CH Core (R4)
5.0.0-ci-build - ci-build Switzerland flag

CH Core (R4), published by HL7 Switzerland. This guide is not an authorized publication; it is the continuous build for version 5.0.0-ci-build built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7ch/ch-core/ and changes regularly. See the Directory of published versions

Resource Profile: CH Core EPR-Consent

Official URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-epr-consent Version: 5.0.0-ci-build
Active as of 2024-02-23 Computable Name: CHCoreEPRConsent

Copyright/Legal: CC0-1.0

Definition of the Consent resource to document that a patient has an electronic patient record (EPR) in Switzerland. The actual consent conditions are held within the EPR, this consent is the documentation in an organization that the patient has stated he/she has an EPR and this needs to be verified at the time of document publishing or reading. In addition a patient can request that specific information will not be published from the organization to the EPR. This can be documented with one or more references to encounters to exclude the consent for these.

Usage:

Formal Views of Profile Content

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

This structure is derived from Consent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..*ConsentCH Core EPR-Consent
... scope 1..1CodeableConceptWhich of the four areas this resource covers (extensible)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: patient-privacy
... Slices for category 1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Slice: Unordered, Open by value:coding.code, value:coding.system
.... category:VSCat 1..1CodeableConceptClassification of the consent statement - for indexing/retrieval
..... coding 1..*CodingCode defined by a terminology system
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
...... code 1..1codeinformation disclosure
Fixed Value: IDSCL
... patient 1..1Reference(CH Core Patient)The patient to whom this EPR consent applies
... organization 0..*Reference(CH Core Organization)Custodian of the consent
... policyRule 0..1CodeableConceptRegulation that this consents to
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentpolicycodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: ch-epr
... provision 0..1BackboneElementExceptions to the EPR consent
.... type 1..1codedeny
Fixed Value: deny
.... data
..... meaning 1..1codeinstance | related | dependents | authoredby
Fixed Value: instance
..... reference 1..1Reference(CH Core Encounter)Excluded encounter for EPR

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C0..*ConsentCH Core EPR-Consent
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: patient-privacy
... Slices for category Σ1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


.... category:VSCat Σ1..1CodeableConceptClassification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


..... coding Σ1..*CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
...... code Σ1..1codeinformation disclosure
Fixed Value: IDSCL
... patient Σ1..1Reference(CH Core Patient)The patient to whom this EPR consent applies
... performer Σ0..*Reference(CH Core Organization | CH Core Patient | CH Core Practitioner | RelatedPerson | CH Core PractitionerRole)Who is agreeing to the policy and rules
... organization Σ0..*Reference(CH Core Organization)Custodian of the consent
... policyRule ΣC0..1CodeableConceptRegulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentpolicycodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: ch-epr
... provision Σ0..1BackboneElementExceptions to the EPR consent
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ1..1codedeny
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.


Fixed Value: deny

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: patient-privacy
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.category:VSCatextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensiblePattern: ch-epr
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredFixed Value: deny
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf 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-4errorConsentIf 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-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C0..*ConsentCH Core EPR-Consent
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
... status ?!Σ1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

... scope ?!Σ1..1CodeableConceptWhich 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
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: patient-privacy
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... Slices for category Σ1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


.... category:VSCat Σ1..1CodeableConceptClassification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeinformation disclosure
Fixed Value: IDSCL
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... patient Σ1..1Reference(CH Core Patient)The patient to whom this EPR consent applies
... dateTime Σ0..1dateTimeWhen this Consent was created or indexed
... performer Σ0..*Reference(CH Core Organization | CH Core Patient | CH Core Practitioner | RelatedPerson | CH Core PractitionerRole)Who is agreeing to the policy and rules
... organization Σ0..*Reference(CH Core Organization)Custodian of the consent
... source[x] Σ0..1Source from which this consent is taken
.... sourceAttachmentAttachment
.... sourceReferenceReference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... policy 0..*BackboneElementPolicies covered by this consent
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... authority C0..1uriEnforcement source for policy
.... uri C0..1uriSpecific policy covered by this consent
... policyRule ΣC0..1CodeableConceptRegulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentpolicycodes
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: ch-epr
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... verification Σ0..*BackboneElementConsent Verified by patient or family
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... verified Σ1..1booleanHas been verified
.... verifiedWith 0..1Reference(Patient | RelatedPerson)Person who verified
.... verificationDate 0..1dateTimeWhen consent verified
... provision Σ0..1BackboneElementExceptions to the EPR consent
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ1..1codedeny
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.


Fixed Value: deny
.... period Σ0..1PeriodTimeframe for this rule
.... actor 0..*BackboneElementWho|what controlled by this rule (or group, by role)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... role 1..1CodeableConceptHow the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

..... reference 1..1Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)Resource for the actor (or group, by role)
.... action Σ0..*CodeableConceptActions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.


.... securityLabel Σ0..*CodingSecurity Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... purpose Σ0..*CodingContext 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 Σ0..*Codinge.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.


.... code Σ0..*CodeableConcepte.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 Σ0..1PeriodTimeframe for data controlled by this rule
.... data Σ0..*BackboneElementData controlled by this rule
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... meaning Σ1..1codeinstance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Fixed Value: instance
..... reference Σ1..1Reference(CH Core Encounter)Excluded encounter for EPR
.... provision 0..*See provision (Consent)Nested Exception Rules

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: patient-privacy
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.category:VSCatextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensiblePattern: ch-epr
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredFixed Value: deny
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action
from the FHIR Standard
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.data.meaningrequiredFixed Value: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf 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-4errorConsentIf 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-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF 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

Differential View

This structure is derived from Consent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..*ConsentCH Core EPR-Consent
... scope 1..1CodeableConceptWhich of the four areas this resource covers (extensible)
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: patient-privacy
... Slices for category 1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Slice: Unordered, Open by value:coding.code, value:coding.system
.... category:VSCat 1..1CodeableConceptClassification of the consent statement - for indexing/retrieval
..... coding 1..*CodingCode defined by a terminology system
...... system 1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
...... code 1..1codeinformation disclosure
Fixed Value: IDSCL
... patient 1..1Reference(CH Core Patient)The patient to whom this EPR consent applies
... organization 0..*Reference(CH Core Organization)Custodian of the consent
... policyRule 0..1CodeableConceptRegulation that this consents to
Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentpolicycodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: ch-epr
... provision 0..1BackboneElementExceptions to the EPR consent
.... type 1..1codedeny
Fixed Value: deny
.... data
..... meaning 1..1codeinstance | related | dependents | authoredby
Fixed Value: instance
..... reference 1..1Reference(CH Core Encounter)Excluded encounter for EPR

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C0..*ConsentCH Core EPR-Consent
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!Σ1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: patient-privacy
... Slices for category Σ1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


.... category:VSCat Σ1..1CodeableConceptClassification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


..... coding Σ1..*CodingCode defined by a terminology system
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
...... code Σ1..1codeinformation disclosure
Fixed Value: IDSCL
... patient Σ1..1Reference(CH Core Patient)The patient to whom this EPR consent applies
... performer Σ0..*Reference(CH Core Organization | CH Core Patient | CH Core Practitioner | RelatedPerson | CH Core PractitionerRole)Who is agreeing to the policy and rules
... organization Σ0..*Reference(CH Core Organization)Custodian of the consent
... policyRule ΣC0..1CodeableConceptRegulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Required Pattern: At least the following
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentpolicycodes
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: ch-epr
... provision Σ0..1BackboneElementExceptions to the EPR consent
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ1..1codedeny
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.


Fixed Value: deny

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: patient-privacy
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.category:VSCatextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensiblePattern: ch-epr
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredFixed Value: deny
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf 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-4errorConsentIf 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-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C0..*ConsentCH Core EPR-Consent
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier Σ0..*IdentifierIdentifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
... status ?!Σ1..1codedraft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

... scope ?!Σ1..1CodeableConceptWhich 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
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: patient-privacy
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... Slices for category Σ1..*CodeableConceptClassification of the consent statement - for indexing/retrieval
Slice: Unordered, Open by value:coding.code, value:coding.system
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


.... category:VSCat Σ1..1CodeableConceptClassification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ1..*CodingCode defined by a terminology system
...... id 0..1stringUnique id for inter-element referencing
...... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
...... version Σ0..1stringVersion of the system - if relevant
...... code Σ1..1codeinformation disclosure
Fixed Value: IDSCL
...... display Σ0..1stringRepresentation defined by the system
...... userSelected Σ0..1booleanIf this coding was chosen directly by the user
..... text Σ0..1stringPlain text representation of the concept
... patient Σ1..1Reference(CH Core Patient)The patient to whom this EPR consent applies
... dateTime Σ0..1dateTimeWhen this Consent was created or indexed
... performer Σ0..*Reference(CH Core Organization | CH Core Patient | CH Core Practitioner | RelatedPerson | CH Core PractitionerRole)Who is agreeing to the policy and rules
... organization Σ0..*Reference(CH Core Organization)Custodian of the consent
... source[x] Σ0..1Source from which this consent is taken
.... sourceAttachmentAttachment
.... sourceReferenceReference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... policy 0..*BackboneElementPolicies covered by this consent
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... authority C0..1uriEnforcement source for policy
.... uri C0..1uriSpecific policy covered by this consent
... policyRule ΣC0..1CodeableConceptRegulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Required Pattern: At least the following
.... id0..1stringUnique id for inter-element referencing
.... extension0..*ExtensionAdditional content defined by implementations
.... coding1..*CodingCode defined by a terminology system
Fixed Value: (complex)
..... id0..1stringUnique id for inter-element referencing
..... extension0..*ExtensionAdditional content defined by implementations
..... system1..1uriIdentity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/consentpolicycodes
..... version0..1stringVersion of the system - if relevant
..... code1..1codeSymbol in syntax defined by the system
Fixed Value: ch-epr
..... display0..1stringRepresentation defined by the system
..... userSelected0..1booleanIf this coding was chosen directly by the user
.... text0..1stringPlain text representation of the concept
... verification Σ0..*BackboneElementConsent Verified by patient or family
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... verified Σ1..1booleanHas been verified
.... verifiedWith 0..1Reference(Patient | RelatedPerson)Person who verified
.... verificationDate 0..1dateTimeWhen consent verified
... provision Σ0..1BackboneElementExceptions to the EPR consent
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... type Σ1..1codedeny
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.


Fixed Value: deny
.... period Σ0..1PeriodTimeframe for this rule
.... actor 0..*BackboneElementWho|what controlled by this rule (or group, by role)
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... role 1..1CodeableConceptHow the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

..... reference 1..1Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)Resource for the actor (or group, by role)
.... action Σ0..*CodeableConceptActions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.


.... securityLabel Σ0..*CodingSecurity Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... purpose Σ0..*CodingContext 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 Σ0..*Codinge.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.


.... code Σ0..*CodeableConcepte.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 Σ0..1PeriodTimeframe for data controlled by this rule
.... data Σ0..*BackboneElementData controlled by this rule
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
..... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... meaning Σ1..1codeinstance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.


Fixed Value: instance
..... reference Σ1..1Reference(CH Core Encounter)Excluded encounter for EPR
.... provision 0..*See provision (Consent)Nested Exception Rules

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensiblePattern: patient-privacy
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.category:VSCatextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensiblePattern: ch-epr
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredFixed Value: deny
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action
from the FHIR Standard
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.data.meaningrequiredFixed Value: instance
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf 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-4errorConsentIf 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-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF 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

 

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