HL7 Europe Patient Summary
1.0.0-ci-build - ci-build 150

HL7 Europe Patient Summary, published by HL7 Europe. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-eu/eps/ and changes regularly. See the Directory of published versions

## Resource Profile: Consent (Advance Directives EPS)

Official URL: http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps | Version: 1.0.0-ci-build
Standards status: Draft | Maturity Level: 1 | Computable Name: ConsentEuEps
Copyright/Legal: Used by permission of HL7 Europe, all rights reserved Creative Commons License

This profile constrains the Consent resource for the purpose representing Advance Directives for the scope of this guide.

Usages:

- Refer to this Profile: Composition (EPS)

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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
value[x] |  | 0..1 | Reference(Condition) | Related conditions
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) 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: adr
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
category | Σ | 1..* | CodeableConcept | Living will type Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
dateTime | Σ | 0..1 | dateTime | Living will date and time
source[x] | Σ | 0..1 |  | Living will document
sourceAttachment |  |  | Attachment |
sourceReference |  |  | Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) |
Documentation for this format

#### Terminology Bindings

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

#### Constraints

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

This structure is derived from Consent

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | Consent | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
value[x] |  | 0..1 | Reference(Condition) | Related conditions
scope |  | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) 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: adr
category |  | 1..* | CodeableConcept | Living will type
dateTime |  | 0..1 | dateTime | Living will date and time
source[x] |  | 0..1 | Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) | Living will document
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent | C | 0..* | Consent | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
value[x] |  | 0..1 | Reference(Condition) | Related conditions
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) 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: adr
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
category | Σ | 1..* | CodeableConcept | Living will type Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient | Σ | 0..1 | Reference(Patient) | Who the consent applies to
dateTime | Σ | 0..1 | dateTime | Living will date and time
performer | Σ | 0..* | Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Who is agreeing to the policy and rules
organization | Σ | 0..* | Reference(Organization) | Custodian of the consent
source[x] | Σ | 0..1 |  | Living will document
sourceAttachment |  |  | Attachment |
sourceReference |  |  | Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) |
policy |  | 0..* | BackboneElement | Policies covered by this consent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
authority | C | 0..1 | uri | Enforcement source for policy
uri | C | 0..1 | uri | Specific policy covered by this consent
policyRule | Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification | Σ | 0..* | BackboneElement | Consent Verified by patient or family
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verifiedWith |  | 0..1 | Reference(Patient | RelatedPerson) | Person who verified
verificationDate |  | 0..1 | dateTime | When consent verified
provision | Σ | 0..1 | BackboneElement | Constraints to the base Consent.policyRule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..1 | code | deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period | Σ | 0..1 | Period | Timeframe for this rule
actor |  | 0..* | BackboneElement | Who|what controlled by this rule (or group, by role)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role |  | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference |  | 1..1 | Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Resource for the actor (or group, by role)
action | Σ | 0..* | CodeableConcept | Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose | Σ | 0..* | Coding | Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code | Σ | 0..* | CodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this rule
data | Σ | 0..* | BackboneElement | Data controlled by this rule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference | Σ | 1..1 | Reference(Resource) | The actual data reference
provision |  | 0..* | See provision (Consent) | Nested Exception Rules
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | extensible | Consent Category Codes | 📍4.0.1 | FHIR Std.
Consent.policyRule | Base | extensible | Consent PolicyRule Codes | 📍4.0.1 | FHIR Std.
Consent.provision.type | Base | required | ConsentProvisionType | 📍4.0.1 | FHIR Std.
Consent.provision.actor.​role | Base | extensible | SecurityRoleType | 📍4.0.1 | FHIR Std.
Consent.provision.action | Base | example | Consent Action Codes | 📍4.0.1 | FHIR Std.
Consent.provision.securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Consent.provision.purpose | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
Consent.provision.class | Base | extensible | Consent Content Class | 📍4.0.1 | FHIR Std.
Consent.provision.code | Base | example | Consent Content Codes | 📍4.0.1 | FHIR Std.
Consent.provision.data.​meaning | Base | required | ConsentDataMeaning | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from Consent

