CH Core (R4)
7.0.0-ballot-ci-build - ci-build
CH Core (R4)
7.0.0-ballot-ci-build - ci-build
CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 7.0.0-ballot-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions
| Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/CHCoreGeneralConsent | Version: 7.0.0-ballot-ci-build | |||
| Active as of 2026-06-08 | Computable Name: CHCoreGeneralConsent | |||
Copyright/Legal: CC0-1.0 |
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Specialization of CHCoreConsent for the Unimedsuisse Generalkonsent (GC).
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Consent |
C | 0..* | CHCoreConsent | 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 |
Content/Rules for all slices | |||
   extension:period |
0..1 | Period | R5: Effective period for this Consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.period Constraints: ext-1 | |
 extension:grantor |
0..* | (Complex) | R5: Who is granting rights according to the policy and rules (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor Constraints: ext-1 | |
   extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
 url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor" | |
| extension:manager |
0..* | (Complex) | R5: Consent workflow management (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager" | |
| extension:controller |
0..* | (Complex) | R5: Consent Enforcer (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller" | |
 extension:policyText |
0..* | Reference(Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media) | R5: Human Readable Policy (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.policyText Constraints: ext-1 | |
 Slices for modifierExtension |
?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 |
| modifierExtension:decision |
?! | 0..1 | code | R5: deny | permit (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.decision Binding: ConsentProvisionType (required): Sets the base decision for Consent to be either permit or deny, with provisions assumed to be a negation of the previous level. Constraints: ext-1 |
| status |
?!Σ | 1..1 | code | active | inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required) |
 Slices for extension |
Content/Rules for all slices | |||
 extension:status |
0..1 | code | R5: draft | active | inactive | not-done | entered-in-error | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.status Binding: R5ConsentStateCodesForR4 (0.1.0) (required): Indicates the state of the consent. Constraints: ext-1 | |
 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: research | |
| 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 | Initial classification of consent, used with provision.code to identify consent types Binding: ConsentCategoriesVS (required) |
 patient |
Σ | 1..1 | Reference(Patient) | The patient to whom this consent applies to |
| Slices for extension |
Content/Rules for all slices | |||
| extension:subject |
0..1 | Reference(Resource) | R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |
| dateTime |
Σ | 1..1 | dateTime | Date the consent entry was made (mandatory) |
| performer |
Σ | 0..* | Reference(Organization) | Grantee (Organization). HealthcareService grantees are NOT allowed in this profile. |
| Slices for extension |
Content/Rules for all slices | |||
| extension:grantee |
0..1 | Reference(Resource) | R5: grantee URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |
| policy |
1..1 | BackboneElement | Backing policy (Unimedsuisse Generalkonsent) | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| uri |
C | 1..1 | uri | Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent |
| provision |
Σ | 1..1 | BackboneElement | Exeptions/Constraints to the base decision |
| Slices for extension |
Content/Rules for all slices | |||
| extension:expression |
0..1 | Expression | R5: A computable expression of the consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.provision.expression Constraints: ext-1 | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| purpose |
Σ | 1..* | Coding | Context of activities covered by this provision (must be HRESCH) Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels. |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Required Pattern: HRESCH |
| code |
Σ | 1..* | CodeableConcept | Additional classification of consent, used with category to identify consent types Binding: ConsentProvisionCodesVS (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Consent.status | Base | required | CH Core General Consent State | 📦7.0.0-ballot-ci-build | This IG |
| Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std. |
| Consent.category | Base | required | ConsentCategoriesVS | 📦7.0.0-ballot-ci-build | This IG |
| Consent.provision.purpose | Base | extensible | PurposeOfUse | 📍3.1.0 | THO v7.1 |
| Consent.provision.code | Base | required | ConsentProvisionCodesVS | 📦7.0.0-ballot-ci-build | This IG |
| 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 | Consent.implicitRules, Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status, Consent.status.extension:status, Consent.scope, Consent.category, Consent.patient, Consent.patient.extension:subject, Consent.dateTime, Consent.performer, Consent.performer.extension:grantee, Consent.policy, Consent.policy.modifierExtension, Consent.policy.uri, Consent.provision, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.purpose, Consent.provision.purpose.system, Consent.provision.purpose.code, Consent.provision.code | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status.extension:status, Consent.patient.extension:subject, Consent.performer.extension:grantee, Consent.policy.modifierExtension, Consent.provision.extension:expression, Consent.provision.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ppc-1 | error | Consent | Either a Policy or PolicyRule |
