Medizininformatik Initiative – ImplementationGuide – Consent v2026

There are no (further) constraints on this element

Element id

Consent.id

Short description

Logical id of this artifact

Definition

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

Comments

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Data type

Meta

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

0..1

There are no (further) constraints on this element

Element id

Consent.meta.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.meta.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

versionId

0..1

There are no (further) constraints on this element

Element id

Consent.meta.versionId

Short description

Version specific identifier

Definition

The version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted.

Comments

The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

lastUpdated

0..1

instant

There are no (further) constraints on this element

Element id

Consent.meta.lastUpdated

Short description

When the resource version last changed

Definition

When the resource last changed - e.g. when the version changed.

Comments

This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.

Data type

instant

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

source

S Σ

0..1

There are no (further) constraints on this element

Element id

Consent.meta.source

Short description

Identifies where the resource comes from

Definition

A uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc.

Comments

In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used.

This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.

Data type

canonical(StructureDefinition)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

profile

S Σ

0..*

There are no (further) constraints on this element

Element id

Consent.meta.profile

Short description

Profiles this resource claims to conform to

Definition

A list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url.

Comments

It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set.

Data type

canonical(StructureDefinition)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

security

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Consent.meta.security

Short description

Security Labels applied to this resource

Definition

Security labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure.

Comments

The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

All Security Labels (extensible)

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

tag

0..*

There are no (further) constraints on this element

Element id

Consent.meta.tag

Short description

Tags applied to this resource

Definition

Tags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource.

Comments

The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored.

Data type

Binding

Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".

CommonTags (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

implicitRules

Σ ?!

0..1

There are no (further) constraints on this element

Element id

Consent.implicitRules

Short description

A set of rules under which this content was created

Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

language

0..1

codeBinding

There are no (further) constraints on this element

Element id

Consent.language

Short description

Language of the resource content

Definition

The base language in which the resource is written.

Comments

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Data type

Binding

A human language.

CommonLanguages (preferred)

Binding extensions

maxValueSet	AllLanguages

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

text

0..1

Narrative

There are no (further) constraints on this element

Element id

Consent.text

Short description

Text summary of the resource, for human interpretation

Alternate names

narrative, html, xhtml, display

Definition

A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

Comments

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

Data type

Narrative

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A
rim: Act.text?

contained

0..*

Resource

There are no (further) constraints on this element

Element id

Consent.contained

Short description

Contained, inline Resources

Alternate names

inline resources, anonymous resources, contained resources

Definition

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

Comments

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

Data type

Resource

Mappings

rim: Entity. Role, or Act
rim: N/A

extension

0..*

Element id

Consent.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

Comments

Data type

http://fhir.de/ConsentManagement/StructureDefinition/DomainReference

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

domainReference

S C

0..*

Extension(Complex)

Element id

Consent.extension:domainReference

Short description

Optional Extensions Element

Alternate names

extensions, user content

Definition

Optional Extension Element - found in all resources.

Comments

Data type

Extension(Complex)

Extension URL

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

Element id

Consent.extension:domainReference.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

domain

S C

1..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:domain

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:domain.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:domain.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:domain.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension.

Data type

Reference(ConsentManagementDomainOrganization | ConsentManagementDomainResearchStudy)

Fixed value

domain

Mappings

rim: N/A

value[x]

1..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:domain.value[x]

Short description

Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

valueReference

There are no (further) constraints on this element

Data type

Reference(ConsentManagementDomainOrganization | ConsentManagementDomainResearchStudy)

status

0..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

0..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

url

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

Data type

Fixed value

status

Mappings

rim: N/A

value[x]

1..1

CodingBinding

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.value[x]

Short description

Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Data type

Binding

PublicationStatus (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

0..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.value[x].id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.value[x].extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

1..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.value[x].system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.value[x].version

Short description

Version of the system - if relevant

Definition

The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

Comments

Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

1..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.value[x].code

Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.value[x].display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.extension:status.value[x].userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

url

1..1

uriFixed Value

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.url

Short description

identifies the meaning of the extension

Definition

Source of the definition for the extension code - a logical name or a URL.

Comments

Data type

Fixed value

http://fhir.de/ConsentManagement/StructureDefinition/DomainReference

Mappings

rim: N/A

value[x]

0..0

There are no (further) constraints on this element

Element id

Consent.extension:domainReference.value[x]

Short description

Value of extension

Definition

Value of extension - must be one of a constrained set of the data types (see Extensibility for a list).

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

modifierExtension

?! C

0..*

There are no (further) constraints on this element

Element id

Consent.modifierExtension

Short description

Extensions that cannot be ignored

Alternate names

extensions, user content

Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

identifier

0..*

There are no (further) constraints on this element

Element id

Consent.identifier

Short description

Identifier for this record (external references)

Definition

Unique identifier for this copy of the Consent Statement.

Comments

This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

{
  "system": "urn:ietf:rfc:3986",
  "value": "Local eCMS identifier"
}

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
workflow: Event.identifier
w5: FiveWs.identifier
rim: .id

status

S Σ ?!

1..1

codeBinding

There are no (further) constraints on this element

Element id

Consent.status

Short description

Definition

Indicates the current state of this consent.

Requirements

The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.

Comments

This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.

Data type

Binding

Indicates the state of the consent.

ConsentState (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.status
w5: FiveWs.status
v2: HL7 Table 0498 - Consent Status
rim: .statusCode

scope

Σ ?!

1..1

CodeableConceptBinding

Element id

Consent.scope

Short description

Which of the four areas this resource covers (extensible)

Definition

A selector of the type of consent being presented: ADR, Privacy, Treatment, Research. This list is now extensible.

Comments

Wird im Kontext des Einwilligungsmanagment-Leitfadens nicht näher definiert. Bei Bedarf kann das ValueSet erweitert oder ggf. ein NullFlavor-Code eingetragen werden.

Data type

ConsentScopeCodes (extensible)

Binding

The four anticipated uses for the Consent Resource.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

0..1

There are no (further) constraints on this element

Element id

Consent.scope.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.scope.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

1..1

There are no (further) constraints on this element

Element id

Consent.scope.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

There are no (further) constraints on this element

Element id

Consent.scope.coding.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.scope.coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

1..1

uriFixed Value

Element id

Consent.scope.coding.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

http://terminology.hl7.org/CodeSystem/consentscope

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..1

There are no (further) constraints on this element

Element id

Consent.scope.coding.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

1..1

codeFixed Value

Element id

Consent.scope.coding.code

Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Fixed value

research

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

There are no (further) constraints on this element

Element id

Consent.scope.coding.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

There are no (further) constraints on this element

Element id

Consent.scope.coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

0..1

There are no (further) constraints on this element

Element id

Consent.scope.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

category

S Σ

2..*

CodeableConceptBinding

Element id

Consent.category

Short description

Classification of the consent statement - for indexing/retrieval

Definition

A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

Comments

Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.

