<status value="active" /> <description value="PCM consent resource. Created by a Service Provider Organization with status 'proposed'. Status is later controlled by the patient (active/rejected) and by PCM on expiration (inactive). Service providers may set status to 'inactive' only for consents they created; deletion is not allowed. Search/get is limited to PCM administrators and the requesting provider." /> <fhirVersion value="4.0.1" /> <kind value="resource" /> <abstract value="false" /> <type value="Consent" /> <baseDefinition value="http://fhir.health.gov.il/StructureDefinition/il-core-consent" /> <derivation value="constraint" /> <differential> <element id="Consent.extension"> <path value="Consent.extension" /> <slicing> <discriminator> <type value="value" /> <path value="url" /> </discriminator> <ordered value="false" /> <rules value="open" /> </slicing> <min value="1" /> </element> <element id="Consent.extension:pcmService"> <path value="Consent.extension" /> <sliceName value="pcmService" /> <comment value="Set on creation. Reference to the HealthcareService instance that the provider is requesting consent for." /> <min value="1" /> <max value="1" /> <type> <code value="Extension" /> <profile value="http://pcm.fhir.health.gov.il/StructureDefinition/ext-pcm-service" /> </type> </element> <element id="Consent.identifier"> <path value="Consent.identifier" /> <comment value="Stable business identifier for the consent (do not rely on resource.id for business workflows)." /> </element> <element id="Consent.identifier.use"> <path value="Consent.identifier.use" /> <min value="1" /> <fixedCode value="official" /> </element> <element id="Consent.identifier.system"> <path value="Consent.identifier.system" /> <min value="1" /> <fixedUri value="http://pcm.fhir.health.gov.il/identifier/pcm-consent-id" /> </element> <element id="Consent.identifier.value"> <path value="Consent.identifier.value" /> <min value="1" /> </element> <element id="Consent.status"> <path value="Consent.status" /> <comment value="Created by provider as 'proposed'. Patient can change to 'active' or 'rejected'. PCM sets to 'inactive' after expiration. Service providers may set to 'inactive' only for consents they created; deletion is not allowed." /> <binding> <strength value="required" /> <valueSet value="http://pcm.fhir.health.gov.il/ValueSet/pcm-consent-status" /> </binding> </element> <element id="Consent.scope"> <path value="Consent.scope" /> <comment value="PCM consent is a privacy consent for information access." /> </element> <element id="Consent.scope.coding"> <path value="Consent.scope.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Consent.scope.coding.system"> <path value="Consent.scope.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/consentscope" /> </element> <element id="Consent.scope.coding.code"> <path value="Consent.scope.coding.code" /> <min value="1" /> <fixedCode value="patient-privacy" /> </element> <element id="Consent.category"> <path value="Consent.category" /> <slicing> <discriminator> <type value="value" /> <path value="coding.system" /> </discriminator> <rules value="open" /> </slicing> <binding> <strength value="extensible" /> <valueSet value="http://pcm.fhir.health.gov.il/ValueSet/pcm-consent-category" /> </binding> </element> <element id="Consent.category:actCode"> <path value="Consent.category" /> <sliceName value="actCode" /> <short value="ActCode category (optional informational category)." /> <min value="0" /> <max value="1" /> </element> <element id="Consent.category:actCode.coding.system"> <path value="Consent.category.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/v3-ActCode" /> </element> <element id="Consent.category:actCode.coding.code"> <path value="Consent.category.coding.code" /> <fixedCode value="INFA" /> </element> <element id="Consent.category:accessMode"> <path value="Consent.category" /> <sliceName value="accessMode" /> <short value="Access mode copied from the HealthcareService catalog." /> <comment value="PCM copies the access mode (#one-time or #continuous) from the selected HealthcareService into this category coding." /> <min value="0" /> <max value="1" /> <binding> <strength value="required" /> <valueSet value="http://pcm.fhir.health.gov.il/ValueSet/pcm-access-mode" /> </binding> </element> <element id="Consent.category:accessMode.coding"> <path value="Consent.category.