policy.exists() or policyRule.exists()
|
| ppc-2 | error | Consent | IF Scope=privacy, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
|
| ppc-3 | error | Consent | IF Scope=research, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
|
| ppc-4 | error | Consent | IF Scope=adr, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
|
| ppc-5 | error | Consent | IF Scope=treatment, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
|
This structure is derived from CHCoreConsent
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Consent |
0..* | CHCoreConsent | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time | |
 status |
1..1 | code | active | inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required) | |
| 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: research | |
| dateTime |
1..1 | dateTime | Date the consent entry was made (mandatory) | |
| performer |
0..* | Reference(Organization) | Grantee (Organization). HealthcareService grantees are NOT allowed in this profile. | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:alternateRef |
0..0 | Reference(Resource) | Forbidden: HealthcareService as grantee is excluded in the CH Core General Consent. URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| policy |
1..1 | BackboneElement | Backing policy (Unimedsuisse Generalkonsent) | |
| uri |
1..1 | uri | Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent | |
| provision |
||||
| purpose |
1..* | Coding | Context of activities covered by this provision (must be HRESCH) | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason | |
| code |
1..1 | code | Symbol in syntax defined by the system Required Pattern: HRESCH | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Consent.status | Base | required | CH Core General Consent State | 📦7.0.0-ballot-ci-build | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Consent |
C | 0..* | CHCoreConsent | 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.
| |||||
| 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 Constraints: ext-1 | |||||
| extension:period |
0..1 | Period | R5: Effective period for this Consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.period Constraints: ext-1 | |||||
| extension:grantor |
0..* | (Complex) | R5: Who is granting rights according to the policy and rules (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor" | |||||
| value[x] |
0..1 | Reference(Patient | RelatedPerson | Organization) | Who is granting rights according to the policy and rules | |||||
| extension:manager |
0..* | (Complex) | R5: Consent workflow management (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager" | |||||
| value[x] |
0..1 | Reference(HealthcareService) | Consent workflow management | |||||
| extension:controller |
0..* | (Complex) | R5: Consent Enforcer (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller" | |||||
| value[x] |
0..1 | Reference(Organization) | Consent Enforcer | |||||
| extension:policyText |
0..* | Reference(Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media) | R5: Human Readable Policy (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.policyText Constraints: ext-1 | |||||
| Slices for modifierExtension |
?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||
| modifierExtension:decision |
?! | 0..1 | code | R5: deny | permit (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.decision Binding: ConsentProvisionType (required): Sets the base decision for Consent to be either permit or deny, with provisions assumed to be a negation of the previous level. Constraints: ext-1 | ||||
| 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 | active | inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required) | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:status |
0..1 | code | R5: draft | active | inactive | not-done | entered-in-error | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.status Binding: R5ConsentStateCodesForR4 (0.1.0) (required): Indicates the state of the consent. Constraints: ext-1 | |||||
| value |
0..1 | string | Primitive value for code | |||||
| 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: research | |||||
| 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 | Initial classification of consent, used with provision.code to identify consent types Binding: ConsentCategoriesVS (required) | ||||
| patient |
Σ | 1..1 | Reference(Patient) | The patient to whom this consent applies to | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:subject |
0..1 | Reference(Resource) | R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| dateTime |
Σ | 1..1 | dateTime | Date the consent entry was made (mandatory) | ||||
| performer |
Σ | 0..* | Reference(Organization) | Grantee (Organization). HealthcareService grantees are NOT allowed in this profile. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:grantee |
0..1 | Reference(Resource) | R5: grantee URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| organization |
Σ | 0..* | Reference(Organization) | Custodian of the consent | ||||
 source[x] |
Σ | 0..1 | Source from which this consent is taken | |||||
| source[x]All Types |
Content/Rules for all Types | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
 Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:alternateReference |