Data type

ConsentCategoryCodes (extensible)

Slicing

Unordered, Open, by $this(Pattern)

Binding

A classification of the type of consents found in a consent statement.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.code
w5: FiveWs.class
v2: HL7 Table 0497 - Consent Type
rim: CNTRCT

loinc

S Σ

1..1

CodeableConceptBindingPattern

Element id

Consent.category:loinc

Short description

Classification of the consent statement - for indexing/retrieval

Definition

A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

Comments

Data type

ConsentCategoryCodes (extensible)

Binding

A classification of the type of consents found in a consent statement.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "57016-8"
    }
  ]
}

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.code
w5: FiveWs.class
v2: HL7 Table 0497 - Consent Type
rim: CNTRCT

0..1

There are no (further) constraints on this element

Element id

Consent.category:loinc.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.category:loinc.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

S Σ

1..1

CodingPattern

There are no (further) constraints on this element

Element id

Consent.category:loinc.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "system": "http://loinc.org",
  "code": "57016-8"
}

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

There are no (further) constraints on this element

Element id

Consent.category:loinc.coding.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.category:loinc.coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

S Σ

1..1

uriPattern

There are no (further) constraints on this element

Element id

Consent.category:loinc.coding.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

http://loinc.org

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..1

There are no (further) constraints on this element

Element id

Consent.category:loinc.coding.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

S Σ

1..1

codePattern

There are no (further) constraints on this element

Element id

Consent.category:loinc.coding.code

Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

57016-8

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

There are no (further) constraints on this element

Element id

Consent.category:loinc.coding.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

There are no (further) constraints on this element

Element id

Consent.category:loinc.coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

0..1

There are no (further) constraints on this element

Element id

Consent.category:loinc.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

mii

S Σ

1..1

CodeableConceptBindingPattern

Element id

Consent.category:mii

Short description

Classification of the consent statement - for indexing/retrieval

Definition

A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

Comments

Data type

ConsentCategoryCodes (extensible)

Binding

A classification of the type of consents found in a consent statement.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "coding": [
    {
      "system": "https://www.medizininformatik-initiative.de/fhir/modul-consent/CodeSystem/mii-cs-consent-version-modules",
      "code": "2.16.840.1.113883.3.1937.777.24.2.184"
    }
  ]
}

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
workflow: Event.code
w5: FiveWs.class
v2: HL7 Table 0497 - Consent Type
rim: CNTRCT

0..1

There are no (further) constraints on this element

Element id

Consent.category:mii.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.category:mii.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

S Σ

1..1

CodingPattern

There are no (further) constraints on this element

Element id

Consent.category:mii.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

{
  "system": "https://www.medizininformatik-initiative.de/fhir/modul-consent/CodeSystem/mii-cs-consent-version-modules",
  "code": "2.16.840.1.113883.3.1937.777.24.2.184"
}

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

There are no (further) constraints on this element

Element id

Consent.category:mii.coding.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.category:mii.coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

S Σ

1..1

uriPattern

There are no (further) constraints on this element

Element id

Consent.category:mii.coding.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

https://www.medizininformatik-initiative.de/fhir/modul-consent/CodeSystem/mii-cs-consent-version-modules

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..1

There are no (further) constraints on this element

Element id

Consent.category:mii.coding.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

S Σ

1..1

codePattern

There are no (further) constraints on this element

Element id

Consent.category:mii.coding.code

Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Pattern

2.16.840.1.113883.3.1937.777.24.2.184

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

There are no (further) constraints on this element

Element id

Consent.category:mii.coding.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

There are no (further) constraints on this element

Element id

Consent.category:mii.coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

0..1

There are no (further) constraints on this element

Element id

Consent.category:mii.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Reference(ConsentManagementPatient)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

patient

S Σ C

1..1

Element id

Consent.patient

Short description

Who the consent applies to

Definition

The patient/healthcare consumer to whom this consent applies.

Comments

Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.

Data type

Reference(ConsentManagementPatient)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.subject
w5: FiveWs.subject[x]
rim: Role
w5: FiveWs.subject

0..1

There are no (further) constraints on this element

Element id

Consent.patient.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.patient.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

reference

S Σ C

0..1

There are no (further) constraints on this element

Element id

Consent.patient.reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

A reference to a location at which the other resource is found. The reference may be a relative reference, in which case it is relative to the service base URL, or an absolute URL that resolves to the location where the resource is found. The reference may be version specific or not. If the reference is not to a FHIR RESTful server, then it should be assumed to be version specific. Internal fragment references (start with '#') refer to contained resources.

Comments

Using absolute URLs provides a stable scalable approach suitable for a cloud/web context, while using relative/logical references provides a flexible approach suitable for use when trading across closed eco-system boundaries. Absolute URLs do not need to point to a FHIR RESTful server, though this is the preferred approach. If the URL conforms to the structure "/[type]/[id]" then it should be assumed that the reference is to a FHIR RESTful server.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Consent.patient.type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

The type is the Canonical URL of Resource Definition that is the type this reference refers to. References are URLs that are relative to http://hl7.org/fhir/StructureDefinition/ e.g. "Patient" is a reference to http://hl7.org/fhir/StructureDefinition/Patient. Absolute URLs are only allowed for logical models (and can only be used in references in logical models, not resources).

Comments

This element is used to indicate the type of the target of the reference. This may be used which ever of the other elements are populated (or not). In some cases, the type of the target may be determined by inspection of the reference (e.g. a RESTful URL) or by resolving the target of the reference; if both the type and a reference is provided, the reference SHALL resolve to a resource of the same type as that specified.

Data type

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

identifier

S Σ

0..1

There are no (further) constraints on this element

Element id

Consent.patient.identifier

Short description

Logical reference, when literal reference is not known

Definition

An identifier for the target resource. This is used when there is no way to reference the other resource directly, either because the entity it represents is not available through a FHIR server, or because there is no way for the author of the resource to convert a known identifier to an actual location. There is no requirement that a Reference.identifier point to something that is actually exposed as a FHIR instance, but it SHALL point to a business concept that would be expected to be exposed as a FHIR instance, and that instance would need to be of a FHIR resource type allowed by the reference.

Comments

When an identifier is provided in place of a reference, any system processing the reference will only be able to resolve the identifier to a reference if it understands the business context in which the identifier is used. Sometimes this is global (e.g. a national identifier) but often it is not. For this reason, none of the useful mechanisms described for working with references (e.g. chaining, includes) are possible, nor should servers be expected to be able resolve the reference. Servers may accept an identifier based reference untouched, resolve it, and/or reject it - see CapabilityStatement.rest.resource.referencePolicy.

When both an identifier and a literal reference are provided, the literal reference is preferred. Applications processing the resource are allowed - but not required - to check that the identifier matches the literal reference

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Reference is intended to point to a structure that can potentially be expressed as a FHIR resource, though there is no need for it to exist as an actual FHIR resource instance - except in as much as an application wishes to actual find the target of the reference. The content referred to be the identifier must meet the logical constraints implied by any limitations on what resource types are permitted for the reference. For example, it would not be legitimate to send the identifier for a drug prescription if the type were Reference(Observation|DiagnosticReport). One of the use-cases for Reference.identifier is the situation where no FHIR representation exists (where the type is Reference (Any).

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
rim: .identifier

0..1

There are no (further) constraints on this element

Element id

Consent.patient.identifier.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.patient.identifier.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

use

Σ ?!

0..1

codeBinding

There are no (further) constraints on this element

Element id

Consent.patient.identifier.use

Short description

usual | official | temp | secondary | old (If known)

Definition

The purpose of this identifier.

Requirements

Allows the appropriate identifier for a particular context of use to be selected from among a set of identifiers.

Comments

Applications can assume that an identifier is permanent unless it explicitly says that it is temporary.

Data type

Binding

Identifies the purpose for this identifier, if known .

IdentifierUse (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: N/A
rim: Role.code or implied by context

type

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Consent.patient.identifier.type

Short description

Description of identifier

Definition

A coded type for the identifier that can be used to determine which identifier to use for a specific purpose.

Requirements

Allows users to make use of identifiers when the identifier system is not known.

Comments

This element deals only with general categories of identifiers. It SHOULD not be used for codes that correspond 1..1 with the Identifier.system. Some identifiers may fall into multiple categories due to common usage. Where the system is known, a type is unnecessary because the type is always part of the system definition. However systems often need to handle identifiers where the system is not known. There is not a 1:1 relationship between type and system, since many different systems have the same type.

Data type

Identifier Type Codes (extensible)

Binding

A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
v2: CX.5
rim: Role.code or implied by context

system

S Σ

1..1

There are no (further) constraints on this element

Element id

Consent.patient.identifier.system

Short description

The namespace for the identifier value

Definition

Establishes the namespace for the value - that is, a URL that describes a set values that are unique.

Requirements

There are many sets of identifiers. To perform matching of two identifiers, we need to know what set we're dealing with. The system identifies a particular set of unique identifiers.

Comments

Identifier.system is always case sensitive.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

http://www.acme.com/identifiers/patient

Mappings

rim: n/a
v2: CX.4 / EI-2-4
rim: II.root or Role.id.root
servd: ./IdentifierType

value

S Σ

1..1

There are no (further) constraints on this element

Element id

Consent.patient.identifier.value

Short description

The value that is unique

Definition

The portion of the identifier typically relevant to the user and which is unique within the context of the system.

Comments

If the value is a full URI, then the system SHALL be urn:ietf:rfc:3986. The value's primary purpose is computational mapping. As a result, it may be normalized for comparison purposes (e.g. removing non-significant whitespace, dashes, etc.) A value formatted for human display can be conveyed using the Rendered Value extension. Identifier.value is to be treated as case sensitive unless knowledge of the Identifier.system allows the processer to be confident that non-case-sensitive processing is safe.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Examples
General

Mappings

rim: n/a
v2: CX.1 / EI.1
rim: II.extension or II.root if system indicates OID or GUID (Or Role.id.extension or root)
servd: ./Value

period

Σ C

0..1

There are no (further) constraints on this element

Element id

Consent.patient.identifier.period

Short description

Time period when id is/was valid for use

Definition

Time period during which identifier is/was valid for use.

Comments

A Period specifies a range of time; the context of use will specify whether the entire range applies (e.g. "the patient was an inpatient of the hospital for this time range") or one value from the range applies (e.g. "give to the patient between these two times").

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]
v2: CX.7 + CX.8
rim: Role.effectiveTime or implied by context
servd: ./StartDate and ./EndDate

assigner

Σ C

0..1

There are no (further) constraints on this element

Element id

Consent.patient.identifier.assigner

Short description

Organization that issued id (may be just text)

Definition

Organization that issued/manages the identifier.

Comments

The Identifier.assigner may omit the .reference element and only contain a .display element reflecting the name or other textual information about the assigning organization.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
v2: CX.4 / (CX.4,CX.9,CX.10)
rim: II.assigningAuthorityName but note that this is an improper use by the definition of the field. Also Role.scoper
servd: ./IdentifierIssuingAuthority

display

0..1

There are no (further) constraints on this element

Element id

Consent.patient.display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

dateTime

S Σ

1..1

Element id

Consent.dateTime

Short description

Erstellungszeitpunkt der Einwilligung

Definition

Dieser Zeitpunkt sollte in der Praxis, zumindest bei vollelektronischer Verarbeitung, identisch mit dem Unterschriftsdatum des Fragebogens sein (Provenance.signature.when des Patienten)

Comments

Dieser Zeitpunkt sollte in der Praxis, zumindest bei vollelektronischer Verarbeitung, identisch mit dem Unterschriftsdatum des Fragebogens sein (Provenance.signature.when des Patienten)

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
workflow: Event.occurrence[x]
w5: FiveWs.recorded
v2: Field 13/ Consent Decision Date
rim: FinancialConsent effectiveTime

performer

Σ C

0..*

Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)

There are no (further) constraints on this element

Element id

Consent.performer

Short description

Who is agreeing to the policy and rules

Alternate names

consentor

Definition

Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.

Comments

Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.

Data type

Reference(Organization | Patient | Practitioner | PractitionerRole | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.performer
w5: FiveWs.actor
v2: Field 24/ ConsenterID

organization

S Σ C

0..*

Element id

Consent.organization

Short description

Organisation, in der die Einwilligung erfasst wurde.

Alternate names

custodian

Definition

Dies ist die Organisation, die den Consent erfasst hat.

Comments

References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.

Data type

Reference(ConsentManagementQuestionnaireResponse)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
workflow: Event.performer
w5: FiveWs.witness

source[x]

S Σ

0..1

Element id

Consent.source[x]

Short description

Source from which this consent is taken

Definition

The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.

Comments

The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.

Data type

Reference(ConsentManagementQuestionnaireResponse)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Field 19 Informational Material Supplied Indicator

0..1

There are no (further) constraints on this element

Element id

Consent.source[x].id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.source[x].extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

reference

S Σ C

1..1

There are no (further) constraints on this element

Element id

Consent.source[x].reference

Short description

Literal reference, Relative, internal or absolute URL

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ref-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

type

0..1

uriBinding

There are no (further) constraints on this element

Element id

Consent.source[x].type

Short description

Type the reference refers to (e.g. "Patient")

Definition

The expected type of the target of the reference. If both Reference.type and Reference.reference are populated and Reference.reference is a FHIR URL, both SHALL be consistent.

Comments

Data type

Binding

Aa resource (or, for logical models, the URI of the logical model).

ResourceType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

identifier

0..1

There are no (further) constraints on this element

Element id

Consent.source[x].identifier

Short description

Logical reference, when literal reference is not known

Definition

Comments

Applications converting a logical reference to a literal reference may choose to leave the logical reference present, or remove it.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CX / EI (occasionally, more often EI maps to a resource id or a URL)
rim: II - The Identifier class is a little looser than the v3 type II because it allows URIs as well as registered OIDs or GUIDs. Also maps to Role[classCode=IDENT]
servd: Identifier
rim: .identifier

display

0..1

There are no (further) constraints on this element

Element id

Consent.source[x].display

Short description

Text alternative for the resource

Definition

Plain text narrative that identifies the resource in addition to the resource reference.

Comments

This is generally not the same as the Resource.text of the referenced resource. The purpose is to identify what's being referenced, not to fully describe it.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: N/A

policy

1..*

There are no (further) constraints on this element

Element id

Consent.policy

Short description

Policies covered by this consent

Definition

The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

0..1

There are no (further) constraints on this element

Element id

Consent.policy.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.policy.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Consent.policy.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

authority

0..1

There are no (further) constraints on this element

Element id

Consent.policy.authority

Short description

Enforcement source for policy

Definition

Entity or Organization having regulatory jurisdiction or accountability for enforcing policies pertaining to Consent Directives.

Comments

see http://en.wikipedia.org/wiki/Uniform_resource_identifier

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ppc-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

uri

S C

1..1

There are no (further) constraints on this element

Element id

Consent.policy.uri

Short description

Specific policy covered by this consent

Definition

The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

Comments

This element is for discoverability / documentation and does not modify or qualify the policy rules.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ppc-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

policyRule

S Σ C

0..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Consent.policyRule

Short description

Regulation that this consents to

Definition

A reference to the specific base computable regulation or policy.

Requirements

Might be a unique identifier of a policy set in XACML, or other rules engine.

Comments

If the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource.

Data type

ConsentPolicyRuleCodes (extensible)

Binding

Regulatory policy examples.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, ppc-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

0..1

There are no (further) constraints on this element

Element id

Consent.policyRule.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

Element id

Consent.policyRule.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

http://fhir.de/ConsentManagement/StructureDefinition/Xacml

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

xacml

S C

0..1

Extension(base64Binary)

Element id

Consent.policyRule.extension:xacml

Short description

Optional Extensions Element

Alternate names

extensions, user content

Definition

Optional Extension Element - found in all resources.

Comments

Data type

Extension(base64Binary)

Extension URL

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

0..*

There are no (further) constraints on this element

Element id

Consent.policyRule.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

text

0..1

There are no (further) constraints on this element

Element id

Consent.policyRule.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

verification

0..*

There are no (further) constraints on this element

Element id

Consent.verification

Short description

Consent Verified by patient or family

Definition

Whether a treatment instruction (e.g. artificial respiration yes or no) was verified with the patient, his/her family or another authorized person.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

0..1

There are no (further) constraints on this element

Element id

Consent.verification.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.verification.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Consent.verification.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

verified

1..1

There are no (further) constraints on this element

Element id

Consent.verification.verified

Short description

Has been verified

Definition

Has the instruction been verified.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

verifiedWith

0..1

Reference(Patient | RelatedPerson)

There are no (further) constraints on this element

Element id

Consent.verification.verifiedWith

Short description

Person who verified

Definition

Who verified the instruction (Patient, Relative or other Authorized Person).

Comments

Data type

Reference(Patient | RelatedPerson)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

verificationDate

0..1

There are no (further) constraints on this element

Element id

Consent.verification.verificationDate

Short description

When consent verified

Definition

Date verification was collected.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

provision

S Σ

0..1

There are no (further) constraints on this element

Element id

Consent.provision

Short description

Constraints to the base Consent.policyRule

Definition

An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

0..1

There are no (further) constraints on this element

Element id

Consent.provision.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Consent.provision.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

type

S Σ

1..1

codeBinding

There are no (further) constraints on this element

Element id

Consent.provision.type

Short description

deny | permit

Definition

Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

ConsentProvisionType (required)

Binding

How a rule statement is applied, such as adding additional consent or removing consent.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

period

S Σ C

1..1

There are no (further) constraints on this element

Element id

Consent.provision.period

Short description

Timeframe for this rule

Definition

The timeframe in this rule is valid.

Comments

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]

0..1

There are no (further) constraints on this element

Element id

Consent.provision.period.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.period.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

start

S Σ C

1..1

There are no (further) constraints on this element

Element id

Consent.provision.period.start

Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: DR.1
rim: ./low

end

S Σ C

0..1

There are no (further) constraints on this element

Element id

Consent.provision.period.end

Short description

End time with inclusive boundary, if not ongoing

Definition

The end of the period. If the end of the period is missing, it means no end was known or planned at the time the instance was created. The start may be in the past, and the end date in the future, which means that period is expected/planned to end at that time.

Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: DR.2
rim: ./high

actor

0..*

There are no (further) constraints on this element

Element id

Consent.provision.actor

Short description

Who|what controlled by this rule (or group, by role)

Definition

Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').

Meaning when missing

There is no specific actor associated with the exception

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

0..1

There are no (further) constraints on this element

Element id

Consent.provision.actor.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.actor.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Consent.provision.actor.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

role

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Consent.provision.actor.role

Short description

How the actor is involved

Definition

How the individual is involved in the resources content that is described in the exception.

Comments

Data type

Binding

How an actor is involved in the consent considerations.

SecurityRoleType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

reference

1..1

There are no (further) constraints on this element

Element id

Consent.provision.actor.reference

Short description

Resource for the actor (or group, by role)

Definition

The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

action

0..0

There are no (further) constraints on this element

Element id

Consent.provision.action

Short description

Actions controlled by this rule

Definition

Actions controlled by this Rule.

Comments

Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.

Meaning when missing

all actions

Data type

Binding

Detailed codes for the consent action.

ConsentActionCodes (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

securityLabel

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Consent.provision.securityLabel

Short description

Security Labels that define affected resources

Definition

A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.

Comments

If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict.

Data type

All Security Labels (extensible)

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

purpose

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Consent.provision.purpose

Short description

Context of activities covered by this rule

Definition

The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.

Comments

When the purpose of use tag is on the data, access request purpose of use shall not conflict.

Data type

Binding

What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.

v3.PurposeOfUse (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

class

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Consent.provision.class

Short description

e.g. Resource Type, Profile, CDA, etc.

Definition

The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.

Comments

Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.

Data type

ConsentContentClass (extensible)

Binding

The class (type) of information a consent rule covers.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

code

0..0

There are no (further) constraints on this element

Element id

Consent.provision.code

Short description

e.g. LOINC or SNOMED CT code, etc. in the content

Definition

If this code is found in an instance, then the rule applies.

Comments

Typical use of this is a Document code with class = CDA.

Data type

Binding

If this code is found in an instance, then the exception applies.

ConsentContentCodes (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

dataPeriod

Σ C

0..1

There are no (further) constraints on this element

Element id

Consent.provision.dataPeriod

Short description

Timeframe for data controlled by this rule

Definition

Clinical or Operational Relevant period of time that bounds the data controlled by this rule.

Comments

This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]

data

0..*

There are no (further) constraints on this element

Element id

Consent.provision.data

Short description

Data controlled by this rule

Definition

The resources controlled by this rule if specific resources are referenced.

Meaning when missing

all data

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: Role

0..1

There are no (further) constraints on this element

Element id

Consent.provision.data.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.data.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Consent.provision.data.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

meaning

1..1

codeBinding

There are no (further) constraints on this element

Element id

Consent.provision.data.meaning

Short description

instance | related | dependents | authoredby

Definition

How the resource reference is interpreted when testing consent restrictions.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Binding

How a resource reference is interpreted when testing consent restrictions.

ConsentDataMeaning (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

reference

Σ C

1..1

There are no (further) constraints on this element

Element id

Consent.provision.data.reference

Short description

The actual data reference

Definition

A reference to a specific resource that defines which resources are covered by this consent.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

provision

0..*

Element id

Consent.provision.provision

Short description

Nested Exception Rules

Definition

Rules which provide exceptions to the base rule or subrules.

Data type

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

type

S Σ

1..1

codeBinding

There are no (further) constraints on this element

Element id

Consent.provision.provision.type

Short description

deny | permit

Definition

Action to take - permit or deny - when the rule conditions are met. Not permitted in root rule, required in all nested rules.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

ConsentProvisionType (required)

Binding

How a rule statement is applied, such as adding additional consent or removing consent.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

period

S Σ C

1..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.period

Short description

Timeframe for this rule

Definition

The timeframe in this rule is valid.

Comments

Period is not used for a duration (a measure of elapsed time). See Duration.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.period.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.period.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

start

S Σ C

1..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.period.start

Short description

Starting time with inclusive boundary

Definition

The start of the period. The boundary is inclusive.

Comments

If the low element is missing, the meaning is that the low boundary is not known.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: DR.1
rim: ./low

end

S Σ C

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.period.end

Short description

End time with inclusive boundary, if not ongoing

Definition

Comments

The high value includes any matching date/time. i.e. 2012-02-03T10:00:00 is in a period that has an end value of 2012-02-03.

Meaning when missing

If the end of the period is missing, it means that the period is ongoing

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1, per-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: DR.2
rim: ./high

actor

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.actor

Short description

Who|what controlled by this rule (or group, by role)

Definition

Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').

Meaning when missing

There is no specific actor associated with the exception

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.actor.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.actor.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.actor.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

role

1..1

CodeableConceptBinding

There are no (further) constraints on this element

Element id

Consent.provision.provision.actor.role

Short description

How the actor is involved

Definition

How the individual is involved in the resources content that is described in the exception.

Comments

Data type

Binding

How an actor is involved in the consent considerations.

SecurityRoleType (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

reference

1..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.actor.reference

Short description

Resource for the actor (or group, by role)

Definition

The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

action

0..0

There are no (further) constraints on this element

Element id

Consent.provision.provision.action

Short description

Actions controlled by this rule

Definition

Actions controlled by this Rule.

Comments

Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.

Meaning when missing

all actions

Data type

Binding

Detailed codes for the consent action.

ConsentActionCodes (example)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

securityLabel

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Consent.provision.provision.securityLabel

Short description

Security Labels that define affected resources

Definition

A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.

Comments

Data type

All Security Labels (extensible)

Binding

Security Labels from the Healthcare Privacy and Security Classification System.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

purpose

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Consent.provision.provision.purpose

Short description

Context of activities covered by this rule

Definition

The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.

Comments

When the purpose of use tag is on the data, access request purpose of use shall not conflict.

Data type

Binding

What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.

v3.PurposeOfUse (extensible)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

class

0..*

CodingBinding

There are no (further) constraints on this element

Element id

Consent.provision.provision.class

Short description

e.g. Resource Type, Profile, CDA, etc.

Definition

Comments

Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.

Data type

ConsentContentClass (extensible)

Binding

The class (type) of information a consent rule covers.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding

code

S Σ

1..*

CodeableConceptBinding

Element id

Consent.provision.provision.code

Short description

e.g. LOINC or SNOMED CT code, etc. in the content

Definition

If this code is found in an instance, then the rule applies.

Comments

Typical use of this is a Document code with class = CDA.

Data type

MiiConsentPolicyValueSet (required)

Binding

If this code is found in an instance, then the exception applies.

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE
rim: CD
orim: fhir:CodeableConcept rdfs:subClassOf dt:CD

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

coding

S Σ

1..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.coding

Short description

Code defined by a terminology system

Definition

A reference to a code defined by a terminology system.

Requirements

Allows for alternative encodings within a code system, and translations to other code systems.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: CE/CNE/CWE subset one of the sets of component 1-3 or 4-6
rim: CV
orim: fhir:Coding rdfs:subClassOf dt:CDCoding
v2: C*E.1-8, C*E.10-22
rim: union(., ./translation)
orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.coding.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.coding.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

system

S Σ

1..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.coding.system

Short description

Identity of the terminology system

Definition

The identification of the code system that defines the meaning of the symbol in the code.

Requirements

Need to be unambiguous about the source of the definition of the symbol.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.3
rim: ./codeSystem
orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem

version

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.coding.version

Short description

Version of the system - if relevant

Definition

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.7
rim: ./codeSystemVersion
orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion

code

S Σ

1..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.coding.code

Short description

Symbol in syntax defined by the system

Definition

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

Requirements

Need to refer to a particular code in the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.1
rim: ./code
orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code

display

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.coding.display

Short description

Representation defined by the system

Definition

A representation of the meaning of the code in the system, following the rules of the system.

Requirements

Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.2 - but note this is not well followed
rim: CV.displayName
orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName

userSelected

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.coding.userSelected

Short description

If this coding was chosen directly by the user

Definition

Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).

Requirements

This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: Sometimes implied by being first
rim: CD.codingRationale
orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]

text

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.code.text

Short description

Plain text representation of the concept

Definition

A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

Requirements

Comments

Very often the text is the same as a displayName of one of the codings.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
v2: C*E.9. But note many systems use C*E.2 for this
rim: ./originalText[mediaType/code="text/plain"]/data
orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText

dataPeriod

Σ C

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.dataPeriod

Short description

Timeframe for data controlled by this rule

Definition

Clinical or Operational Relevant period of time that bounds the data controlled by this rule.

Comments

This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
per-1: If present, start SHALL have a lower value than end
start.hasValue().not() or end.hasValue().not() or (start <= end)

Mappings

rim: n/a
v2: DR
rim: IVL<TS>[lowClosed="true" and highClosed="true"] or URG<TS>[lowClosed="true" and highClosed="true"]

data

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.data

Short description

Data controlled by this rule

Definition

The resources controlled by this rule if specific resources are referenced.

Meaning when missing

all data

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a
rim: Role

0..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.data.id

Short description

Unique id for inter-element referencing

Definition

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Data type

Mappings

rim: n/a

extension

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.data.extension

Short description

Additional content defined by implementations

Alternate names

extensions, user content

Definition

Comments

Data type

Slicing

Unordered, Open, by url(Value)

Extensions are always sliced by (at least) url

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

modifierExtension

Σ ?! C

0..*

There are no (further) constraints on this element

Element id

Consent.provision.provision.data.modifierExtension

Short description

Extensions that cannot be ignored even if unrecognized

Alternate names

extensions, user content, modifiers

Definition

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

Requirements

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ext-1: Must have either extensions or value[x], not both
extension.exists() != value.exists()

Mappings

rim: n/a
rim: N/A

meaning

1..1

codeBinding

There are no (further) constraints on this element

Element id

Consent.provision.provision.data.meaning

Short description

instance | related | dependents | authoredby

Definition

How the resource reference is interpreted when testing consent restrictions.

Comments

Note that FHIR strings SHALL NOT exceed 1MB in size

Data type

Binding

How a resource reference is interpreted when testing consent restrictions.

ConsentDataMeaning (required)

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())

Mappings

rim: n/a

reference

Σ C

1..1

There are no (further) constraints on this element

Element id

Consent.provision.provision.data.reference

Short description

The actual data reference

Definition

A reference to a specific resource that defines which resources are covered by this consent.

Comments

Data type

Conditions

The cardinality or value of this element may be affected by these constraints: ele-1

Constraints

ele-1: All FHIR elements must have a @value or children
hasValue() or (children().count() > id.count())
ref-1: SHALL have a contained resource if a local reference is provided
reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Mappings

rim: n/a
rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)

provision

0..0

see (provision)

There are no (further) constraints on this element

Element id

Consent.provision.provision.provision

Short description

Nested Exception Rules

Definition

Rules which provide exceptions to the base rule or subrules.

Nachfolgend werden nur die Unterschiede zum Basis-Profil erläutert.