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Consent.category:accessMode.coding.system"> <path value="Consent.category.coding.system" /> <min value="1" /> <fixedUri value="http://fhir.health.gov.il/cs/pcm-consent-access-mode" /> </element> <element id="Consent.category:accessMode.coding.code"> <path value="Consent.category.coding.code" /> <min value="1" /> <binding> <strength value="required" /> <valueSet value="http://pcm.fhir.health.gov.il/ValueSet/pcm-access-mode" /> </binding> </element> <element id="Consent.patient"> <path value="Consent.patient" /> <comment value="Always a logical reference (identifier only). The identifier.system can be IL national-id or a passport system URI (passport-uri VS)." /> <min value="1" /> </element> <element id="Consent.patient.reference"> <path value="Consent.patient.reference" /> <max value="0" /> </element> <element id="Consent.patient.identifier"> <path value="Consent.patient.identifier" /> <comment value="Logical patient identifier used for PCM portal identification flows (ID or Passport)." /> <min value="1" /> <constraint> <key value="pcm-consent-patient-id-system" /> <severity value="error" /> <human value="Consent.patient.identifier.system must be either IL national-id or one of the passport system URIs." /> <expression value="patient.identifier.system = 'http://fhir.health.gov.il/identifier/il-national-id' or patient.identifier.system.memberOf('http://fhir.health.gov.il/ValueSet/passport-uri')" /> <source value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-consent" /> </constraint> <constraint> <key value="pcm-consent-patient-id-value-trimmed" /> <severity value="error" /> <human value="Consent.patient.identifier.value must be non-empty and must not have leading/trailing whitespace." /> <expression value="patient.identifier.value.exists() and patient.identifier.value = patient.identifier.value.trim() and patient.identifier.value.trim() != ''" /> <source value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-consent" /> </constraint> <constraint> <key value="pcm-consent-patient-il-id-chk" /> <severity value="error" /> <human value="If Consent.patient.identifier.system is IL national-id, the value must be 9 digits and pass the Israeli ID check-digit algorithm." /> <expression value="patient.identifier.system = 'http://fhir.health.gov.il/identifier/il-national-id' implies (patient.identifier.value.matches('^[0-9]{9}$') and patient.identifier.value.substring(8,1).toInteger()= (10-((patient.identifier.value.substring(0,1).toInteger() + patient.identifier.value.substring(1,1).toInteger()*2 mod 10 + patient.identifier.value.substring(1,1).toInteger()*2 div 10 + patient.identifier.value.substring(2,1).toInteger() + patient.identifier.value.substring(3,1).toInteger()*2 mod 10 + patient.identifier.value.substring(3,1).toInteger()*2 div 10 + patient.identifier.value.substring(4,1).toInteger() + patient.identifier.value.substring(5,1).toInteger()*2 mod 10 + patient.identifier.value.substring(5,1).toInteger()*2 div 10 + patient.identifier.value.substring(6,1).toInteger() + patient.identifier.value.substring(7,1).toInteger()*2 mod 10 + patient.identifier.value.substring(7,1).toInteger()*2 div 10) mod 10)) mod 10))" /> <source value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-consent" /> </constraint> </element> <element id="Consent.patient.identifier.system"> <path value="Consent.patient.identifier.system" /> <min value="1" /> </element> <element id="Consent.patient.identifier.value"> <path value="Consent.patient.identifier.value" /> <min value="1" /> </element> <element id="Consent.dateTime"> <path value="Consent.dateTime" /> <comment value="Timestamp when the Consent was created. Set by the PCM." /> </element> <element id="Consent.performer"> <path value="Consent.performer" /> <max value="0" /> </element> <element id="Consent.organization"> <path value="Consent.organization" /> <max value="0" /> </element> <element id="Consent.source[x]"> <path value="Consent.source[x]" /> <max value="0" /> </element> <element id="Consent.source[x]:sourceReference"> <path value="Consent.source[x]" /> <sliceName value="sourceReference" /> <max value="0" /> <type> <code value="Reference" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-consent" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-document-reference" /> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Contract" /> <targetProfile value="http://fhir.health.gov.il/StructureDefinition/il-core-questionnaire-response" /> </type> </element> <element id="Consent.source[x]:sourceAttachment"> <path value="Consent.source[x]" /> <sliceName value="sourceAttachment" /> <min value="0" /> <max value="0" /> <type> <code value="Attachment" /> </type> </element> <element id="Consent.policy"> <path value="Consent.policy" /> <max value="0" /> </element> <element id="Consent.policyRule"> <path value="Consent.policyRule" /> <max value="0" /> </element> <element id="Consent.verification"> <path value="Consent.verification" /> <max value="0" /> </element> <element id="Consent.provision"> <path value="Consent.provision" /> <comment value="PCM uses a single provision of type 'permit' to express the access grant." /> </element> <element id="Consent.provision.type"> <path value="Consent.provision.type" /> <min value="1" /> <fixedCode value="permit" /> </element> <element id="Consent.provision.period"> <path value="Consent.provision.period" /> <comment value="Derived from the HealthcareService catalog (access duration), resulting in an explicit validity period." /> </element> <element id="Consent.provision.actor"> <path value="Consent.provision.actor" /> <slicing> <discriminator> <type value="value" /> <path value="role.coding.code" /> </discriminator> <rules value="open" /> </slicing> </element> <element id="Consent.provision.actor:requestor"> <path value="Consent.provision.actor" /> <sliceName value="requestor" /> <short value="The requesting Service Provider organization." /> <comment value="Always populated by the server from the access token/certificate. Role fixed to IRCP." /> <min value="0" /> <max value="1" /> </element> <element id="Consent.provision.actor:requestor.role.coding"> <path value="Consent.provision.actor.role.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Consent.provision.actor:requestor.role.coding.system"> <path value="Consent.provision.actor.role.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> </element> <element id="Consent.provision.actor:requestor.role.coding.code"> <path value="Consent.provision.actor.role.coding.code" /> <min value="1" /> <fixedCode value="IRCP" /> </element> <element id="Consent.provision.actor:requestor.reference"> <path value="Consent.provision.actor.reference" /> <type> <code value="Reference" /> <targetProfile value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-organization-service-provider" /> </type> </element> <element id="Consent.provision.actor:data-source"> <path value="Consent.provision.actor" /> <sliceName value="data-source" /> <short value="Allowed data sources (filled by PCM after patient approval)." /> <comment value="After consent approval, PCM derives relevant Data Source organizations and adds them here (role CST)." /> <min value="0" /> <max value="*" /> </element> <element id="Consent.provision.actor:data-source.role.coding"> <path value="Consent.provision.actor.role.coding" /> <min value="1" /> <max value="1" /> </element> <element id="Consent.provision.actor:data-source.role.coding.system"> <path value="Consent.provision.actor.role.coding.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType" /> </element> <element id="Consent.provision.actor:data-source.role.coding.code"> <path value="Consent.provision.actor.role.coding.code" /> <min value="1" /> <fixedCode value="CST" /> </element> <element id="Consent.provision.actor:data-source.reference"> <path value="Consent.provision.actor.reference" /> <type> <code value="Reference" /> <targetProfile value="http://pcm.fhir.health.gov.il/StructureDefinition/pcm-organization-source" /> </type> </element> <element id="Consent.provision.action"> <path value="Consent.provision.action" /> <max value="0" /> </element> <element id="Consent.provision.securityLabel"> <path value="Consent.provision.securityLabel" /> <max value="0" /> </element> <element id="Consent.provision.purpose"> <path value="Consent.provision.purpose" /> <comment value="Purpose of use for PCM information sharing (currently treatment)." /> <min value="1" /> </element> <element id="Consent.provision.purpose.system"> <path value="Consent.provision.purpose.system" /> <min value="1" /> <fixedUri value="http://terminology.hl7.org/CodeSystem/v3-ActReason" /> </element> <element id="Consent.provision.purpose.code"> <path value="Consent.provision.purpose.code" /> <min value="1" /> <fixedCode value="TREAT" /> </element> <element id="Consent.provision.class"> <path value="Consent.provision.class" /> <max value="0" /> </element> <element id="Consent.provision.code"> <path value="Consent.provision.code" /> <max value="0" /> </element> <element id="Consent.provision.dataPeriod"> <path value="Consent.provision.dataPeriod" /> <max value="0" /> </element> <element id="Consent.provision.data"> <path value="Consent.provision.data" /> <max value="0" /> </element> </differential> </StructureDefinition>