DEPRECATED Te Whatu Ora Shared Care FHIR API - see https://fhir-ig.digital.health.nz/shared-care, published by Te Whatu Ora. This guide is not an authorized publication; it is the continuous build for version 0.4.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/tewhatuora/cinc-fhir-ig/ and changes regularly. See the Directory of published versions

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Resource Profile: ManaakiNgaTahiConsent

Consent FHIR resource for Manaaki Nga Tahi

Usage:

• Examples for this Resource Profile: Consent/ConsentByQuestionnaireExample, Consent/ConsentByRelatedPersonExample, Consent/ConsentExample and Consent/ProvisionalConsentExample

Formal Views of Profile Content

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

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

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints
Consent		0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
implicitRules		0..0
language		0..0
modifierExtension		0..0
patient		1..1	Reference(Patient)	Who the consent applies to
Slices for source[x]		0..1	Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)	Source from which this consent is taken Slice: Unordered, Open by type:$this
source[x]:sourceReference		0..1	Reference(QuestionnaireResponse)	Source from which this consent is taken
policy		1..*	BackboneElement	Policies covered by this consent
id		0..0
extension		0..0
modifierExtension		0..0
provision
period		1..1	Period	Must be in UTC timezone on the FHIR server
provision		0..0
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time ppc-1: Either a Policy or PolicyRule ppc-2: IF Scope=privacy, there must be a patient ppc-3: IF Scope=research, there must be a patient ppc-4: IF Scope=adr, there must be a patient ppc-5: IF Scope=treatment, there must be a patient
status	?!Σ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope	?!Σ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
category	Σ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
Slices for source[x]	Σ	0..1		Source from which this consent is taken Slice: Unordered, Open by type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceReference	Σ	0..1	Reference(QuestionnaireResponse)	Source from which this consent is taken
policy		1..*	BackboneElement	Policies covered by this consent
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Consent.status	required	ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	ConsentScopeCodes http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time ppc-1: Either a Policy or PolicyRule ppc-2: IF Scope=privacy, there must be a patient ppc-3: IF Scope=research, there must be a patient ppc-4: IF Scope=adr, there must be a patient ppc-5: IF Scope=treatment, there must be a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
identifier	Σ	0..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!Σ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope	?!Σ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
category	Σ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
dateTime	Σ	0..1	dateTime	When this Consent was created or indexed
performer	Σ	0..*	Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Who is agreeing to the policy and rules
organization	Σ	0..*	Reference(Organization)	Custodian of the consent
Slices for source[x]	Σ	0..1		Source from which this consent is taken Slice: Unordered, Open by type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceReference	Σ	0..1	Reference(QuestionnaireResponse)	Source from which this consent is taken
policy		1..*	BackboneElement	Policies covered by this consent
authority	C	0..1	uri	Enforcement source for policy
uri	C	0..1	uri	Specific policy covered by this consent
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
verified	Σ	1..1	boolean	Has been verified
verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
verificationDate		0..1	dateTime	When consent verified
provision	Σ	0..1	BackboneElement	Constraints to the base Consent.policyRule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period	Σ	1..1	Period	Must be in UTC timezone on the FHIR server
actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
action	Σ	0..*	CodeableConcept	Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	Σ	0..*	CodeableConcept	e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	Σ	0..*	BackboneElement	Data controlled by this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference	Σ	1..1	Reference(Resource)	The actual data reference
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Consent.status	required	ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	ConsentScopeCodes http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy from the FHIR Standard
Consent.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.actor.role	extensible	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Consent.provision.action	example	ConsentActionCodes http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.class	extensible	ConsentContentClass http://hl7.org/fhir/ValueSet/consent-content-class from the FHIR Standard
Consent.provision.code	example	ConsentContentCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code from the FHIR Standard
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard

This structure is derived from Consent

Summary

Mandatory: 2 elements(1 nested mandatory element)
Prohibited: 7 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Consent.source[x]

Differential View

This structure is derived from Consent

Name	Flags	Card.	Type	Description & Constraints
Consent		0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
implicitRules		0..0
language		0..0
modifierExtension		0..0
patient		1..1	Reference(Patient)	Who the consent applies to
Slices for source[x]		0..1	Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)	Source from which this consent is taken Slice: Unordered, Open by type:$this
source[x]:sourceReference		0..1	Reference(QuestionnaireResponse)	Source from which this consent is taken
policy		1..*	BackboneElement	Policies covered by this consent
id		0..0
extension		0..0
modifierExtension		0..0
provision
period		1..1	Period	Must be in UTC timezone on the FHIR server
provision		0..0
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time ppc-1: Either a Policy or PolicyRule ppc-2: IF Scope=privacy, there must be a patient ppc-3: IF Scope=research, there must be a patient ppc-4: IF Scope=adr, there must be a patient ppc-5: IF Scope=treatment, there must be a patient
status	?!Σ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope	?!Σ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
category	Σ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
Slices for source[x]	Σ	0..1		Source from which this consent is taken Slice: Unordered, Open by type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceReference	Σ	0..1	Reference(QuestionnaireResponse)	Source from which this consent is taken
policy		1..*	BackboneElement	Policies covered by this consent
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Consent.status	required	ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	ConsentScopeCodes http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time ppc-1: Either a Policy or PolicyRule ppc-2: IF Scope=privacy, there must be a patient ppc-3: IF Scope=research, there must be a patient ppc-4: IF Scope=adr, there must be a patient ppc-5: IF Scope=treatment, there must be a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
identifier	Σ	0..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!Σ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope	?!Σ	1..1	CodeableConcept	Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
category	Σ	1..*	CodeableConcept	Classification of the consent statement - for indexing/retrieval Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient	Σ	1..1	Reference(Patient)	Who the consent applies to
dateTime	Σ	0..1	dateTime	When this Consent was created or indexed
performer	Σ	0..*	Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Who is agreeing to the policy and rules
organization	Σ	0..*	Reference(Organization)	Custodian of the consent
Slices for source[x]	Σ	0..1		Source from which this consent is taken Slice: Unordered, Open by type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceReference	Σ	0..1	Reference(QuestionnaireResponse)	Source from which this consent is taken
policy		1..*	BackboneElement	Policies covered by this consent
authority	C	0..1	uri	Enforcement source for policy
uri	C	0..1	uri	Specific policy covered by this consent
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
verified	Σ	1..1	boolean	Has been verified
verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
verificationDate		0..1	dateTime	When consent verified
provision	Σ	0..1	BackboneElement	Constraints to the base Consent.policyRule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period	Σ	1..1	Period	Must be in UTC timezone on the FHIR server
actor		0..*	BackboneElement	Who|what controlled by this rule (or group, by role)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference		1..1	Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Resource for the actor (or group, by role)
action	Σ	0..*	CodeableConcept	Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	Σ	0..*	Coding	Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	Σ	0..*	CodeableConcept	e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	Σ	0..*	BackboneElement	Data controlled by this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference	Σ	1..1	Reference(Resource)	The actual data reference
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
Consent.status	required	ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 from the FHIR Standard
Consent.scope	extensible	ConsentScopeCodes http://hl7.org/fhir/ValueSet/consent-scope from the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category from the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy from the FHIR Standard
Consent.provision.type	required	ConsentProvisionType http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 from the FHIR Standard
Consent.provision.actor.role	extensible	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Consent.provision.action	example	ConsentActionCodes http://hl7.org/fhir/ValueSet/consent-action from the FHIR Standard
Consent.provision.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels from the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.class	extensible	ConsentContentClass http://hl7.org/fhir/ValueSet/consent-content-class from the FHIR Standard
Consent.provision.code	example	ConsentContentCodes (a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code from the FHIR Standard
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 from the FHIR Standard

This structure is derived from Consent

Summary

Mandatory: 2 elements(1 nested mandatory element)
Prohibited: 7 elements

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Consent.source[x]

Other representations of profile: CSV, Excel, Schematron