FHIR-Element	Erklärung
Consent.id	Must-support, jedoch optional
Consent.meta	Must-support, jedoch optional
Consent.meta.source	Must-support, jedoch optional
Consent.meta.profile	Must-support, jedoch optional
Consent.extension:domainReference	Must-support gemäß Vorgaben AG Einwilligungsmanagement, jedoch optional
Consent.identifier	Enthält eine oder mehrere externe IDs der Einwilligung eines externen Systems. Dies kann z.B. die IHE-ID des CDA Dokumentes sein oder die ID des Dokuments in einer externen Treuhandstelle. Der identifier sollte immer als Wertepaar "system" und "value" angegeben werden. Die Angabe ist optional.
Consent.scope.coding.system	Fixed value: `http://terminology.hl7.org/CodeSystem/consentscope`
Consent.scope.coding.code	Abbildung der MII Einwilligung legt Kontext klar auf Forschung. Fixed value: `research`
Consent.category.coding	Must-support. Verpflichtende Angabe von mindestens zwei Categories mit je min. einem Coding für die Consent-Kategorien, um die Suche nach Einwilligungen vom Typ "MII Einwilligung" zu ermöglichen: (1) gemäß https://www.hl7.org/fhir/valueset-consent-category.html : Fixed System: `http://loinc.org` Fixed Code für 'Privacy policy acknowledgement Document': `57016-8` (2) Identifikation MII Broad Consent: Fixed Code: `2.16.840.1.113883.3.1937.777.24.2.184` Weitere zusätzliche Angaben werden nicht verhindert.
Consent.category:templateType.coding	ResultType gemäß ResultType. Es sollten mindestens `document` und `consent-status` unterstützt werden. Wenn als ResultType `document` angegeben ist, muss die Art des (Quell-)Dokuments im Slice templateType ebenfalls angegeben werden.
Consent.category:templateType.coding	Kategorisierung gemäß TemplateType. Dient als informelles Element der Differenzierung zwischen Einwilligung, Widerruf, Widerspruch und Ablehnung.
Consent.patient.reference	Verweis zum Patienten, auf den sich die Consent Ressource bezieht in der Form Literal reference, Relative reference, Internal reference oder als absolute URL, Must-support. `Consent.patient.reference` sollte ausgefüllt werden, wenn möglich, d.h. wenn eine entsprechende Patienten Ressource vorhanden ist. Ist dies nicht der Fall, muss der Patientenbezug über `Consent.patient.identifier` hergestellt werden.
Consent.patient.identifier	Angabe des Personenbezugs in Form eines Identifiers, Must-support. Siehe `Consent.patient.reference`. Der Bezug zum Patienten sollte möglichst über `Consent.patient.reference` hergestellt werden. `Consent.patient.identifier` kann alternativ bzw. ergänzend verwendet werden.
Consent.patient.identifier.system	Wird der Personenbezug per Identifier angegeben, ist die System-Angabe per Uri verpflichtend, Must-support
Consent.patient.identifier.value	Wird der Personenbezug per Identifier angegeben, ist die Value-Angabe per String verpflichtend, Must-support
Consent.policy.uri	Verweis auf die Version des der Consent-Ressource zugrundeliegende MII Broad Consent Dokument-Version gemäß untenstehender Übersicht, z.B. MII Broad Consent Version 1.7.2 `urn:oid:2.16.840.1.113883.3.1937.777.24.2.2079` oder MII Broad Consent Version 1.7.2 inkl. Zusatzmodul Acribis `urn:oid:2.16.840.1.113883.3.1937.777.24.2.4031`, Must-support

Um FHIR-Consent Ressourcen nach Einwilligungen zu filtern, die auf dem MII Broad Consent basieren, wird ein verpflichtendes Uri für die Consent.policy.uri verwendet. Die TFCU hat im ART-DECOR Repräsentationen für die unterschiedlichen Versionen des MII Broad Consent angelegt. Diese können über eine eindeutige OID (vgl. nachstehende Tabelle) referenziert werden.

Version des MII Broad Consent	Eindeutige OID gemäß Vorgabe der TFCU
1.6d	2.16.840.1.113883.3.1937.777.24.2.1790
1.6d Ablehnung	2.16.840.1.113883.3.1937.777.24.2.4053
1.6d Komplettwiderruf	2.16.840.1.113883.3.1937.777.24.2.2718
1.6d Teilwiderruf	2.16.840.1.113883.3.1937.777.24.2.2719
1.6f	2.16.840.1.113883.3.1937.777.24.2.1791
1.6f Komplettwiderruf	2.16.840.1.113883.3.1937.777.24.2.2720
1.6f Teilwiderruf	2.16.840.1.113883.3.1937.777.24.2.2721
1.7.2	2.16.840.1.113883.3.1937.777.24.2.2079
1.7.2 Ablehnung	2.16.840.1.113883.3.1937.777.24.2.4054
1.7.2 Komplettwiderruf	2.16.840.1.113883.3.1937.777.24.2.2722
1.7.2 Teilwiderruf	2.16.840.1.113883.3.1937.777.24.2.2723
1.7.2 (Eltern und Sorgeberechtigte für Minderjährige v1.1)	2.16.840.1.113883.3.1937.777.24.2.3542
1.7.2 (7-11 Minderjährige v1.1)	2.16.840.1.113883.3.1937.777.24.2.3543
1.7.2 (12-17 Minderjährige v1.1)	2.16.840.1.113883.3.1937.777.24.2.3544
Zusatzmodul ACRIBiS (Z2)	2.16.840.1.113883.3.1937.777.24.2.4031
Zusatzmodul Patientenbefragung (Z3)	2.16.840.1.113883.3.1937.777.24.2.4036
Zusatzmodul Fachnetzwerk Infektion - SNID (Z4)	2.16.840.1.113883.3.1937.777.24.2.4037
Zusatzmodul Deutsche Zentrum für Psychische Gesundheit - DZPG (Z5)	2.16.840.1.113883.3.1937.777.24.2.4048

Verschachtelte Provision-Elemente

Die FHIR Consent Ressource folgt der DSGVO-Vorgabe zum Opt-In: es ist nur erlaubt, was explizit zu einem bestimmten Zeitpunkt (Zeitpunkt der Einwilligung) eingewilligt wurde. Dies wird über verschachtelte Provision-Elemente realisiert.

In Opt-In-Szenarien verbietet das übergeordnete Provision-Element (->Level1-Provision) alles (Provision.Type=DENY), außer es ist in Form von untergeordneten Provision-Elementen (->Level2-Provision) explizit erlaubt. Daher sind als untergeordnete Provisions Provision-Elemente mit Provision.Type=PERMIT verbindlich zu verwenden. Für Zusatzinformationen sind Level-2-Provision mit Provision.Type=DENY möglich.

Die grundsätzliche Gültigkeitsdauer der Einwilligung wird ebenfalls über das übergeordnetete Provision-Element mittels provision.period realisiert (für den MII Broad Consent: 30 Jahre).

Sollten einzelne Bestandteile der Einwilligung jedoch bereits frühzeitig ablaufen, können diese Ausnahmen als Teil der untergeordneter Provisions mit Bezug zum relevanten Einwilligungsbestandteil mittels provision.provision.period definiert werden (z.B. Provision mit Code 2.16.840.1.113883.3.1937.777.24.5.3.6 für Policy MDAT_erheben läuft bereits nach 5 Jahren ab).

