eHealth Infrastructure (v2020.4)
A Consent resource is a record of a healthcare consumer’s policy choices, which permits or denies identified actors(s) or identified role(s) to perform one or more actions within a given policy context, for specific purpose(s) and period of time.
In the eHealth infrastructure a Consent resource is used
When a Patient gives a consent, this consent must be recorded as a Consent resource. This resource can be created by the Patient herself or by a Practitioner as a result of conversations or correspondence with the Patient.
eHealth operates with two categories of consents:
Category PITEOC: Consent given by a Patient to be enrolled into a telemedical EpisodeOfCare. This Consent is interpretated to also apply to all CarePlan instances related to the consented EpisodeOfCare.
Category SSLPCI: Consent given by a Patient to have his/her contact information (physical address and telecommunication endpoints) being disclosed to a specified actor supplying device(s) and service(s) to the Patient as part of an EpisodeOfCare and related CarePlan(s).
Consents of category PITEOC are expressed by creating a Consent resource with:
Consent.category.coding.system = "http://ehealth.sundhed.dk/cs/consent-category"Consent.category.coding.code = "PITEOC".Consents of category SSLPCI are expressed by creating a Consent resource with:
Consent.category.coding.system = "http://ehealth.sundhed.dk/cs/consent-category"Consent.category.coding.code = "SSLPCI".Business rules are built into eHealth infrastructure to ensure that data can only be processed or forwarded to other systems and actors when the proper Consent is given.
This means, that:
active if a Consent with category PITEOC has been given.submitted if a Consent with category SSLPCI has been given.In addition to the Consent.category element, the following elements must be set on a Consent resource for the policy enforcing business logic to take effect:
Consent.patient - the patient who is the subject of this consent (must coincide with the EpisodeOfCare.patient referenced by Consent.data.reference)Consent.data.reference - the EpisodeOfCare for which this Consent is in force.Consent.actor - the actor (Organization, CareTeam, Practitioner) whose behaviour is controlled by this consent.Consent.status - the status of this consent (only active consents are considered to be in force)Consent.period - the (possibly open-ended) period for which this consent is in force.For more information see the element descriptions in the snapshot table on this page and also see the example Consent resources on the Examples tab.
The update operation on Consent only accepts changes to the patient, category, data.reference, actor, status, and period contents.
The official URL for this profile is:
http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-consent
This profile builds on Consent.
This profile was published on Fri May 22 12:11:22 UTC 2020 as a draft by ehealth.sundhed.dk.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Consent
Summary
Mandatory: 6 elements
Structures
This structure refers to these other structures:
This structure is derived from Consent
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Consent | 0..* | Consent | Used to express a Consent regarding Healthcare. | |
  category | 1..* | CodeableConcept | Type of the consent statement Binding: Consent Category (required) | |
  coding | 0..* | Coding | Code defined by a terminology system Binding: Consent Category (required) | |
 patient | 1..1 | Reference(eHealth Patient) {r} | Who the consent applies to | |
| period | 1..1 | Period | Period that this consent applies | |
| start | 1..1 | dateTime | Starting time with inclusive boundary | |
| consentingParty | 1..* | Reference(eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Who is agreeing to the policy and exceptions | |
| actor | 1..* | BackboneElement | Who|what controlled by this consent (or group, by role) | |
| reference | 1..1 | Reference(eHealth Device | Group | eHealth CareTeam | eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Resource for the actor (or group, by role) | |
| organization | 0..* | Reference(eHealth Organization) {r} | Custodian of the consent | |
 source[x] | 0..1 | Source from which this consent is taken | ||
 sourceAttachment | Attachment | |||
| sourceIdentifier | Identifier | |||
| sourceReference | Reference(eHealth Consent | ehealth-documentreference | Contract | eHealth QuestionnaireResponse) | |||
| data | 1..* | BackboneElement | Data controlled by this consent | |
| reference | 1..1 | Reference(eHealth EpisodeOfCare) {r} | The actual data reference | |
| except | ||||
 actor | ||||
| reference | 1..1 | Reference(eHealth Device | Group | eHealth CareTeam | eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Resource for the actor (or group, by role) | |
| data | ||||
| reference | 1..1 | Reference(Resource) {r} | The actual data reference | |
| Documentation for this format | ||||
This structure is derived from Consent
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Consent | I | 0..* | Consent | Used to express a Consent regarding Healthcare. |
 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: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional Content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Identifier for this record (external references) Example General: {"system":"urn:ietf:rfc:3986","value":"Local eCMS identifier"} |
| status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required) |
| category | Σ | 1..* | CodeableConcept | Type of the consent statement Binding: Consent Category (required) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | Coding | Code defined by a terminology system Binding: Consent Category (required) |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| patient | Σ | 1..1 | Reference(eHealth Patient) {r} | Who the consent applies to |
| period | Σ | 1..1 | Period | Period that this consent applies |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| start | ΣI | 1..1 | dateTime | Starting time with inclusive boundary |
