SGHI FHIR Profile Implementation Guide
0.1.0 - ci-build

SGHI FHIR Profile Implementation Guide, published by Kathurima Kimathi. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/savannahghi/sil_fhir_profile_ig/ and changes regularly. See the Directory of published versions

## Resource Profile: SGHI Consent

Official URL: https://fhir.slade360.co.ke/fhir/StructureDefinition/consent | Version: 0.1.0
Draft as of 2026-04-27 | Computable Name: SGHIConsent

A record of a healthcare consumer’s choices or choices made on their behalf by a third party, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.

Usages:

- Refer to this Profile: SGHI Consent
- Examples for this Profile: Consent/ExampleSGHIConsent

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | Consent | A healthcare consumer's or third party's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identifier for this record (external references)
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | draft | active | inactive | not-done | entered-in-error | unknown Binding: ConsentState (required): Indicates the state of the consent.
category | Σ | 1..* | SGHICodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (example): A classification of the type of consents found in a consent statement.
subject | Σ | 1..1 | SGHIReference(SGHI Patient) | Who the consent applies to
date | Σ | 1..1 | date | Fully executed date of the consent
grantor | Σ | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Who is granting rights according to the policy and rules
grantee | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who is agreeing to the policy and rules
manager |  | 1..* | SGHIReference(SGHI Organization | SGHI Patient) | Consent workflow management
controller |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Consent Enforcer
sourceAttachment | S | 0..* | SGHIAttachment | Source from which this consent is taken
sourceReference |  | 0..* | SGHIReference(SGHI Consent) | Source from which this consent is taken
regulatoryBasis |  | 0..* | SGHICodeableConcept | Regulations establishing base Consent Binding: ConsentPolicyRuleCodes (example): Regulatory policy examples
policyText |  | 0..* | SGHIReference(DocumentReference) | Human Readable Policy
verification | Σ | 1..* | BackboneElement | Consent Verified by patient or family
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verificationType |  | 0..1 | SGHICodeableConcept | Business case of verification Binding: ConsentVerificationCodes (example): Types of Verification/Validation.
verifiedBy |  | 1..1 | SGHIReference(SGHI Organization) | Person conducting verification
verifiedWith |  | 1..1 | SGHIReference(SGHI Patient) | Person who verified
verificationDate |  | 1..1 | dateTime | When consent verified
decision | ?!Σ | 1..1 | code | deny | permit 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.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Consent.identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
Consent.status | Base | required | Consent State | 📍5.0.0 | FHIR Std.
Consent.category | Base | example | Consent Category Codes | 📍5.0.0 | FHIR Std.
Consent.regulatoryBasis | Base | example | Consent PolicyRule Codes | 📍5.0.0 | FHIR Std.
Consent.verification.​verificationType | Base | example | Consent Vefication Codes | 📍5.0.0 | FHIR Std.
Consent.decision | Base | required | Consent Provision Type | 📍5.0.0 | FHIR Std.

#### Constraints

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

This structure is derived from Consent

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | Consent | A healthcare consumer's or third party's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
identifier |  | 1..* | Identifier | Identifier for this record (external references)
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
category |  | 1..* | SGHICodeableConcept | Classification of the consent statement - for indexing/retrieval
subject |  | 1..1 | SGHIReference(SGHI Patient) | Who the consent applies to
date |  | 1..1 | date | Fully executed date of the consent
grantor |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Who is granting rights according to the policy and rules
grantee |  | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who is agreeing to the policy and rules
manager |  | 1..* | SGHIReference(SGHI Organization | SGHI Patient) | Consent workflow management
controller |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Consent Enforcer
sourceAttachment | S | 0..* | SGHIAttachment | Source from which this consent is taken
sourceReference |  | 0..* | SGHIReference(SGHI Consent) | Source from which this consent is taken
regulatoryBasis |  | 0..* | SGHICodeableConcept | Regulations establishing base Consent
policyBasis |  |  |  |
reference |  | 0..1 | SGHIReference(Resource) | Reference backing policy resource
policyText |  | 0..* | SGHIReference(DocumentReference) | Human Readable Policy
verification |  | 1..* | BackboneElement | Consent Verified by patient or family
verificationType |  | 0..1 | SGHICodeableConcept | Business case of verification
verifiedBy |  | 1..1 | SGHIReference(SGHI Organization) | Person conducting verification
verifiedWith |  | 1..1 | SGHIReference(SGHI Patient) | Person who verified
verificationDate |  | 1..1 | dateTime | When consent verified
decision |  | 1..1 | code | deny | permit
provision |  |  |  |
actor |  |  |  |
role |  | 0..1 | SGHICodeableConcept | How the actor is involved
reference |  | 0..1 | SGHIReference(SGHI Patient | SGHI Organization) | Resource for the actor (or group, by role)
action |  | 0..* | SGHICodeableConcept | Actions controlled by this provision
code |  | 0..* | SGHICodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (required)
data |  |  |  |
reference |  | 1..1 | SGHIReference(Resource) | The actual data reference
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Consent.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Consent.identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
Consent.provision.code | Base | required | Consent Content Codes | 📦5.0.0 | FHIR Std.