Übergeordnete Provision (Consent.Provision)

FHIR-Element	Erklärung
Consent.provision.type	value `DENY` oder `PERMIT`, Must-support
Consent.provision.period.start	verpflichtende Angabe zum Beginn der Gültigkeit der Einwilligung. Sofern nicht anders festgelegt ist dies typischerweise das Datum der Unterschrift der Einwilligung der betroffenen Person, Must-support
Consent.provision.period.end	verpflichtende Angabe zum Ende der Gültigkeit der Einwilligung. Dies ist typischerweise der Zeitpunkt des Ablaufens der für die MII festlegte Einwilligungsdauer (30 Jahre, beginnend mit dem Unterschriftsdatum), Must-support
Consent.provision.action	Die Angabe von Actions ist nicht zulässig, not supported
Consent.provision.code	Die Angabe von Codes ist in der übergeordneten Provision nicht zulässig, not supported
Consent.provision.provision	Liste von untergeordneten Provision-Elementen die explizit (Datenverarbeitungs-)Tätigkeiten erlauben, Must-support

Untergeordnete Provision-Elemente (Consent.Provision.Provision)

Je Consent-Policy sollte exakt ein untergeordnetes Provision-Element genutzt werden.

FHIR-Element	Erklärung
Consent.provision.provision.type	value `PERMIT` oder `DENY`, Must-support
Consent.provision.provision.period.start	verpflichtende Angabe zum Beginn der Gültigkeit der Consent-Policy, Must-support
Consent.provision.provision.period.end	verpflichtende Angabe zum Ende der Gültigkeit der Consent-Policy, Must-support
Consent.provision.provision.code	1-n Angabe zur Semantik der Einwilligungspolicy. Mindestens aber gemäß MII TFCU Konzept (vgl. MiiConsentPolicyValueSet im Abschnitt Command 'pagelink' could not render: Page not found. ), Must-support
Consent.provision.provision.code.coding.system	Systemangabe, idealerweise gemäß MII TFCU Konzept (vgl. MiiConsentPolicyValueSet im Abschnitt Command 'pagelink' could not render: Page not found. ):`urn:oid:2.16.840.1.113883.3.1937.777.24.5.3`, Must-support
Consent.provision.provision.code.coding.code	Codeangabe, idealerweise gemäß MII TFCU Konzept (vgl. MiiConsentPolicyValueSet im Abschnitt Command 'pagelink' could not render: Page not found. ) z.B. `2.16.840.1.113883.3.1937.777.24.5.3.6`, Must-support
Consent.provision.provision.code.coding.display	Optionale Displayangabe, idealerweise gemäß MII TFCU Konzept (vgl. MiiConsentPolicyValueSet im Abschnitt Command 'pagelink' could not render: Page not found. ) z.B. `MDAT_erheben`
Consent.provision.provision.action	Angabe von Actions sind nicht zulässig, not supported
Consent.provision.provision.provision	Weitere Verschachtelungsebenen von Provisions sind nicht zulässig, not supported

Die Einwilligung des Patienten endet nach Vorgaben der MII AG Consent grundsätzlich nach 30 Jahren. Einen Sonderfall stellen die Einwilligungen von Minderjährigen (von der Einwilligung betroffene Person) dar. Im Fall von Einwilligungen für Minderjährige, die ggf. durch entsprechende Sorgeberechtigte stellvertretend ausgefüllt wurden, endet die Einwilligung mit Erreichung der Volljährigkeit der betroffenen Person. Dies ist entsprechend technisch umzusetzen. Referenzimplementierungen existieren.

Die Widerrufsvorlage (kompatibel mit MII BC 1.7.2) ist ebenfalls für den Widerruf von Einwilligungen Minderjähriger gedacht, da diese in der Regel ebenfalls durch die Sorgeberechtigten ausgefüllt werden.

Bezogen auf Consent-Ressourcen, die im Zusammenhang mit Widerrufen (vollständig, oder teilweise), Ablehnungen oder Widersprüchen erstellt wurden, gelten im Allgemeinen die Empfehlungen der HL7-D AG Einwilligungsmanagement (vgl. Abschnitt 'Angepasste Empfehlungen zur Verwendung von Consent und Consent-Provisions nach Dokumentenart und Szenario'):

Level-2 Provisions sollten insofern nach Möglichkeit stets angegeben werden. Hat ein Dokument konzeptuell kein definiertes Ende (beispielsweise Widerruf, Ablehnung, Widerspruch) kann auf die Angabe von period.end bei Provisions entsprechend verzichtet werden.

Suchparameter

Kategorie

Im Kontext dieses Leitfadens muss der Standard-Suchparameter Consent.category unterstützt werden (vgl. http://www.hl7.org/fhir/consent.html#search)

Beispiel hierzu:

GET [base]/Consent?category=2.16.840.1.113883.3.1937.777.24.2.184

findet alle (gültige und nicht mehr gültige) Consent-Ressourcen zum Zeitpunkt der Anfrage, die einer beliebigen Version des MII Broad Consent (z.B. 1.6d, 1.7.2, etc.) entsprechen.

Provision-Code

Invocations

[base]/Consent?mii-provision-provision-code=[system]|[value]

Details

Resource	Consent
Code	mii-provision-provision-code
Type	token
FhirPath	Consent.provision.provision.code

Beispiel:

GET [base]/Consent?mii-provision-provision-code=urn:oid:2.16.840.1.113883.3.1937.777.24.5.3|2.16.840.1.113883.3.1937.777.24.5.3.8

Typ der Provision (permit, deny)

Invocations

[base]/Consent?mii-provision-provision-type=[system]|[value]

Details

Resource	Consent
Code	mii-provision-provision-type
Type	token
FhirPath	Consent.provision.provision.type

Beispiel:

GET [base]/Consent?mii-provision-provision-type=permit

Typ der Provision einer bestimmten, durch einen Code definierten, Provision

Invocations

[base]/Consent?mii-provision-provision-code-type=(state$)[value],(state$)[value]

Details

Resource	Consent
Code	mii-provision-provision-code-type
Type	composite
FhirPath	Consent.provision.provision

Beispiel:

GET [base]/Consent?mii-provision-provision-code-type=urn:oid:2.16.840.1.113883.3.1937.777.24.5.3|2.16.840.1.113883.3.1937.777.24.5.3.8$permit

Provisions-Zeitraum

Invocations

[base]/Consent?mii-provision-provision-period=(comparator)[date]

Details

Resource	Consent
Code	mii-provision-provision-period
Type	date
FhirPath	Consent.provision.provision.period

Beispiel:

GET [base]/Consent?mii-provision-provision-period=2020-12-15

Provisions-Zeitraum einer bestimmten, durch einen Code definierten, Provision

Invocations

[base]/Consent?mii-provision-provision-code-period=(state$)[value],(state$)[value]

Details

Resource	Consent
Code	mii-provision-provision-code-period
Type	composite
FhirPath	Consent.provision.provision

Beispiel:

GET [base]/Consent?mii-provision-provision-code-period=urn:oid:2.16.840.1.113883.3.1937.777.24.5.3|2.16.840.1.113883.3.1937.777.24.5.3.8$2020-12-15

Invocations

[base]/Consent?mii-policy-uri=[url]

Details

Resource	Consent
Code	mii-policy-uri
Type	uri
FhirPath	Consent.policy.uri

Beispiel:

GET [base]/Consent?mii-policy-uri=urn:oid:2.16.840.1.113883.3.1937.777.24.2.1791

Mitgeltende Suchparameter gemäß HL7-D Standard Einwilligungsmanagement

Im Kontext der Suche nach Consent-Ressourcen sind nach HL7-D Standard für Einwilligungsmanagement (Version 2.0) folgende Suchparameter zur Filterung von Consent-Ressourcen definiert. Diese werden ebenfalls durch den MII KDS Consent unterstützt. Konkrete Beispiele sind im IG der HL7-D Arbeitsgruppe dokumentiert.

