<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ext-consents" />
  <url value="https://vitalhub.com/fhir/StructureDefinition/ext-consents" />
  <name value="ConsentsExtension" />
  <status value="draft" />
  <fhirVersion value="4.0.1" />
  <kind value="complex-type" />
  <abstract value="false" />
  <context>
    <type value="element" />
    <expression value="Consent" />
  </context>
  <type value="Extension" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Extension" />
  <derivation value="constraint" />
  <differential>
    <element id="Extension">
      <path value="Extension" />
      <short value="Consents extension" />
      <definition value="Captures additional consent details such as notes, disclosures, and refusals." />
    </element>
    <element id="Extension.url">
      <path value="Extension.url" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="https://vitalhub.com/fhir/StructureDefinition/ext-consents" />
    </element>
    <element id="Extension.extension">
      <path value="Extension.extension" />
      <slicing>
        <discriminator>
          <type value="value" />
          <path value="url" />
        </discriminator>
        <ordered value="false" />
        <rules value="open" />
      </slicing>
      <min value="0" />
      <max value="*" />
    </element>
    <element id="Extension.extension:AdditionalNotes">
      <path value="Extension.extension" />
      <sliceName value="AdditionalNotes" />
      <short value="Additional Notes" />
      <definition value="Additional notes related to consent." />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Extension.extension:AdditionalNotes.url">
      <path value="Extension.extension.url" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="https://vitalhub.com/fhir/StructureDefinition/ext-consents#AdditionalNotes" />
    </element>
    <element id="Extension.extension:AdditionalNotes.extension:Notes">
      <path value="Extension.extension.extension" />
      <sliceName value="Notes" />
      <short value="Notes" />
      <definition value="Free-text notes." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element id="Extension.extension:AdditionalNotes.extension:Start">
      <path value="Extension.extension.extension" />
      <sliceName value="Start" />
      <short value="Start datetime" />
      <definition value="Start date/time for the note." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Extension.extension:AdditionalNotes.extension:End">
      <path value="Extension.extension.extension" />
      <sliceName value="End" />
      <short value="End datetime" />
      <definition value="End date/time for the note." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Extension.extension:InformationDisclosure">
      <path value="Extension.extension" />
      <sliceName value="InformationDisclosure" />
      <short value="Information Disclosure" />
      <definition value="Consent for information disclosure." />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Extension.extension:InformationDisclosure.url">
      <path value="Extension.extension.url" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="https://vitalhub.com/fhir/StructureDefinition/ext-consents#InformationDisclosure" />
    </element>
    <element id="Extension.extension:InformationDisclosure.extension:Notes">
      <path value="Extension.extension.extension" />
      <sliceName value="Notes" />
      <short value="Notes" />
      <definition value="Free-text notes." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element id="Extension.extension:InformationDisclosure.extension:Start">
      <path value="Extension.extension.extension" />
      <sliceName value="Start" />
      <short value="Start datetime" />
      <definition value="Start date/time for disclosure." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Extension.extension:InformationDisclosure.extension:End">
      <path value="Extension.extension.extension" />
      <sliceName value="End" />
      <short value="End datetime" />
      <definition value="End date/time for disclosure." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Extension.extension:InformationDisclosure.extension:Reason">
      <path value="Extension.extension.extension" />
      <sliceName value="Reason" />
      <short value="Reason" />
      <definition value="Reason for disclosure." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element id="Extension.extension:RefusedService">
      <path value="Extension.extension" />
      <sliceName value="RefusedService" />
      <short value="Refused Service" />
      <definition value="Consent refusal of service." />
      <min value="0" />
      <max value="1" />
    </element>
    <element id="Extension.extension:RefusedService.url">
      <path value="Extension.extension.url" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="https://vitalhub.com/fhir/StructureDefinition/ext-consents#RefusedService" />
    </element>
    <element id="Extension.extension:RefusedService.extension:Notes">
      <path value="Extension.extension.extension" />
      <sliceName value="Notes" />
      <short value="Notes" />
      <definition value="Free-text notes." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element id="Extension.extension:RefusedService.extension:Start">
      <path value="Extension.extension.extension" />
      <sliceName value="Start" />
      <short value="Start datetime" />
      <definition value="Start date/time for refusal." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Extension.extension:RefusedService.extension:End">
      <path value="Extension.extension.extension" />
      <sliceName value="End" />
      <short value="End datetime" />
      <definition value="End date/time for refusal." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Extension.extension:RefusedService.extension:Reason">
      <path value="Extension.extension.extension" />
      <sliceName value="Reason" />
      <short value="Reason" />
      <definition value="Reason for refusal." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
    </element>
    <element id="Extension.extension:ConsentToShareMHAIE">
      <path value="Extension.extension" />
      <sliceName value="ConsentToShareMHAIE" />
      <short value="ConsentToShareMHAIE" />
      <definition value="Consent to Share to the MHAIE" />
      <min value="1" />
      <max value="1" />
    </element>
    <element id="Extension.extension:ConsentToShareMHAIE.url">
      <path value="Extension.extension.url" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="https://vitalhub.com/fhir/StructureDefinition/ext-consents#ConsentToShareMHAIE" />
    </element>
    <element id="Extension.extension:ConsentToShareMHAIE.valueBoolean">
      <path value="Extension.extension.valueBoolean" />
      <short value="Consent flag" />
      <definition value="True if consent to share with MHAIE is granted, false if not." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="boolean" />
      </type>
    </element>
    <element id="Extension.extension:ConsentToShareMHAIE.extension:Start">
      <path value="Extension.extension.extension" />
      <sliceName value="Start" />
      <short value="Start datetime" />
      <definition value="Start date/time for refusal." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Extension.extension:ConsentToShareMHAIE.extension:End">
      <path value="Extension.extension.extension" />
      <sliceName value="End" />
      <short value="End datetime" />
      <definition value="End date/time for refusal." />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
    </element>
    <element id="Extension.extension:ConsentToShareMHAIE.extension:RestrictedOrgs">
      <path value="Extension.extension.extension" />
      <sliceName value="RestrictedOrgs" />
      <short value="RestrictedOrgs" />
      <definition value="Organizations who will not access this data" />
      <min value="0" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <strength value="required" />
        <valueSet value="https://vitalhub.com/fhir/ValueSet/vs-Organizations" />
      </binding>
    </element>
  </differential>
</StructureDefinition>