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | Consent | A healthcare consumer's or third party's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identifier for this record (external references)
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | draft | active | inactive | not-done | entered-in-error | unknown Binding: ConsentState (required): Indicates the state of the consent.
category | Σ | 1..* | SGHICodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (example): A classification of the type of consents found in a consent statement.
subject | Σ | 1..1 | SGHIReference(SGHI Patient) | Who the consent applies to
date | Σ | 1..1 | date | Fully executed date of the consent
period | Σ | 0..1 | Period | Effective period for this Consent
grantor | Σ | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Who is granting rights according to the policy and rules
grantee | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who is agreeing to the policy and rules
manager |  | 1..* | SGHIReference(SGHI Organization | SGHI Patient) | Consent workflow management
controller |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Consent Enforcer
sourceAttachment | S | 0..* | SGHIAttachment | Source from which this consent is taken
sourceReference |  | 0..* | SGHIReference(SGHI Consent) | Source from which this consent is taken
regulatoryBasis |  | 0..* | SGHICodeableConcept | Regulations establishing base Consent Binding: ConsentPolicyRuleCodes (example): Regulatory policy examples
policyBasis |  | 0..1 | BackboneElement | Computable version of the backing policy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reference |  | 0..1 | SGHIReference(Resource) | Reference backing policy resource
url |  | 0..1 | url | URL to a computable backing policy
policyText |  | 0..* | SGHIReference(DocumentReference) | Human Readable Policy
verification | Σ | 1..* | BackboneElement | Consent Verified by patient or family
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verificationType |  | 0..1 | SGHICodeableConcept | Business case of verification Binding: ConsentVerificationCodes (example): Types of Verification/Validation.
verifiedBy |  | 1..1 | SGHIReference(SGHI Organization) | Person conducting verification
verifiedWith |  | 1..1 | SGHIReference(SGHI Patient) | Person who verified
verificationDate |  | 1..1 | dateTime | When consent verified
decision | ?!Σ | 1..1 | code | deny | permit 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.
provision | Σ | 0..* | BackboneElement | Constraints to the base Consent.policyRule/Consent.policy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
period | Σ | 0..1 | Period | Timeframe for this provision
actor |  | 0..* | BackboneElement | Who|what controlled by this provision (or group, by role)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role |  | 0..1 | SGHICodeableConcept | How the actor is involved Binding: ParticipationRoleType (extensible): How an actor is involved in the consent considerations.
reference |  | 0..1 | SGHIReference(SGHI Patient | SGHI Organization) | Resource for the actor (or group, by role)
action | Σ | 0..* | SGHICodeableConcept | Actions controlled by this provision Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
purpose | Σ | 0..* | Coding | Context of activities covered by this provision 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.
documentType | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc Binding: ConsentContentClass (preferred): The document type a consent provision covers.
resourceType | Σ | 0..* | Coding | e.g. Resource Type, Profile, etc Binding: ResourceType (extensible): The resource types a consent provision covers.
code | Σ | 0..* | SGHICodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (required)
dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this provision
data | Σ | 0..* | BackboneElement | Data controlled by this provision
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference | Σ | 1..1 | SGHIReference(Resource) | The actual data reference
expression |  | 0..1 | Expression | A computable expression of the consent
provision |  | 0..* | See provision (Consent) | Nested Exception Provisions
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Consent.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Consent.identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
Consent.status | Base | required | Consent State | 📍5.0.0 | FHIR Std.
Consent.category | Base | example | Consent Category Codes | 📍5.0.0 | FHIR Std.
Consent.regulatoryBasis | Base | example | Consent PolicyRule Codes | 📍5.0.0 | FHIR Std.
Consent.verification.​verificationType | Base | example | Consent Vefication Codes | 📍5.0.0 | FHIR Std.
Consent.decision | Base | required | Consent Provision Type | 📍5.0.0 | FHIR Std.
Consent.provision.actor.​role | Base | extensible | Participation Role Type | 📍5.0.0 | FHIR Std.
Consent.provision.action | Base | example | Consent Action Codes | 📍5.0.0 | FHIR Std.
Consent.provision.securityLabel | Base | example | Example set of Security Labels | 📍5.0.0 | FHIR Std.
Consent.provision.purpose | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.1
Consent.provision.documentType | Base | preferred | Consent Content Class | 📍5.0.0 | FHIR Std.
Consent.provision.resourceType | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std.
Consent.provision.code | Base | required | Consent Content Codes | 📦5.0.0 | FHIR Std.
Consent.provision.data.​meaning | Base | required | Consent Data Meaning | 📍5.0.0 | FHIR Std.