| end | ΣI | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| dateTime | Σ | 0..1 | dateTime | When this Consent was created or indexed |
| consentingParty | Σ | 1..* | Reference(eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Who is agreeing to the policy and exceptions |
| actor | ΣI | 1..* | BackboneElement | Who|what controlled by this consent (or group, by role) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| role | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible) | |
| reference | 1..1 | Reference(eHealth Device | Group | eHealth CareTeam | eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Resource for the actor (or group, by role) | |
| action | Σ | 0..* | CodeableConcept | Actions controlled by this consent Binding: Consent Action Codes (example) |
| organization | Σ | 0..* | Reference(eHealth Organization) {r} | Custodian of the consent |
| source[x] | Σ | 0..1 | Source from which this consent is taken | |
| sourceAttachment | Attachment | |||
| sourceIdentifier | Identifier | |||
| sourceReference | Reference(eHealth Consent | ehealth-documentreference | Contract | eHealth QuestionnaireResponse) | |||
| policy | I | 0..* | BackboneElement | Policies covered by this consent |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| authority | I | 0..1 | uri | Enforcement source for policy |
| uri | I | 0..1 | uri | Specific policy covered by this consent |
| policyRule | ΣI | 0..1 | uri | Policy that this consents to |
| securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible) |
| purpose | Σ | 0..* | Coding | Context of activities for which the agreement is made Binding: PurposeOfUse (extensible) |
| dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this consent |
| data | ΣI | 1..* | BackboneElement | Data controlled by this consent |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required) |
| reference | Σ | 1..1 | Reference(eHealth EpisodeOfCare) {r} | The actual data reference |
| except | ΣI | 0..* | BackboneElement | Additional rule - addition or removal of permissions |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| type | Σ | 1..1 | code | deny | permit Binding: ConsentExceptType (required) |
| period | Σ | 0..1 | Period | Timeframe for this exception |
| actor | ΣI | 0..* | BackboneElement | Who|what controlled by this exception (or group, by role) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| role | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible) | |
| reference | 1..1 | Reference(eHealth Device | Group | eHealth CareTeam | eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Resource for the actor (or group, by role) | |
| action | Σ | 0..* | CodeableConcept | Actions controlled by this exception Binding: Consent Action Codes (example) |
| securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible) |
| purpose | Σ | 0..* | Coding | Context of activities covered by this exception Binding: PurposeOfUse (extensible) |
| class | Σ | 0..* | Coding | e.g. Resource Type, Profile, or CDA etc Binding: Consent Content Class (extensible) |
| code | Σ | 0..* | Coding | e.g. LOINC or SNOMED CT code, etc in the content Binding: Consent Content Codes (example) |
| dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this exception |
| data | ΣI | 0..* | BackboneElement | Data controlled by this exception |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required) |
| reference | Σ | 1..1 | Reference(Resource) {r} | The actual data reference |
| Documentation for this format | ||||
This structure is derived from Consent
Summary
Mandatory: 6 elements
Structures
This structure refers to these other structures:
Differential View
This structure is derived from Consent
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Consent | 0..* | Consent | Used to express a Consent regarding Healthcare. | |
| category | 1..* | CodeableConcept | Type of the consent statement Binding: Consent Category (required) | |
| coding | 0..* | Coding | Code defined by a terminology system Binding: Consent Category (required) | |
| patient | 1..1 | Reference(eHealth Patient) {r} | Who the consent applies to | |
| period | 1..1 | Period | Period that this consent applies | |
| start | 1..1 | dateTime | Starting time with inclusive boundary | |
| consentingParty | 1..* | Reference(eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Who is agreeing to the policy and exceptions | |
| actor | 1..* | BackboneElement | Who|what controlled by this consent (or group, by role) | |
| reference | 1..1 | Reference(eHealth Device | Group | eHealth CareTeam | eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Resource for the actor (or group, by role) | |
| organization | 0..* | Reference(eHealth Organization) {r} | Custodian of the consent | |
| source[x] | 0..1 | Source from which this consent is taken | ||
| sourceAttachment | Attachment | |||
| sourceIdentifier | Identifier | |||
| sourceReference | Reference(eHealth Consent | ehealth-documentreference | Contract | eHealth QuestionnaireResponse) | |||
| data | 1..* | BackboneElement | Data controlled by this consent | |
| reference | 1..1 | Reference(eHealth EpisodeOfCare) {r} | The actual data reference | |
| except | ||||
| actor | ||||
| reference | 1..1 | Reference(eHealth Device | Group | eHealth CareTeam | eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Resource for the actor (or group, by role) | |
| data | ||||
| reference | 1..1 | Reference(Resource) {r} | The actual data reference | |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Consent | I | 0..* | Consent | Used to express a Consent regarding Healthcare. |
| 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: Common Languages (extensible) Max Binding: All Languages | |
| text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | Σ | 0..1 | Identifier | Identifier for this record (external references) Example General: {"system":"urn:ietf:rfc:3986","value":"Local eCMS identifier"} |
| status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required) |
| category | Σ | 1..* | CodeableConcept | Type of the consent statement Binding: Consent Category (required) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| coding | Σ | 0..* | Coding | Code defined by a terminology system Binding: Consent Category (required) |
| text | Σ | 0..1 | string | Plain text representation of the concept |
| patient | Σ | 1..1 | Reference(eHealth Patient) {r} | Who the consent applies to |
| period | Σ | 1..1 | Period | Period that this consent applies |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| start | ΣI | 1..1 | dateTime | Starting time with inclusive boundary |
| end | ΣI | 0..1 | dateTime | End time with inclusive boundary, if not ongoing |
| dateTime | Σ | 0..1 | dateTime | When this Consent was created or indexed |
| consentingParty | Σ | 1..* | Reference(eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Who is agreeing to the policy and exceptions |
| actor | ΣI | 1..* | BackboneElement | Who|what controlled by this consent (or group, by role) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| role | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible) | |
| reference | 1..1 | Reference(eHealth Device | Group | eHealth CareTeam | eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Resource for the actor (or group, by role) | |
| action | Σ | 0..* | CodeableConcept | Actions controlled by this consent Binding: Consent Action Codes (example) |
| organization | Σ | 0..* | Reference(eHealth Organization) {r} | Custodian of the consent |
| source[x] | Σ | 0..1 | Source from which this consent is taken | |
| sourceAttachment | Attachment | |||
| sourceIdentifier | Identifier | |||
| sourceReference | Reference(eHealth Consent | ehealth-documentreference | Contract | eHealth QuestionnaireResponse) | |||
| policy | I | 0..* | BackboneElement | Policies covered by this consent |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| authority | I | 0..1 | uri | Enforcement source for policy |
| uri | I | 0..1 | uri | Specific policy covered by this consent |
| policyRule | ΣI | 0..1 | uri | Policy that this consents to |
| securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible) |
| purpose | Σ | 0..* | Coding | Context of activities for which the agreement is made Binding: PurposeOfUse (extensible) |
| dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this consent |
| data | ΣI | 1..* | BackboneElement | Data controlled by this consent |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required) |
| reference | Σ | 1..1 | Reference(eHealth EpisodeOfCare) {r} | The actual data reference |
| except | ΣI | 0..* | BackboneElement | Additional rule - addition or removal of permissions |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| type | Σ | 1..1 | code | deny | permit Binding: ConsentExceptType (required) |
| period | Σ | 0..1 | Period | Timeframe for this exception |
| actor | ΣI | 0..* | BackboneElement | Who|what controlled by this exception (or group, by role) |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| role | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible) | |
| reference | 1..1 | Reference(eHealth Device | Group | eHealth CareTeam | eHealth Organization | eHealth Patient | eHealth Practitioner | eHealth RelatedPerson) {r} | Resource for the actor (or group, by role) | |
| action | Σ | 0..* | CodeableConcept | Actions controlled by this exception Binding: Consent Action Codes (example) |
| securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: All Security Labels (extensible) |
| purpose | Σ | 0..* | Coding | Context of activities covered by this exception Binding: PurposeOfUse (extensible) |
| class | Σ | 0..* | Coding | e.g. Resource Type, Profile, or CDA etc Binding: Consent Content Class (extensible) |
| code | Σ | 0..* | Coding | e.g. LOINC or SNOMED CT code, etc in the content Binding: Consent Content Codes (example) |
| dataPeriod | Σ | 0..1 | Period | Timeframe for data controlled by this exception |
| data | ΣI | 0..* | BackboneElement | Data controlled by this exception |
| id | 0..1 | string | xml:id (or equivalent in JSON) | |
| extension | 0..* | Extension | Additional Content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored |
| meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ConsentDataMeaning (required) |
| reference | Σ | 1..1 | Reference(Resource) {r} | The actual data reference |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| Consent.language | extensible | Common Languages Max Binding: All Languages |
| Consent.status | required | ConsentState |
| Consent.category | required | ConsentCategory |
| Consent.category.coding | required | ConsentCategory |
| Consent.actor.role | extensible | SecurityRoleType |
| Consent.action | example | Consent Action Codes |
| Consent.securityLabel | extensible | All Security Labels |
| Consent.purpose | extensible | PurposeOfUse |
| Consent.data.meaning | required | ConsentDataMeaning |
| Consent.except.type | required | ConsentExceptType |
| Consent.except.actor.role | extensible | SecurityRoleType |
| Consent.except.action | example | Consent Action Codes |
| Consent.except.securityLabel | extensible | All Security Labels |
| Consent.except.purpose | extensible | PurposeOfUse |
| Consent.except.class | extensible | Consent Content Class |
| Consent.except.code | example | Consent Content Codes |
| Consent.except.data.meaning | required | ConsentDataMeaning |
| Id | Path | Details | Requirements |
| dom-2 | Consent | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | Consent | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | 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-3 | Consent | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| ppc-1 | Consent | Either a Policy or PolicyRule : policy.exists() or policyRule.exists() | |
| ele-1 | Consent.actor | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Consent.policy | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Consent.data | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Consent.except | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Consent.except.actor | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Consent.except.data | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |