<status value="draft" /> <date value="2025-12-23" /> <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="An extension used to provide context to clinicians as to why the role is in a given status" /> <purpose value="This extension supports National Proxy Programme use cases by allowing systems to communicate a structured and human-readable reason for the current Consent.status, improving transparency, clinical understanding, and workflow decision-making." /> <copyright value="Copyright © 2025+ HL7 UK Licensed under the Apache License, Version 2.0 (the "License"); 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 "AS IS" 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." /> <fhirVersion value="4.0.1" /> <mapping> <identity value="rim" /> <uri value="http://hl7.org/v3" /> <name value="RIM Mapping" /> </mapping> <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="Reason explaining why the consent is in its current status." /> <max value="1" /> </element> <element id="Extension.extension"> <path value="Extension.extension" /> <max value="0" /> </element> <element id="Extension.url"> <path value="Extension.url" /> <fixedUri value="https://fhir.nhs.uk/England/StructureDefinition/Extension-England-Consent-Status-Reason" /> </element> <element id="Extension.value[x]"> <path value="Extension.value[x]" /> <short value="A coded and/or free-text reason explaining the current Consent status." /> <min value="1" /> <type> <code value="CodeableConcept" /> </type> </element> </differential> </StructureDefinition>