#### Constraints

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

This structure is derived from Consent

Summary

Mandatory: 16 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)
- SGHI Attachment (https://fhir.slade360.co.ke/fhir/StructureDefinition/attachment)
- SGHI Consent (https://fhir.slade360.co.ke/fhir/StructureDefinition/consent)

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | Consent | A healthcare consumer's or third party's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
contained |  | 0..* | Resource | Contained, inline Resources
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identifier for this record (external references)
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | draft | active | inactive | not-done | entered-in-error | unknown Binding: ConsentState (required): Indicates the state of the consent.
category | Σ | 1..* | SGHICodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (example): A classification of the type of consents found in a consent statement.
subject | Σ | 1..1 | SGHIReference(SGHI Patient) | Who the consent applies to
date | Σ | 1..1 | date | Fully executed date of the consent
grantor | Σ | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Who is granting rights according to the policy and rules
grantee | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who is agreeing to the policy and rules
manager |  | 1..* | SGHIReference(SGHI Organization | SGHI Patient) | Consent workflow management
controller |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Consent Enforcer
sourceAttachment | S | 0..* | SGHIAttachment | Source from which this consent is taken
sourceReference |  | 0..* | SGHIReference(SGHI Consent) | Source from which this consent is taken
regulatoryBasis |  | 0..* | SGHICodeableConcept | Regulations establishing base Consent Binding: ConsentPolicyRuleCodes (example): Regulatory policy examples
policyText |  | 0..* | SGHIReference(DocumentReference) | Human Readable Policy
verification | Σ | 1..* | BackboneElement | Consent Verified by patient or family
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verificationType |  | 0..1 | SGHICodeableConcept | Business case of verification Binding: ConsentVerificationCodes (example): Types of Verification/Validation.
verifiedBy |  | 1..1 | SGHIReference(SGHI Organization) | Person conducting verification
verifiedWith |  | 1..1 | SGHIReference(SGHI Patient) | Person who verified
verificationDate |  | 1..1 | dateTime | When consent verified
decision | ?!Σ | 1..1 | code | deny | permit 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.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Consent.identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
Consent.status | Base | required | Consent State | 📍5.0.0 | FHIR Std.
Consent.category | Base | example | Consent Category Codes | 📍5.0.0 | FHIR Std.
Consent.regulatoryBasis | Base | example | Consent PolicyRule Codes | 📍5.0.0 | FHIR Std.
Consent.verification.​verificationType | Base | example | Consent Vefication Codes | 📍5.0.0 | FHIR Std.
Consent.decision | Base | required | Consent Provision Type | 📍5.0.0 | FHIR Std.

#### Constraints

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

Differential View

This structure is derived from Consent

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | Consent | A healthcare consumer's or third party's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
identifier |  | 1..* | Identifier | Identifier for this record (external references)
use |  | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type |  | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system |  | 1..1 | uri | The namespace for the identifier value
value |  | 1..1 | string | The value that is unique
assigner |  | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
category |  | 1..* | SGHICodeableConcept | Classification of the consent statement - for indexing/retrieval
subject |  | 1..1 | SGHIReference(SGHI Patient) | Who the consent applies to
date |  | 1..1 | date | Fully executed date of the consent
grantor |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Who is granting rights according to the policy and rules
grantee |  | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who is agreeing to the policy and rules
manager |  | 1..* | SGHIReference(SGHI Organization | SGHI Patient) | Consent workflow management
controller |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Consent Enforcer
sourceAttachment | S | 0..* | SGHIAttachment | Source from which this consent is taken
sourceReference |  | 0..* | SGHIReference(SGHI Consent) | Source from which this consent is taken
regulatoryBasis |  | 0..* | SGHICodeableConcept | Regulations establishing base Consent
policyBasis |  |  |  |
reference |  | 0..1 | SGHIReference(Resource) | Reference backing policy resource
policyText |  | 0..* | SGHIReference(DocumentReference) | Human Readable Policy
verification |  | 1..* | BackboneElement | Consent Verified by patient or family
verificationType |  | 0..1 | SGHICodeableConcept | Business case of verification
verifiedBy |  | 1..1 | SGHIReference(SGHI Organization) | Person conducting verification
verifiedWith |  | 1..1 | SGHIReference(SGHI Patient) | Person who verified
verificationDate |  | 1..1 | dateTime | When consent verified
decision |  | 1..1 | code | deny | permit
provision |  |  |  |
actor |  |  |  |
role |  | 0..1 | SGHICodeableConcept | How the actor is involved
reference |  | 0..1 | SGHIReference(SGHI Patient | SGHI Organization) | Resource for the actor (or group, by role)
action |  | 0..* | SGHICodeableConcept | Actions controlled by this provision
code |  | 0..* | SGHICodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (required)
data |  |  |  |
reference |  | 1..1 | SGHIReference(Resource) | The actual data reference
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Consent.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Consent.identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
Consent.provision.code | Base | required | Consent Content Codes | 📦5.0.0 | FHIR Std.

