MyHealth@Eu Patient Summary
1.0.0-poc - qa-preview 150

MyHealth@Eu Patient Summary - Downloaded Version 1.0.0-poc See the Directory of published versions

## Resource Profile: Advance Directive: MyHealth@EU EPS

Official URL: http://fhir.ehdsi.eu/eps/StructureDefinition/advance-directive-myhealtheu-eps | Version: 1.0.0-poc
Standards status: Draft | Maturity Level: 1 | Computable Name: AdvanceDirectiveMyHealthEuEps
Copyright/Legal: Copyright European Union, represented by the European Commission - DG SANTE. Licenced under CC-BY-4.0.

This profile constrains the Consent resource to represent Advance Directives for the purpose of the MyHealth@EU EPS.

Usages:

- Use this Profile: Bundle: MyHealth@EU EPS
- Refer to this Profile: Composition: MyHealth@EU EPS
- Examples for this Profile: Consent/2d3400fc-31e8-4cb7-9f41-7b2d8cfb8125

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

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

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

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent | C | 0..* | ConsentEuEps | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | The current state of this will. Binding: ConsentState (required): Indicates the state of the consent.
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adr
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 1..* | CodeableConcept | Living will type Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient | Σ | 0..1 | Reference(Patient: MyHealth@EU EPS) | Who the consent applies to
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | extensible | Consent Category Codes | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from ConsentEuEps

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | ConsentEuEps | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
patient |  | 0..1 | Reference(Patient: MyHealth@EU EPS) | Who the consent applies to
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent | C | 0..* | ConsentEuEps | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
value[x] |  | 0..1 | Reference(Condition) | Related conditions
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status | ?!Σ | 1..1 | code | The current state of this will. Binding: ConsentState (required): Indicates the state of the consent.
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adr
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 1..* | CodeableConcept | Living will type Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient | Σ | 0..1 | Reference(Patient: MyHealth@EU EPS) | Who the consent applies to
dateTime | Σ | 0..1 | dateTime | When this Living will was created or indexed
performer | Σ | 0..* | Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Who is agreeing to this policy and rules
organization | Σ | 0..* | Reference(Organization) | Custodian of the consent
source[x] | Σ | 0..1 |  | Living will document
sourceAttachment |  |  | Attachment |
sourceReference |  |  | Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) |
policy |  | 0..* | BackboneElement | Policies covered by this consent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
authority | C | 0..1 | uri | Enforcement source for policy
uri | C | 0..1 | uri | Specific policy covered by this consent
policyRule | Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification | Σ | 0..* | BackboneElement | Consent Verified by patient or family
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verifiedWith |  | 0..1 | Reference(Patient | RelatedPerson) | Person who verified
verificationDate |  | 0..1 | dateTime | When consent verified
provision | Σ | 0..1 | BackboneElement | Constraints to the base Consent.policyRule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..1 | code | deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period | Σ | 0..1 | Period | Timeframe for this rule
actor |  | 0..* | BackboneElement | Who|what controlled by this rule (or group, by role)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role |  | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference |  | 1..1 | Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Resource for the actor (or group, by role)
action | Σ | 0..* | CodeableConcept | Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose | Σ | 0..* | Coding | Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code | Σ | 0..* | CodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this rule
data | Σ | 0..* | BackboneElement | Data controlled by this rule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference | Σ | 1..1 | Reference(Resource) | The actual data reference
provision |  | 0..* | See provision (Consent) | Nested Exception Rules
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | extensible | Consent Category Codes | 📍4.0.1 | FHIR Std.
Consent.policyRule | Base | extensible | Consent PolicyRule Codes | 📍4.0.1 | FHIR Std.
Consent.provision.type | Base | required | ConsentProvisionType | 📍4.0.1 | FHIR Std.
Consent.provision.actor.​role | Base | extensible | SecurityRoleType | 📍4.0.1 | FHIR Std.
Consent.provision.action | Base | example | Consent Action Codes | 📍4.0.1 | FHIR Std.
Consent.provision.securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Consent.provision.purpose | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.2
Consent.provision.class | Base | extensible | Consent Content Class | 📍4.0.1 | FHIR Std.
Consent.provision.code | Base | example | Consent Content Codes | 📍4.0.1 | FHIR Std.
Consent.provision.data.​meaning | Base | required | ConsentDataMeaning | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from ConsentEuEps

Summary

Structures

This structure refers to these other structures:

- Patient: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/patient-myhealtheu-eps)

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent | C | 0..* | ConsentEuEps | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
Slices for extension |  |  |  | Content/Rules for all slices
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | The current state of this will. Binding: ConsentState (required): Indicates the state of the consent.
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adr
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 1..* | CodeableConcept | Living will type Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient | Σ | 0..1 | Reference(Patient: MyHealth@EU EPS) | Who the consent applies to
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | extensible | Consent Category Codes | 📍4.0.1 | FHIR Std.

#### Constraints

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

Differential View

This structure is derived from ConsentEuEps

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent |  | 0..* | ConsentEuEps | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
patient |  | 0..1 | Reference(Patient: MyHealth@EU EPS) | Who the consent applies to
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Consent | C | 0..* | ConsentEuEps | A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url
extension:note |  | 0..* | Annotation | Comment URL: http://hl7.org/fhir/StructureDefinition/note
extension:relatedCondition |  | 0..* | (Complex) | Consent: Related Condition URL: http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "http://hl7.eu/fhir/StructureDefinition/consent-relatedCondition"
value[x] |  | 0..1 | Reference(Condition) | Related conditions
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier | Σ | 0..* | Identifier | Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status | ?!Σ | 1..1 | code | The current state of this will. Binding: ConsentState (required): Indicates the state of the consent.
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: adr
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
category | Σ | 1..* | CodeableConcept | Living will type Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.
patient | Σ | 0..1 | Reference(Patient: MyHealth@EU EPS) | Who the consent applies to
dateTime | Σ | 0..1 | dateTime | When this Living will was created or indexed
performer | Σ | 0..* | Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Who is agreeing to this policy and rules
organization | Σ | 0..* | Reference(Organization) | Custodian of the consent
source[x] | Σ | 0..1 |  | Living will document
sourceAttachment |  |  | Attachment |
sourceReference |  |  | Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) |
policy |  | 0..* | BackboneElement | Policies covered by this consent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
authority | C | 0..1 | uri | Enforcement source for policy
uri | C | 0..1 | uri | Specific policy covered by this consent
policyRule | Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification | Σ | 0..* | BackboneElement | Consent Verified by patient or family
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verifiedWith |  | 0..1 | Reference(Patient | RelatedPerson) | Person who verified
verificationDate |  | 0..1 | dateTime | When consent verified
provision | Σ | 0..1 | BackboneElement | Constraints to the base Consent.policyRule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..1 | code | deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.
period | Σ | 0..1 | Period | Timeframe for this rule
actor |  | 0..* | BackboneElement | Who|what controlled by this rule (or group, by role)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role |  | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference |  | 1..1 | Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Resource for the actor (or group, by role)
action | Σ | 0..* | CodeableConcept | Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose | Σ | 0..* | Coding | Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code | Σ | 0..* | CodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this rule
data | Σ | 0..* | BackboneElement | Data controlled by this rule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference | Σ | 1..1 | Reference(Resource) | The actual data reference
provision |  | 0..* | See provision (Consent) | Nested Exception Rules
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | extensible | Consent Category Codes | 📍4.0.1 | FHIR Std.
Consent.policyRule | Base | extensible | Consent PolicyRule Codes | 📍4.0.1 | FHIR Std.
Consent.provision.type | Base | required | ConsentProvisionType | 📍4.0.1 | FHIR Std.
Consent.provision.actor.​role | Base | extensible | SecurityRoleType | 📍4.0.1 | FHIR Std.
Consent.provision.action | Base | example | Consent Action Codes | 📍4.0.1 | FHIR Std.
Consent.provision.securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Consent.provision.purpose | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.2
Consent.provision.class | Base | extensible | Consent Content Class | 📍4.0.1 | FHIR Std.
Consent.provision.code | Base | example | Consent Content Codes | 📍4.0.1 | FHIR Std.
Consent.provision.data.​meaning | Base | required | ConsentDataMeaning | 📍4.0.1 | FHIR Std.

#### Constraints

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

This structure is derived from ConsentEuEps

Summary

Structures

This structure refers to these other structures:

- Patient: MyHealth@EU EPS (http://fhir.ehdsi.eu/eps/StructureDefinition/patient-myhealtheu-eps)

Maturity: 1

Other representations of profile: CSV, Excel, Schematron