0..1 | Reference(Resource) | R5: sourceReference URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| sourceAttachment |
Attachment | |||||||
| sourceReference |
Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) | |||||||
| policy |
1..1 | BackboneElement | Backing policy (Unimedsuisse Generalkonsent) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| authority |
C | 0..1 | uri | Enforcement source for policy | ||||
| uri |
C | 1..1 | uri | Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent | ||||
| policyRule |
ΣC | 0..1 | CodeableConcept | Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples. | ||||
| verification |
Σ | 0..* | BackboneElement | Consent Verified by patient or family | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:verificationType |
0..1 | CodeableConcept | R5: Business case of verification (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verificationType Binding: R5ConsentVerificationForR4 (0.1.0) (example): Types of Verification/Validation. Constraints: ext-1 | |||||
| extension:verifiedBy |
0..1 | Reference(Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization | Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole) | R5: Person conducting verification (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verifiedBy Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| verified |
Σ | 1..1 | boolean | Has been verified | ||||
| verifiedWith |
0..1 | Reference(Patient | RelatedPerson) | Person who verified | |||||
| verificationDate |
0..1 | dateTime | When consent verified | |||||
| provision |
Σ | 1..1 | BackboneElement | Exeptions/Constraints to the base decision | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:expression |
0..1 | Expression | R5: A computable expression of the consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.provision.expression Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| role |
1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations. | |||||
| reference |
1..1 | Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Resource for the actor (or group, by role) | |||||
| action |
Σ | 0..* | CodeableConcept | Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action. | ||||
| securityLabel |
Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| purpose |
Σ | 1..* | Coding | Context of activities covered by this provision (must be HRESCH) Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels. | ||||
| 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: http://terminology.hl7.org/CodeSystem/v3-ActReason | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Required Pattern: HRESCH | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| 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 | 1..* | CodeableConcept | Additional classification of consent, used with category to identify consent types Binding: ConsentProvisionCodesVS (required) | ||||
| dataPeriod |
Σ | 0..1 | Period | Timeframe for data controlled by this rule | ||||
| data |
Σ | 0..* | BackboneElement | Data controlled by this rule | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| meaning |
Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions. | ||||
| reference |
Σ | 1..1 | Reference(Resource) | The actual data reference | ||||
| provision |
0..* | See provision (Consent) | Nested Exception Rules | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Consent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Consent.status | Base | required | CH Core General Consent State | 📦7.0.0-ballot-ci-build | This IG |
| Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std. |
| Consent.category | Base | required | ConsentCategoriesVS | 📦7.0.0-ballot-ci-build | This IG |
| Consent.patient.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Consent.performer.type | Base | extensible | ResourceType | 📍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 v7.1 |
| Consent.provision.class | Base | extensible | Consent Content Class | 📍4.0.1 | FHIR Std. |
| Consent.provision.code | Base | required | ConsentProvisionCodesVS | 📦7.0.0-ballot-ci-build | This IG |
| Consent.provision.data.meaning | Base | required | ConsentDataMeaning | 📍4.0.1 | FHIR Std. |
| 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 | Consent.meta, Consent.implicitRules, Consent.language, Consent.text, Consent.extension, Consent.extension:period, Consent.extension:grantor, Consent.extension:grantor.value[x], Consent.extension:manager, Consent.extension:manager.value[x], Consent.extension:controller, Consent.extension:controller.value[x], Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.identifier, Consent.status, Consent.status.extension, Consent.status.extension:status, Consent.scope, Consent.category, Consent.patient, Consent.patient.extension, Consent.patient.extension:subject, Consent.patient.reference, Consent.patient.type, Consent.patient.identifier, Consent.patient.display, Consent.dateTime, Consent.performer, Consent.performer.extension, Consent.performer.extension:grantee, Consent.performer.reference, Consent.performer.type, Consent.performer.identifier, Consent.performer.display, Consent.organization, Consent.source[x], Consent.source[x].extension, Consent.source[x].extension:alternateReference, Consent.policy, Consent.policy.extension, Consent.policy.modifierExtension, Consent.policy.authority, Consent.policy.uri, Consent.policyRule, Consent.verification, Consent.verification.extension, Consent.verification.extension:verificationType, Consent.verification.extension:verifiedBy, Consent.verification.modifierExtension, Consent.verification.verified, Consent.verification.verifiedWith, Consent.verification.verificationDate, Consent.provision, Consent.provision.extension, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.period, Consent.provision.actor, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor.role, Consent.provision.actor.reference, Consent.provision.action, Consent.provision.securityLabel, Consent.provision.purpose, Consent.provision.purpose.extension, Consent.provision.purpose.system, Consent.provision.purpose.version, Consent.provision.purpose.code, Consent.provision.purpose.display, Consent.provision.purpose.userSelected, Consent.provision.class, Consent.provision.code, Consent.provision.dataPeriod, Consent.provision.data, Consent.provision.data.extension, Consent.provision.data.modifierExtension, Consent.provision.data.meaning, Consent.provision.data.reference, Consent.provision.provision | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Consent.extension, Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status.extension, Consent.status.extension:status, Consent.patient.extension, Consent.patient.extension:subject, Consent.performer.extension, Consent.performer.extension:grantee, Consent.source[x].extension, Consent.source[x].extension:alternateReference, Consent.policy.extension, Consent.policy.modifierExtension, Consent.verification.extension, Consent.verification.extension:verificationType, Consent.verification.extension:verifiedBy, Consent.verification.modifierExtension, Consent.provision.extension, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.purpose.extension, Consent.provision.data.extension, Consent.provision.data.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ppc-1 | error | Consent | Either a Policy or PolicyRule |
policy.exists() or policyRule.exists()
|
| ppc-2 | error | Consent | IF Scope=privacy, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
|
| ppc-3 | error | Consent | IF Scope=research, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
|
| ppc-4 | error | Consent | IF Scope=adr, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
|
| ppc-5 | error | Consent | IF Scope=treatment, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
|
This structure is derived from CHCoreConsent
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Consent |
C | 0..* | CHCoreConsent | 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 |
Content/Rules for all slices | |||
| extension:period |
0..1 | Period | R5: Effective period for this Consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.period Constraints: ext-1 | |
| extension:grantor |
0..* | (Complex) | R5: Who is granting rights according to the policy and rules (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor" | |
| extension:manager |
0..* | (Complex) | R5: Consent workflow management (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager" | |
| extension:controller |
0..* | (Complex) | R5: Consent Enforcer (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller Constraints: ext-1 | |
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller" | |
| extension:policyText |
0..* | Reference(Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media) | R5: Human Readable Policy (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.policyText Constraints: ext-1 | |
| Slices for modifierExtension |
?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 |
| modifierExtension:decision |
?! | 0..1 | code | R5: deny | permit (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.decision Binding: ConsentProvisionType (required): Sets the base decision for Consent to be either permit or deny, with provisions assumed to be a negation of the previous level. Constraints: ext-1 |
| status |
?!Σ | 1..1 | code | active | inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required) |
| Slices for extension |
Content/Rules for all slices | |||
| extension:status |
0..1 | code | R5: draft | active | inactive | not-done | entered-in-error | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.status Binding: R5ConsentStateCodesForR4 (0.1.0) (required): Indicates the state of the consent. Constraints: ext-1 | |
| 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: research | |
| 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 | Initial classification of consent, used with provision.code to identify consent types Binding: ConsentCategoriesVS (required) |
| patient |
Σ | 1..1 | Reference(Patient) | The patient to whom this consent applies to |
| Slices for extension |
Content/Rules for all slices | |||
| extension:subject |
0..1 | Reference(Resource) | R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |
| dateTime |
Σ | 1..1 | dateTime | Date the consent entry was made (mandatory) |
| performer |
Σ | 0..* | Reference(Organization) | Grantee (Organization). HealthcareService grantees are NOT allowed in this profile. |
| Slices for extension |
Content/Rules for all slices | |||
| extension:grantee |
0..1 | Reference(Resource) | R5: grantee URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |
| policy |
1..1 | BackboneElement | Backing policy (Unimedsuisse Generalkonsent) | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| uri |
C | 1..1 | uri | Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent |
| provision |
Σ | 1..1 | BackboneElement | Exeptions/Constraints to the base decision |
| Slices for extension |
Content/Rules for all slices | |||
| extension:expression |
0..1 | Expression | R5: A computable expression of the consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.provision.expression Constraints: ext-1 | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| purpose |
Σ | 1..* | Coding | Context of activities covered by this provision (must be HRESCH) Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels. |
| system |
Σ | 1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason |
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Required Pattern: HRESCH |
| code |
Σ | 1..* | CodeableConcept | Additional classification of consent, used with category to identify consent types Binding: ConsentProvisionCodesVS (required) |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Consent.status | Base | required | CH Core General Consent State | 📦7.0.0-ballot-ci-build | This IG |
| Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std. |
| Consent.category | Base | required | ConsentCategoriesVS | 📦7.0.0-ballot-ci-build | This IG |
| Consent.provision.purpose | Base | extensible | PurposeOfUse | 📍3.1.0 | THO v7.1 |
| Consent.provision.code | Base | required | ConsentProvisionCodesVS | 📦7.0.0-ballot-ci-build | This IG |
| 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 | Consent.implicitRules, Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status, Consent.status.extension:status, Consent.scope, Consent.category, Consent.patient, Consent.patient.extension:subject, Consent.dateTime, Consent.performer, Consent.performer.extension:grantee, Consent.policy, Consent.policy.modifierExtension, Consent.policy.uri, Consent.provision, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.purpose, Consent.provision.purpose.system, Consent.provision.purpose.code, Consent.provision.code | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status.extension:status, Consent.patient.extension:subject, Consent.performer.extension:grantee, Consent.policy.modifierExtension, Consent.provision.extension:expression, Consent.provision.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ppc-1 | error | Consent | Either a Policy or PolicyRule |
policy.exists() or policyRule.exists()
|
| ppc-2 | error | Consent | IF Scope=privacy, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
|
| ppc-3 | error | Consent | IF Scope=research, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
|
| ppc-4 | error | Consent | IF Scope=adr, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
|
| ppc-5 | error | Consent | IF Scope=treatment, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
|
Differential View
This structure is derived from CHCoreConsent
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Consent |
0..* | CHCoreConsent | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time | |
| status |
1..1 | code | active | inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required) | |
| 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: research | |
| dateTime |
1..1 | dateTime | Date the consent entry was made (mandatory) | |
| performer |
0..* | Reference(Organization) | Grantee (Organization). HealthcareService grantees are NOT allowed in this profile. | |
| Slices for extension |
Content/Rules for all slices | |||
| extension:alternateRef |
0..0 | Reference(Resource) | Forbidden: HealthcareService as grantee is excluded in the CH Core General Consent. URL: http://hl7.org/fhir/StructureDefinition/alternate-reference | |
| policy |
1..1 | BackboneElement | Backing policy (Unimedsuisse Generalkonsent) | |
| uri |
1..1 | uri | Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent | |
| provision |
||||
| purpose |
1..* | Coding | Context of activities covered by this provision (must be HRESCH) | |
| system |
1..1 | uri | Identity of the terminology system Required Pattern: http://terminology.hl7.org/CodeSystem/v3-ActReason | |
| code |
1..1 | code | Symbol in syntax defined by the system Required Pattern: HRESCH | |
| Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Consent.status | Base | required | CH Core General Consent State | 📦7.0.0-ballot-ci-build | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Consent |
C | 0..* | CHCoreConsent | 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.
| |||||
| 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 Constraints: ext-1 | |||||
| extension:period |
0..1 | Period | R5: Effective period for this Consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.period Constraints: ext-1 | |||||
| extension:grantor |
0..* | (Complex) | R5: Who is granting rights according to the policy and rules (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.grantor" | |||||
| value[x] |
0..1 | Reference(Patient | RelatedPerson | Organization) | Who is granting rights according to the policy and rules | |||||
| extension:manager |
0..* | (Complex) | R5: Consent workflow management (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.manager" | |||||
| value[x] |
0..1 | Reference(HealthcareService) | Consent workflow management | |||||
| extension:controller |
0..* | (Complex) | R5: Consent Enforcer (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller Constraints: ext-1 | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..0 | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||||
| url |
1..1 | uri | "http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.controller" | |||||
| value[x] |
0..1 | Reference(Organization) | Consent Enforcer | |||||
| extension:policyText |
0..* | Reference(Cross-version Profile for R5.DocumentReference for use in FHIR R4(0.1.0) | Media) | R5: Human Readable Policy (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.policyText Constraints: ext-1 | |||||
| Slices for modifierExtension |
?! | 0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | ||||
| modifierExtension:decision |