Summary

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/note
- http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition

Maturity: 1

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
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
value[x] |  | 0..1 | Reference(Condition) | Related conditions
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) 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: adr
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
category | Σ | 1..* | CodeableConcept | Living will type Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
dateTime | Σ | 0..1 | dateTime | Living will date and time
source[x] | Σ | 0..1 |  | Living will document
sourceAttachment |  |  | Attachment |
sourceReference |  |  | Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) |
Documentation for this format

#### Terminology Bindings

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

#### Constraints

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

Differential View

This structure is derived from Consent

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | Consent | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
value[x] |  | 0..1 | Reference(Condition) | Related conditions
scope |  | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) 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: adr
category |  | 1..* | CodeableConcept | Living will type
dateTime |  | 0..1 | dateTime | Living will date and time
source[x] |  | 0..1 | Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) | Living will document
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent | C | 0..* | Consent | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
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
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
value[x] |  | 0..1 | Reference(Condition) | Related conditions
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) 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: adr
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
category | Σ | 1..* | CodeableConcept | Living will type Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient | Σ | 0..1 | Reference(Patient) | Who the consent applies to
dateTime | Σ | 0..1 | dateTime | Living will date and time
performer | Σ | 0..* | Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Who is agreeing to the policy and rules
organization | Σ | 0..* | Reference(Organization) | Custodian of the consent
source[x] | Σ | 0..1 |  | Living will document
sourceAttachment |  |  | Attachment |
sourceReference |  |  | Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) |
policy |  | 0..* | BackboneElement | Policies covered by this consent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
authority | C | 0..1 | uri | Enforcement source for policy
uri | C | 0..1 | uri | Specific policy covered by this consent
policyRule | Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification | Σ | 0..* | BackboneElement | Consent Verified by patient or family
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verifiedWith |  | 0..1 | Reference(Patient | RelatedPerson) | Person who verified
verificationDate |  | 0..1 | dateTime | When consent verified
provision | Σ | 0..1 | BackboneElement | Constraints to the base Consent.policyRule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..1 | code | deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period | Σ | 0..1 | Period | Timeframe for this rule
actor |  | 0..* | BackboneElement | Who|what controlled by this rule (or group, by role)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role |  | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference |  | 1..1 | Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Resource for the actor (or group, by role)
action | Σ | 0..* | CodeableConcept | Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose | Σ | 0..* | Coding | Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code | Σ | 0..* | CodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this rule
data | Σ | 0..* | BackboneElement | Data controlled by this rule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference | Σ | 1..1 | Reference(Resource) | The actual data reference
provision |  | 0..* | See provision (Consent) | Nested Exception Rules
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | extensible | Consent Category Codes | 📍4.0.1 | FHIR Std.
Consent.policyRule | Base | extensible | Consent PolicyRule Codes | 📍4.0.1 | FHIR Std.
Consent.provision.type | Base | required | ConsentProvisionType | 📍4.0.1 | FHIR Std.
Consent.provision.actor.​role | Base | extensible | SecurityRoleType | 📍4.0.1 | FHIR Std.
Consent.provision.action | Base | example | Consent Action Codes | 📍4.0.1 | FHIR Std.
Consent.provision.securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Consent.provision.purpose | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.0
Consent.provision.class | Base | extensible | Consent Content Class | 📍4.0.1 | FHIR Std.
Consent.provision.code | Base | example | Consent Content Codes | 📍4.0.1 | FHIR Std.
Consent.provision.data.​meaning | Base | required | ConsentDataMeaning | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from Consent

Summary

Extensions

This structure refers to these extensions:

- http://hl7.org/fhir/StructureDefinition/note
- http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition

Maturity: 1

Other representations of profile: CSV, Excel, Schematron