<CodeSystem xmlns="http://hl7.org/fhir">
  <id value="England-ConsentStatusReason" />
  <url value="https://fhir.nhs.uk/England/CodeSystem/England-ConsentStatusReason" />
  <version value="0.2.0" />
  <name value="EnglandConsentStatusReason" />
  <title value="England Consent Status Reason" />
  <status value="draft" />
  <date value="2026-05-08" />
  <publisher value="NHS England" />
  <contact>
    <name value="NHS England" />
    <telecom>
      <system value="email" />
      <value value="interoperabilityteam@nhs.net" />
      <use value="work" />
      <rank value="1" />
    </telecom>
  </contact>
  <description value="A CodeSystem that defines reasons explaining why a Consent resource is in a given status as part of the National Proxy Programme." />
  <copyright value="Copyright © 2025+ NHS England Licensed under the Apache License, Version 2.0 (the &quot;License&quot;). You may not use this file except in compliance with the License. You may obtain a copy of the License at http://www.apache.org/licenses/LICENSE-2.0. Unless required by applicable law or agreed to in writing, software distributed under the License is distributed on an &quot;AS IS&quot; BASIS, WITHOUT WARRANTIES OR CONDITIONS OF ANY KIND, either express or implied. See the License for the specific language governing permissions and limitations under the License. HL7® FHIR® standard Copyright © 2011+ HL7. The HL7® FHIR® standard is used under the FHIR license. You may obtain a copy of the FHIR license at https://www.hl7.org/fhir/license.html." />
  <caseSensitive value="true" />
  <content value="complete" />
  <concept>
    <code value="APPLICATION_SUBMITTED" />
    <display value="Application submitted online" />
  </concept>
  <concept>
    <code value="APPLICATION_RESUBMITTED" />
    <display value="Application re-submitted" />
  </concept>
  <concept>
    <code value="APPLICATION_WITHDRAWN" />
    <display value="Proxy application withdrawn" />
  </concept>
  <concept>
    <code value="ROLE_CREATED" />
    <display value="Role created" />
  </concept>
  <concept>
    <code value="ROLE_ACTIVATED" />
    <display value="Role activated" />
  </concept>
  <concept>
    <code value="APPLICATION_REJECTED_NOT_NEEDED" />
    <display value="Proxy support not required" />
  </concept>
  <concept>
    <code value="APPLICATION_REJECTED_SAFEGUARDING" />
    <display value="Safeguarding concern identified" />
  </concept>
  <concept>
    <code value="APPLICATION_REJECTED_IDENTITY_NOT_VERIFIED" />
    <display value="Proxy identity not verified" />
  </concept>
  <concept>
    <code value="APPLICATION_REJECTED_NO_CONSENT" />
    <display value="Patient does not consent" />
  </concept>
  <concept>
    <code value="APPLICATION_REJECTED_COERCION" />
    <display value="Coercion concern identified" />
  </concept>
  <concept>
    <code value="APPLICATION_REJECTED_PROXY_LACKS_CAPACITY" />
    <display value="Proxy lacks capacity" />
  </concept>
  <concept>
    <code value="APPLICATION_REJECTED_PROXY_ABROAD" />
    <display value="Proxy lives abroad" />
  </concept>
  <concept>
    <code value="APPLICATION_REJECTED_NO_LEGAL_BASIS" />
    <display value="Relationship or legal basis not proven" />
  </concept>
  <concept>
    <code value="OTHER" />
    <display value="Other reason" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_SAFEGUARDING" />
    <display value="Safeguarding concern" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_PATIENT_REQUEST" />
    <display value="At patient request" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_END_DATE_REACHED" />
    <display value="End date reached" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_INACTIVE_ROLE" />
    <display value="Role no longer in use" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_PATIENT_DECEASED" />
    <display value="Patient deceased" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_PROXY_DECEASED" />
    <display value="Proxy deceased" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_FAMILIAL_REASON" />
    <display value="Family reason or circumstance" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_CHANGE_IN_RELATIONSHIP" />
    <display value="Change in relationship" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_PROXY_LACKS_CAPACITY" />
    <display value="Proxy lacks capacity" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_SYSTEM_MISUSE" />
    <display value="Misuse of system" />
  </concept>
  <concept>
    <code value="ROLE_SUSPENDED_PENDING_REVIEW" />
    <display value="Suspended pending review" />
  </concept>
  <concept>
    <code value="ROLE_REACTIVATED" />
    <display value="Role reactivated" />
  </concept>
  <concept>
    <code value="N/A" />
    <display value="N/A" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_PATIENT_GP_TRANSFERRED" />
    <display value="Patient transferred GP practice" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_PROXY_GP_TRANSFERRED" />
    <display value="Proxy transferred GP practice" />
  </concept>
  <concept>
    <code value="ROLE_DEACTIVATED_PROXY_ABROAD" />
    <display value="Proxy lives abroad" />
  </concept>
</CodeSystem>