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | Consent | A healthcare consumer's or third party's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
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: AllLanguages (required): IETF language tag for a human language
Additional Bindings | Purpose
CommonLanguages | Starter
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 1..* | Identifier | Identifier for this record (external references)
id |  | 0..1 | id | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required)
type | Σ | 0..1 | SGHICodeableConcept | Description of identifier Binding: SGHI Default Identifier Types (required)
system | Σ | 1..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ C | 1..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 1..1 | SGHIReference(SGHI Organization) | Organization that issued id (may be just text)
status | ?!Σ | 1..1 | code | draft | active | inactive | not-done | entered-in-error | unknown Binding: ConsentState (required): Indicates the state of the consent.
category | Σ | 1..* | SGHICodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (example): A classification of the type of consents found in a consent statement.
subject | Σ | 1..1 | SGHIReference(SGHI Patient) | Who the consent applies to
date | Σ | 1..1 | date | Fully executed date of the consent
period | Σ | 0..1 | Period | Effective period for this Consent
grantor | Σ | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Who is granting rights according to the policy and rules
grantee | Σ | 1..1 | SGHIReference(SGHI Patient | SGHI Organization) | Who is agreeing to the policy and rules
manager |  | 1..* | SGHIReference(SGHI Organization | SGHI Patient) | Consent workflow management
controller |  | 1..1 | SGHIReference(SGHI Organization | SGHI Patient) | Consent Enforcer
sourceAttachment | S | 0..* | SGHIAttachment | Source from which this consent is taken
sourceReference |  | 0..* | SGHIReference(SGHI Consent) | Source from which this consent is taken
regulatoryBasis |  | 0..* | SGHICodeableConcept | Regulations establishing base Consent Binding: ConsentPolicyRuleCodes (example): Regulatory policy examples
policyBasis |  | 0..1 | BackboneElement | Computable version of the backing policy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
reference |  | 0..1 | SGHIReference(Resource) | Reference backing policy resource
url |  | 0..1 | url | URL to a computable backing policy
policyText |  | 0..* | SGHIReference(DocumentReference) | Human Readable Policy
verification | Σ | 1..* | BackboneElement | Consent Verified by patient or family
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verificationType |  | 0..1 | SGHICodeableConcept | Business case of verification Binding: ConsentVerificationCodes (example): Types of Verification/Validation.
verifiedBy |  | 1..1 | SGHIReference(SGHI Organization) | Person conducting verification
verifiedWith |  | 1..1 | SGHIReference(SGHI Patient) | Person who verified
verificationDate |  | 1..1 | dateTime | When consent verified
decision | ?!Σ | 1..1 | code | deny | permit 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.
provision | Σ | 0..* | BackboneElement | Constraints to the base Consent.policyRule/Consent.policy
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
period | Σ | 0..1 | Period | Timeframe for this provision
actor |  | 0..* | BackboneElement | Who|what controlled by this provision (or group, by role)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role |  | 0..1 | SGHICodeableConcept | How the actor is involved Binding: ParticipationRoleType (extensible): How an actor is involved in the consent considerations.
reference |  | 0..1 | SGHIReference(SGHI Patient | SGHI Organization) | Resource for the actor (or group, by role)
action | Σ | 0..* | SGHICodeableConcept | Actions controlled by this provision Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: SecurityLabelExamples (example): Example Security Labels from the Healthcare Privacy and Security Classification System.
purpose | Σ | 0..* | Coding | Context of activities covered by this provision 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.
documentType | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc Binding: ConsentContentClass (preferred): The document type a consent provision covers.
resourceType | Σ | 0..* | Coding | e.g. Resource Type, Profile, etc Binding: ResourceType (extensible): The resource types a consent provision covers.
code | Σ | 0..* | SGHICodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (required)
dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this provision
data | Σ | 0..* | BackboneElement | Data controlled by this provision
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference | Σ | 1..1 | SGHIReference(Resource) | The actual data reference
expression |  | 0..1 | Expression | A computable expression of the consent
provision |  | 0..* | See provision (Consent) | Nested Exception Provisions
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.language | Base | required | All Languages | 📍5.0.0 | FHIR Std.
Consent.identifier.use | Base | required | IdentifierUse | 📦5.0.0 | FHIR Std.
Consent.identifier.type | Base | required | SGHI Default Identifier Types | 📦0.1.0 | This IG
Consent.status | Base | required | Consent State | 📍5.0.0 | FHIR Std.
Consent.category | Base | example | Consent Category Codes | 📍5.0.0 | FHIR Std.
Consent.regulatoryBasis | Base | example | Consent PolicyRule Codes | 📍5.0.0 | FHIR Std.
Consent.verification.​verificationType | Base | example | Consent Vefication Codes | 📍5.0.0 | FHIR Std.
Consent.decision | Base | required | Consent Provision Type | 📍5.0.0 | FHIR Std.
Consent.provision.actor.​role | Base | extensible | Participation Role Type | 📍5.0.0 | FHIR Std.
Consent.provision.action | Base | example | Consent Action Codes | 📍5.0.0 | FHIR Std.
Consent.provision.securityLabel | Base | example | Example set of Security Labels | 📍5.0.0 | FHIR Std.
Consent.provision.purpose | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.1
Consent.provision.documentType | Base | preferred | Consent Content Class | 📍5.0.0 | FHIR Std.
Consent.provision.resourceType | Base | extensible | Resource Types | 📍5.0.0 | FHIR Std.
Consent.provision.code | Base | required | Consent Content Codes | 📦5.0.0 | FHIR Std.
Consent.provision.data.​meaning | Base | required | Consent Data Meaning | 📍5.0.0 | FHIR Std.

#### Constraints

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

This structure is derived from Consent

Summary

Mandatory: 16 elements
Must-Support: 1 element

Structures

This structure refers to these other structures:

- SGHI CodeableConcept (https://fhir.slade360.co.ke/fhir/StructureDefinition/codeableconcept)
- SGHI Reference (https://fhir.slade360.co.ke/fhir/StructureDefinition/reference)
- SGHI Organization (https://fhir.slade360.co.ke/fhir/StructureDefinition/organization)
- SGHI Patient (https://fhir.slade360.co.ke/fhir/StructureDefinition/patient)
- SGHI Attachment (https://fhir.slade360.co.ke/fhir/StructureDefinition/attachment)
- SGHI Consent (https://fhir.slade360.co.ke/fhir/StructureDefinition/consent)

Other representations of profile: CSV, Excel, Schematron