?! | 0..1 | code | R5: deny | permit (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.decision Binding: ConsentProvisionType (required): Sets the base decision for Consent to be either permit or deny, with provisions assumed to be a negation of the previous level. Constraints: ext-1 | ||||
| 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 | active | inactive (GC-specific subset of ConsentState) Binding: CH Core General Consent State (required) | ||||
| id |
0..1 | string | xml:id (or equivalent in JSON) | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:status |
0..1 | code | R5: draft | active | inactive | not-done | entered-in-error | unknown URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.status Binding: R5ConsentStateCodesForR4 (0.1.0) (required): Indicates the state of the consent. Constraints: ext-1 | |||||
| value |
0..1 | string | Primitive value for code | |||||
| 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: research | |||||
| 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 | Initial classification of consent, used with provision.code to identify consent types Binding: ConsentCategoriesVS (required) | ||||
| patient |
Σ | 1..1 | Reference(Patient) | The patient to whom this consent applies to | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:subject |
0..1 | Reference(Resource) | R5: subject URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| dateTime |
Σ | 1..1 | dateTime | Date the consent entry was made (mandatory) | ||||
| performer |
Σ | 0..* | Reference(Organization) | Grantee (Organization). HealthcareService grantees are NOT allowed in this profile. | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:grantee |
0..1 | Reference(Resource) | R5: grantee URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| reference |
ΣC | 0..1 | string | Literal reference, Relative, internal or absolute URL | ||||
| type |
Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). | ||||
| identifier |
Σ | 0..1 | Identifier | Logical reference, when literal reference is not known | ||||
| display |
Σ | 0..1 | string | Text alternative for the resource | ||||
| organization |
Σ | 0..* | Reference(Organization) | Custodian of the consent | ||||
| source[x] |
Σ | 0..1 | Source from which this consent is taken | |||||
| source[x]All Types |
Content/Rules for all Types | |||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:alternateReference |
0..1 | Reference(Resource) | R5: sourceReference URL: http://hl7.org/fhir/StructureDefinition/alternate-reference Constraints: ext-1 | |||||
| sourceAttachment |
Attachment | |||||||
| sourceReference |
Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) | |||||||
| policy |
1..1 | BackboneElement | Backing policy (Unimedsuisse Generalkonsent) | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| authority |
C | 0..1 | uri | Enforcement source for policy | ||||
| uri |
C | 1..1 | uri | Specific policy covered by this consent Required Pattern: https://www.unimedsuisse.ch/de/projekte/generalkonsent | ||||
| policyRule |
ΣC | 0..1 | CodeableConcept | Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples. | ||||
| verification |
Σ | 0..* | BackboneElement | Consent Verified by patient or family | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:verificationType |
0..1 | CodeableConcept | R5: Business case of verification (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verificationType Binding: R5ConsentVerificationForR4 (0.1.0) (example): Types of Verification/Validation. Constraints: ext-1 | |||||
| extension:verifiedBy |
0..1 | Reference(Cross-version Profile for R5.Organization for use in FHIR R4(0.1.0) | Organization | Cross-version Profile for R5.Practitioner for use in FHIR R4(0.1.0) | Practitioner | Cross-version Profile for R5.PractitionerRole for use in FHIR R4(0.1.0) | PractitionerRole) | R5: Person conducting verification (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.verification.verifiedBy Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| verified |
Σ | 1..1 | boolean | Has been verified | ||||
| verifiedWith |
0..1 | Reference(Patient | RelatedPerson) | Person who verified | |||||
| verificationDate |
0..1 | dateTime | When consent verified | |||||
| provision |
Σ | 1..1 | BackboneElement | Exeptions/Constraints to the base decision | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url Constraints: ext-1 | |||||
| extension:expression |
0..1 | Expression | R5: A computable expression of the consent (new) URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.provision.expression Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| role |
1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations. | |||||
| reference |
1..1 | Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Resource for the actor (or group, by role) | |||||
| action |
Σ | 0..* | CodeableConcept | Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action. | ||||
| securityLabel |
Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | ||||
| purpose |
Σ | 1..* | Coding | Context of activities covered by this provision (must be HRESCH) Binding: PurposeOfUse (3.1.0) (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels. | ||||
| 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: http://terminology.hl7.org/CodeSystem/v3-ActReason | ||||
| version |
Σ | 0..1 | string | Version of the system - if relevant | ||||
| code |
Σ | 1..1 | code | Symbol in syntax defined by the system Required Pattern: HRESCH | ||||
| display |
Σ | 0..1 | string | Representation defined by the system | ||||
| userSelected |
