID of the policy set
..... value 1..1 string Template ID of the policy set
Required Pattern: 201
... policyRule
.... coding 1..1 Coding Code defined by a terminology system
Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (required)
... provision
.... period 0..0
.... actor
..... role
...... coding 0..* Coding Code defined by a terminology system
Required Pattern: At least the following
....... system 1..1 uri Identity of the terminology system
Fixed Value: urn:oid:2.16.756.5.30.1.127.3.10.6
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
..... reference 1..1 Reference(Patient) Resource for the actor (or group, by role)
...... identifier 0..1 EPRSPIDIdentifier This element is present only in policy sets which reference a particular healthcare professional, group of healthcare professionals, patient, or representative
....... type
........ 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: urn:ietf:rfc:3986
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:e-health-suisse:2015:epr-spid
...... display 0..0
.... purpose 0..0

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Consent.policyRule.coding Base required CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates 📦5.0.0-ci-build This IG

Constraints

Id Grade Path(s) Description Expression
ch-epr-ppqm-patient-references-equal error Consent If literal references are provided for the patient in 201, they shall be equal provision[0].actor.reference.reference.empty() or patient.reference.empty() or provision[0].actor.reference.reference = patient.reference
ch-epr-ppqm-provision-actor-is-patient error Consent The provision.actor and patient SHALL be the same provision[0].actor.reference.identifier[0].value = patient.identifier.value

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Consent C 0..* PpqmConsent 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, ch-epr-ppqm-provision-actor-is-patient, ch-epr-ppqm-patient-references-equal
... 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
... 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: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)
Required Pattern: 201
... 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
Binding: CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates (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 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
.... 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

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: urn:oid:2.16.756.5.30.1.127.3.10.6
....... version 0..1 string Version of the system - if relevant
....... code 1..1 code Symbol in syntax defined by the system
Fixed Value: PAT
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... 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(Patient) 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 EPRSPIDIdentifier 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)

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: urn:ietf:rfc:3986
......... version 0..1 string Version of the system - if relevant
......... code 1..1 code Symbol in syntax defined by the system
Fixed Value: urn:e-health-suisse:2015:epr-spid
......... display 0..1 string Representation defined by the system
......... userSelected 0..1 boolean If this coding was chosen directly by the user
......... 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

doco 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: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.policyRule.coding Base required CH PPQm Referenced Policy Set for Patients (201) and Representative (303) templates 📦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.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.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}$')
ch-epr-ppqm-patient-references-equal error Consent If literal references are provided for the patient in 201, they shall be equal provision[0].actor.reference.reference.empty() or patient.reference.empty() or provision[0].actor.reference.reference = patient.reference
ch-epr-ppqm-provision-actor-is-patient error Consent The provision.actor and patient SHALL be the same provision[0].actor.reference.identifier[0].value = patient.identifier.value
ch-epr-ppqm-template-structure error Consent The resource shall correspond to one of official policy set templates conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate201') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate202') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate203') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate301') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate302') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate303') or conformsTo('http://fhir.ch/ig/ch-epr-fhir/StructureDefinition/PpqmConsentTemplate304')
ch-epr-ppqm-uuid-format error Consent.identifier:policySetId.value The policy set ID must be a UUID in URN format lower().matches('^urn:uuid:[0-9a-f]{8}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{4}-[0-9a-f]{12}$')
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 PpqmConsent

Summary

Prohibited: 3 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron