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<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="consent-as-contract" />
  <text>
    <status value="generated" />
    <div xmlns="http://www.w3.org/1999/xhtml"></div>
  </text>
  <url value="http://hl7.org/fhir/StructureDefinition/consent-as-contract" />
  <version value="1" />
  <name value="Consent using Contract" />
  <status value="draft" />
  <publisher value="TBD" />
  <contact>
    <name value="Ioana Singureanu" />
  </contact>
  <date value="2018-05-10T14:46:00-05:00" />
  <description value="This profile specifies how to use the DSTU2 Contract resource to represent and persist patient consent directives for purposes such as treatment or research according to applicable laws, regulations, and/or patient privacy preferences." />
  <copyright value="TBD" />
  <fhirVersion value="1.0.2" />
  <kind value="resource" />
  <constrainedType value="Contract" />
  <abstract value="false" />
  <base value="http://hl7.org/fhir/StructureDefinition/Contract" />
  <differential>
    <element>
      <path value="Contract" />
      <comments value="This is a profile of the Contract resource." />
      <min value="1" />
      <max value="1" />
    </element>
    <element>
      <path value="Contract.identifier" />
      <comments value="If the naming system is missing, the identifier should be a GUID. This identifier may be used to reference the consent in patient's electronic medical records or a paper consent form/document." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.identifier.use" />
      <min value="0" />
      <max value="0" />
    </element>
    <element>
      <path value="Contract.identifier.type" />
      <min value="0" />
      <max value="0" />
    </element>
    <element>
      <path value="Contract.identifier.system" />
      <comments value="If the system is missing, the identifier should be a GUID" />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.identifier.value" />
      <comments value="Consent identifier referenced by documents and applications." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.identifier.period" />
      <min value="0" />
      <max value="0" />
    </element>
    <element>
      <path value="Contract.identifier.assigner" />
      <min value="0" />
      <max value="0" />
    </element>
    <element>
      <path value="Contract.issued" />
      <comments value="This data element indicates when the consent was created." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.applies" />
      <comments value="This data element is used to specify when the consent goes into effect (Contract.applies.start) and expires (Contract.applies.end)." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.applies.start" />
      <comments value="The date the consent becomes active." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.applies.end" />
      <comments value="The date the consent expires or was revoked." />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.subject" />
      <comments value="This data element is used to specify the patient whose records are affected by the consent. The reference may be to a Patient resource on the server or a contained resource, depending on the implementation. If this reference is incorrect, the FHIR server will return an error when the Contract resource is created or updated." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Patient" />
      </type>
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.authority" />
      <comments value="This data element references the organization that holds the information covered by consent. The reference may be to an Organization resource on the server or a contained resource, depending on the implementation." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.type" />
      <comments value="This data element is fixed to 'disclosure', which indicates that the patient is consenting to the disclosure of protected health information." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.type.coding" />
      <comments value="This data element is bound to the contract-type value set (http://hl7.org/fhir/ValueSet/contract-type) and the code is fixed to 'disclosure'." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="required" />
        <valueSetUri value="http://hl7.org/fhir/ValueSet/contract-type" />
      </binding>
    </element>
    <element>
      <path value="Contract.type.coding.system" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="http://hl7.org/fhir/contracttypecodes" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.type.coding.version" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.type.coding.code" />
      <min value="1" />
      <max value="1" />
      <fixedCode value="disclosure" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.type.coding.display" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.type.coding.userSelected" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.type.text" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.subType" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.action" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.actionReason" />
      <comments value="The reason for disclosure stipulated by the patient’s consent. This data element specifies the &quot;Purpose of use&quot; for the disclosure of protected health information (e.g. TREAT for treatment, HRESCH for research)" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actionReason.coding" />
      <comments value="The value set binding is set to purpose-of-use: http://hl7.org/fhir/ValueSet/v3-PurposeOfUse" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
      <binding>
        <strength value="extensible" />
        <valueSetUri value="http://hl7.org/fhir/ValueSet/v3-PurposeOfUse" />
      </binding>
    </element>
    <element>
      <path value="Contract.actionReason.coding.system" />
      <comments value="The coding system is fixed to: http://hl7.org/fhir/v3/ActReason" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="http://hl7.org/fhir/v3/ActReason" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actionReason.coding.version" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.actionReason.coding.code" />
      <comments value="PurposeOfUse code: TREAT for 'treatment', HRESCH for 'research', etc." />
      <min value="1" />
      <max value="1" />
      <exampleCode value="TREAT" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actionReason.coding.display" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.actionReason.coding.userSelected" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.actionReason.text" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Actor" />
      </extension>
      <path value="Contract.actor" />
      <comments value="Intended recipients of the data referenced in the consent. Typically the reference is to a Practitioner or Organization resource, but a RelatedPerson (e.g. next-of-kin) may also be applicable. The reference may be to a resource on the server or a contained resource, depending on the implementation." />
      <min value="1" />
      <max value="*" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actor.entity" />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Organization" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
      </type>
      <type>
        <code value="Reference" />
        <profile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
      </type>
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actor.role" />
      <comments value="An optional role for the actor receiving the disclosed protected health information. If this element is used, the code is fixed to IRCP (information recipient) from the ParticipationType value set (http://hl7.org/fhir/ValueSet/v3-ParticipationType)." />
      <min value="0" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actor.role.coding" />
      <comments value="DSTU2 does not provide a value set binding for this data element. Therefore implementers are advised to use IRCP to specify the information recipient(s)using coding system: http://hl7.org/fhir/v3/ParticipationType" />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actor.role.coding.system" />
      <min value="1" />
      <max value="1" />
      <fixedUri value="http://hl7.org/fhir/v3/ParticipationType" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actor.role.coding.version" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.actor.role.coding.code" />
      <comments value="The role of the actor(s) as the recipient(s) of the disclosure, the code is set to IRCP." />
      <min value="1" />
      <max value="1" />
      <fixedCode value="IRCP" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.actor.role.coding.display" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.actor.role.coding.userSelected" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.actor.role.text" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ValuedItem" />
      </extension>
      <path value="Contract.valuedItem" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Signatory" />
      </extension>
      <path value="Contract.signer" />
      <comments value="This data element is used to indicate who signed the consent. The signer may be the patient or their proxy. Therefore, this data element references a Patient resource or RelatedPerson resource. The reference may be to a resource on the server or a contained resource, depending on the implementation." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="Term" />
      </extension>
      <path value="Contract.term" />
      <comments value="This optional data element enables granular consent; it specifies the type of protected health information that may be disclosed per the patient’s consent using a reference to a List resource. The reference may be to a resource on the server or a contained resource, depending on the implementation." />
      <min value="0" />
      <max value="*" />
      <meaningWhenMissing value="If Contract.term is missing, the consent is intended to cover all/any protected health information for the patient referenced in Contract.subject." />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.term.identifier" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.term.issued" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.term.applies" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.term.type" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.term.subType" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.term.subject" />
      <comments value="This data element contains a reference to a List resource that specifies the categories of information covered by the patient’s consent. The List SHALL conform to the List of Consent Items profile." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
      </type>
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.term.subject.reference" />
      <comments value="This data element is a reference to the contained List resource for granular consent choices." />
      <min value="1" />
      <max value="1" />
      <mustSupport value="true" />
    </element>
    <element>
      <path value="Contract.term.action" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.term.actionReason" />
      <min value="0" />
      <max value="0" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="TermActor" />
      </extension>
      <path value="Contract.term.actor" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.term.text" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="TermValuedItem" />
      </extension>
      <path value="Contract.term.valuedItem" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.term.group" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <path value="Contract.binding[x]" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="FriendlyLanguage" />
      </extension>
      <path value="Contract.friendly" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="LegalLanguage" />
      </extension>
      <path value="Contract.legal" />
      <min value="0" />
      <max value="0" />
      <mustSupport value="false" />
    </element>
    <element>
      <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name">
        <valueString value="ComputableLanguage" />
      </extension>
      <path value="Contract.rule" />
      <comments value="This optional data element is used to specify an alternative representation of the consent (e.g. XACML, OAuth2, PDF)." />
      <min value="0" />
      <max value="1" />
    </element>
  </differential>
</StructureDefinition>

name : Consent using Contract

{

}

<name value="Consent using Contract" />