Σ | 0..1 | boolean | If this coding was chosen directly by the user | ||||
| 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 | 1..* | CodeableConcept | Additional classification of consent, used with category to identify consent types Binding: ConsentProvisionCodesVS (required) | ||||
| dataPeriod |
Σ | 0..1 | Period | Timeframe for data controlled by this rule | ||||
| data |
Σ | 0..* | BackboneElement | Data controlled by this rule | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| meaning |
Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions. | ||||
| reference |
Σ | 1..1 | Reference(Resource) | The actual data reference | ||||
| provision |
0..* | See provision (Consent) | Nested Exception Rules | |||||
| Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| Consent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Consent.status | Base | required | CH Core General Consent State | 📦7.0.0-ballot-ci-build | This IG |
| Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std. |
| Consent.category | Base | required | ConsentCategoriesVS | 📦7.0.0-ballot-ci-build | This IG |
| Consent.patient.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std. |
| Consent.performer.type | Base | extensible | ResourceType | 📍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 v7.1 |
| Consent.provision.class | Base | extensible | Consent Content Class | 📍4.0.1 | FHIR Std. |
| Consent.provision.code | Base | required | ConsentProvisionCodesVS | 📦7.0.0-ballot-ci-build | This IG |
| Consent.provision.data.meaning | Base | required | ConsentDataMeaning | 📍4.0.1 | FHIR Std. |
| 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 | Consent.meta, Consent.implicitRules, Consent.language, Consent.text, Consent.extension, Consent.extension:period, Consent.extension:grantor, Consent.extension:grantor.value[x], Consent.extension:manager, Consent.extension:manager.value[x], Consent.extension:controller, Consent.extension:controller.value[x], Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.identifier, Consent.status, Consent.status.extension, Consent.status.extension:status, Consent.scope, Consent.category, Consent.patient, Consent.patient.extension, Consent.patient.extension:subject, Consent.patient.reference, Consent.patient.type, Consent.patient.identifier, Consent.patient.display, Consent.dateTime, Consent.performer, Consent.performer.extension, Consent.performer.extension:grantee, Consent.performer.reference, Consent.performer.type, Consent.performer.identifier, Consent.performer.display, Consent.organization, Consent.source[x], Consent.source[x].extension, Consent.source[x].extension:alternateReference, Consent.policy, Consent.policy.extension, Consent.policy.modifierExtension, Consent.policy.authority, Consent.policy.uri, Consent.policyRule, Consent.verification, Consent.verification.extension, Consent.verification.extension:verificationType, Consent.verification.extension:verifiedBy, Consent.verification.modifierExtension, Consent.verification.verified, Consent.verification.verifiedWith, Consent.verification.verificationDate, Consent.provision, Consent.provision.extension, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.type, Consent.provision.period, Consent.provision.actor, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.actor.role, Consent.provision.actor.reference, Consent.provision.action, Consent.provision.securityLabel, Consent.provision.purpose, Consent.provision.purpose.extension, Consent.provision.purpose.system, Consent.provision.purpose.version, Consent.provision.purpose.code, Consent.provision.purpose.display, Consent.provision.purpose.userSelected, Consent.provision.class, Consent.provision.code, Consent.provision.dataPeriod, Consent.provision.data, Consent.provision.data.extension, Consent.provision.data.modifierExtension, Consent.provision.data.meaning, Consent.provision.data.reference, Consent.provision.provision | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Consent.extension, Consent.extension:period, Consent.extension:grantor, Consent.extension:manager, Consent.extension:controller, Consent.extension:policyText, Consent.modifierExtension, Consent.modifierExtension:decision, Consent.status.extension, Consent.status.extension:status, Consent.patient.extension, Consent.patient.extension:subject, Consent.performer.extension, Consent.performer.extension:grantee, Consent.source[x].extension, Consent.source[x].extension:alternateReference, Consent.policy.extension, Consent.policy.modifierExtension, Consent.verification.extension, Consent.verification.extension:verificationType, Consent.verification.extension:verifiedBy, Consent.verification.modifierExtension, Consent.provision.extension, Consent.provision.extension:expression, Consent.provision.modifierExtension, Consent.provision.actor.extension, Consent.provision.actor.modifierExtension, Consent.provision.purpose.extension, Consent.provision.data.extension, Consent.provision.data.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| ppc-1 | error | Consent | Either a Policy or PolicyRule |
policy.exists() or policyRule.exists()
|
| ppc-2 | error | Consent | IF Scope=privacy, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
|
| ppc-3 | error | Consent | IF Scope=research, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
|
| ppc-4 | error | Consent | IF Scope=adr, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
|
| ppc-5 | error | Consent | IF Scope=treatment, there must be a patient |
patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
|
This structure is derived from CHCoreConsent
Other representations of profile: CSV, Excel, Schematron