Suchparameter	Erläuterung
domain	Einwilligungsdomäne. Insbesondere wird empfohlen, logische Referenzen (Reference by Identifier, im Suchparameter: modifier ":identifier") zu unterstützen.
category	Art des Dokuments (Einwilligung, Widerruf,etc) ResultType (Dokument, Consent-Status, etc.)
patient.identifier	Die betroffene Person identifiziert über Identifier

Anmerkung: Da eine Dependency auf das Paket der HL7-D AG Einwilligungsmanagement besteht, existiert der Suchparameter domain automatisch und muss nicht explizit für das KDS-Modul definiert werden. Er wird technisch 'einfach übernommen'.

Komplexere Beispiele (Suchanfragen)

GET [base]/Consent?mii-provision-provision-type=permit&mii-provision-provision-code=urn:oid:2.16.840.1.113883.3.1937.777.24.5.3|2.16.840.1.113883.3.1937.777.24.5.3.8&mii-provision-provision-code=urn:oid:2.16.840.1.113883.3.1937.777.24.5.3|2.16.840.1.113883.3.1937.777.24.5.3.9

findet alle Consent-Ressourcen mit Permit-Provision, bei denen sowohl der Provison-Code 2.16.840.1.113883.3.1937.777.24.5.3.8 als auch der Provison-Code 2.16.840.1.113883.3.1937.777.24.5.3.9 gesetzt sind.

GET [base]/Consent?mii-provision-provision-type=permit&mii-provision-provision-code=urn:oid:2.16.840.1.113883.3.1937.777.24.5.3|2.16.840.1.113883.3.1937.777.24.5.3.8,mii-provision-provision-code=urn:oid:2.16.840.1.113883.3.1937.777.24.5.3|2.16.840.1.113883.3.1937.777.24.5.3.9

findet alle Consent-Ressourcen mit Permit-Provision, bei denen der Provison-Code 2.16.840.1.113883.3.1937.777.24.5.3.8 oder auch der Provison-Code 2.16.840.1.113883.3.1937.777.24.5.3.9 gesetzt sind.

GET [base]/Consent?domain:identifier=MII&category=http://fhir.de/ConsentManagement/CodeSystem/TemplateType|CONSENT-OPT-IN&category=http://fhir.de/ConsentManagement/CodeSystem/ResultType|document

findet alle Consent-Ressourcen vom Typ "Einwilligung" in einer Domäne mii. Eine Consent-Ressource je Einwilligungssdokument. Das Bundle.Total gibt Aufschluss über die Anzahl der Einwilligungen.

GET [base]/Consent?category=http://fhir.de/ConsentManagement/CodeSystem/TemplateType|WITHDRAWAL&category=http://fhir.de/ConsentManagement/CodeSystem/ResultType|document

findet alle Consent-Ressourcen vom Typ "Widerruf". Eine Consent-Ressource je Widerrufsdokument. Das Bundle.Total gibt Aufschluss über die Anzahl der Widerrufe.

GET [base]/Consent?category=http://fhir.de/ConsentManagement/CodeSystem/TemplateType|REFUSAL&category=http://fhir.de/ConsentManagement/CodeSystem/ResultType|document

findet alle Consent-Ressourcen vom Typ "Ablehnung". Eine Consent-Ressource je Ablehnungsdokument. Das Bundle.Total gibt Aufschluss über die Anzahl der Ablehnungen.

GET [base]/Consent?domain:identifier=MII&category=http://fhir.de/ConsentManagement/CodeSystem/ResultType|consent-status

findet alle Consent-Ressourcen in der Domäne mii. Jede Consent-Ressource berücksichtigt alle relevanten Einwilligungs-, Widerrufs- und Ablehnungsdokumente für einen (!) Patienten. Die Consent Ressource mit ResultType consent-status aggregiert Einwilligungsinformationen und bezieht sich auf exakt einen Patienten und repräsentiert den aktuellen Einwilligungsstand des Patienten. **Gleichzeitig entspricht das Bundle.Total der Anzahl der Patienten für die mind. ein Dokument mit Einwilligungsinformationen (Einwilligung, Widerruf, Ablehnung) vorliegt.

Beispiel (vollständig)

<meta>

</meta>

</valueReference>

</extension>

</valueCoding>

</extension>

</coding>

</scope>

</coding>

</category>

</coding>

</category>

</coding>

</category>

</coding>

</category>

</patient>

</organization>

</policy>

</extension>

</policyRule>

</period>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.6" />
<display value="MDAT erheben" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.7" />
<display value="MDAT speichern verarbeiten" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.8" />
<display value="MDAT wissenschaftlich nutzen EU DSGVO NIVEAU" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.19" />
<display value="BIOMAT erheben" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.20" />
<display value="BIOMAT lagern verarbeiten" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.22" />
<display value="BIOMAT wissenschaftlich nutzen EU DSGVO NIVEAU" />

</coding>

</code>

</provision>

</Consent>

Beispiel mit mehrere Codes in einer Provision.

Dabei können auch die Gruppen der MII-Codes gemischt vorkommen. Es muss lediglich der selbe Gültigkeitszeitraum (provision.period) bestehen.

<meta>

</meta>

</valueReference>

</extension>

</valueCoding>

</extension>

</coding>

</scope>

</coding>

</category>

</coding>

</category>

</coding>

</category>

</coding>

</category>

</patient>

</organization>

</policy>

</extension>

</policyRule>

</period>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.6" />
<display value="MDAT_erheben" />

</coding>

</code>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.7" />
<display value="MDAT_speichern_verarbeiten" />

</coding>

</code>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.19" />
<display value="BIOMAT_erheben" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.8" />
<display value="MDAT_wissenschaftlich_nutzen_EU_DSGVO_NIVEAU" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.20" />
<display value="BIOMAT_lagern_verarbeiten" />

</coding>

</code>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.22" />
<display value="BIOMAT_wissenschaftlich_nutzen_EU_DSGVO_NIVEAU" />

</coding>

</code>

</provision>

</Consent>

Beispiel für eine Einwilligung (ResultType:document)

<meta>

</meta>

</valueReference>

</extension>

</valueCoding>

</extension>

</coding>

</scope>

</coding>

</category>

</coding>

</category>

</coding>

</category>

</coding>

</category>

</patient>

</organization>

</policy>

</extension>

</policyRule>

</period>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.6" />
<display value="MDAT_erheben" />

</coding>

</code>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.7" />
<display value="MDAT_speichern_verarbeiten" />

</coding>

</code>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.19" />
<display value="BIOMAT_erheben" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.8" />
<display value="MDAT_wissenschaftlich_nutzen_EU_DSGVO_NIVEAU" />

</coding>

</code>

</provision>

</period>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.20" />
<display value="BIOMAT_lagern_verarbeiten" />

</coding>

</code>

<code>

<system value="urn:oid:2.16.840.1.113883.3.1937.777.24.5.3" />
<code value="2.16.840.1.113883.3.1937.777.24.5.3.22" />
<display value="BIOMAT_wissenschaftlich_nutzen_EU_DSGVO_NIVEAU" />

</coding>

</code>

</provision>

</Consent>

Beispiel für eine MII-Einwilligung (ResultType:consent-status)

<meta>

</meta>

</valueReference>

</extension>

</valueCoding>

</extension>