{
  "resourceType": "StructureDefinition",
  "id": "Consent",
  "meta": {
    "lastUpdated": "2021-01-01T21:58:31.578+00:00"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
      "valueString": "Foundation.Security"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 2
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
      "valueCode": "patient"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cbcc"
    },
    {
      "url": "http://hl7.org/fhir/build/StructureDefinition/entered-in-error-status",
      "valueCode": ".status = entered-in-error"
    }
  ],
  "url": "http://hl7.org/fhir/StructureDefinition/Consent",
  "version": "4.6.0",
  "name": "Consent",
  "status": "draft",
  "date": "2021-01-01T21:58:31+00:00",
  "publisher": "Health Level Seven International (Community Based Collaborative Care)",
  "contact": [
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://hl7.org/fhir"
        }
      ]
    },
    {
      "telecom": [
        {
          "system": "url",
          "value": "http://www.hl7.org/Special/committees/homehealth/index.cfm"
        }
      ]
    }
  ],
  "description": "A record of a healthcare consumer’s  choices  or choices made on their behalf by a third party, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.",
  "fhirVersion": "4.6.0",
  "mapping": [
    {
      "identity": "workflow",
      "uri": "http://hl7.org/fhir/workflow",
      "name": "Workflow Pattern"
    },
    {
      "identity": "v2",
      "uri": "http://hl7.org/v2",
      "name": "HL7 v2 Mapping"
    },
    {
      "identity": "w5",
      "uri": "http://hl7.org/fhir/fivews",
      "name": "FiveWs Pattern Mapping"
    },
    {
      "identity": "rim",
      "uri": "http://hl7.org/v3",
      "name": "RIM Mapping"
    }
  ],
  "kind": "resource",
  "abstract": false,
  "type": "Consent",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource",
  "derivation": "specialization",
  "differential": {
    "element": [
      {
        "id": "Consent",
        "path": "Consent",
        "short": "A healthcare consumer's  or third party's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time",
        "definition": "A record of a healthcare consumer’s  choices  or choices made on their behalf by a third party, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.",
        "comment": "Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment and consent for research participation and data sharing.",
        "min": 0,
        "max": "*",
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event"
          },
          {
            "identity": "v2",
            "map": "CON"
          },
          {
            "identity": "w5",
            "map": "infrastructure.information"
          }
        ]
      },
      {
        "id": "Consent.identifier",
        "path": "Consent.identifier",
        "short": "Identifier for this record (external references)",
        "definition": "Unique identifier for this copy of the Consent Statement.",
        "comment": "This identifier identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Identifier"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.identifier"
          },
          {
            "identity": "w5",
            "map": "FiveWs.identifier"
          },
          {
            "identity": "v2",
            "map": "CON-4 (Consent Form Number – EI)\nNote: An implementation-specific requirement will be needed"
          }
        ]
      },
      {
        "id": "Consent.status",
        "path": "Consent.status",
        "short": "draft | active | inactive | entered-in-error | unknown",
        "definition": "Indicates the current state of this Consent resource.",
        "comment": "This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "isModifier": true,
        "isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentState"
            }
          ],
          "strength": "required",
          "description": "Indicates the state of the consent.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-state-codes"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.status"
          },
          {
            "identity": "w5",
            "map": "FiveWs.status"
          },
          {
            "identity": "v2",
            "map": "CON-11 (Consent Status – CNE using table HL70498)"
          }
        ]
      },
      {
        "id": "Consent.category",
        "path": "Consent.category",
        "short": "Classification of the consent statement - for indexing/retrieval",
        "definition": "A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentCategory"
            }
          ],
          "strength": "example",
          "description": "A classification of the type of consents found in a consent statement.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-category"
        },
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.code"
          },
          {
            "identity": "w5",
            "map": "FiveWs.class"
          },
          {
            "identity": "v2",
            "map": "CON-2 (Consent Type - CWE using table HL70496)"
          }
        ]
      },
      {
        "id": "Consent.subject",
        "path": "Consent.subject",
        "short": "Who the consent applies to",
        "definition": "The patient/healthcare practitioner or group of persons to whom this consent applies.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/Group"
            ]
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.patient"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.subject"
          }
        ]
      },
      {
        "id": "Consent.dateTime",
        "path": "Consent.dateTime",
        "short": "When consent was agreed to",
        "definition": "Date and time the consent instance was agreed to.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "workflow",
            "map": "Event.occurrence[x]"
          },
          {
            "identity": "w5",
            "map": "FiveWs.recorded"
          },
          {
            "identity": "v2",
            "map": "CON-13 (Consent Decision Date/Time – DTM)"
          }
        ]
      },
      {
        "id": "Consent.grantor",
        "path": "Consent.grantor",
        "short": "Who is granting rights according to the policy and rules",
        "definition": "The entity responsible for granting the rights listed in a Consent Directive.",
        "alias": [
          "grantor"
        ],
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/StructureDefinition/HealthcareService",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        "isSummary": true
      },
      {
        "id": "Consent.grantee",
        "path": "Consent.grantee",
        "short": "Who is agreeing to the policy and rules",
        "definition": "The entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.",
        "comment": "In a fully computable consent, both grantee and grantor  will be listed as actors within the consent. The Grantee and Grantor elements are for ease of search only.",
        "alias": [
          "grantee"
        ],
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/StructureDefinition/HealthcareService",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ],
        "isSummary": true
      },
      {
        "id": "Consent.manager",
        "path": "Consent.manager",
        "short": "Consent workflow management",
        "definition": "The actor that manages the consent through its lifecycle.",
        "alias": [
          "manager"
        ],
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/HealthcareService",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "w5",
            "map": "FiveWs.witness"
          }
        ]
      },
      {
        "id": "Consent.controller",
        "path": "Consent.controller",
        "short": "Consent Enforcer",
        "definition": "The actor that controls/enforces the access according to the consent.",
        "alias": [
          "controller"
        ],
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/HealthcareService",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner"
            ]
          }
        ]
      },
      {
        "id": "Consent.sourceAttachment",
        "path": "Consent.sourceAttachment",
        "short": "Source from which this consent is taken",
        "definition": "The source on which this consent statement is based. The source might be a scanned original paper form.",
        "comment": "The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Attachment"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "Potential mappings to CON-5,6,7,8,16,19, 20-23"
          }
        ]
      },
      {
        "id": "Consent.sourceReference",
        "path": "Consent.sourceReference",
        "short": "Source from which this consent is taken",
        "definition": "A reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.",
        "comment": "The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Consent",
              "http://hl7.org/fhir/StructureDefinition/DocumentReference",
              "http://hl7.org/fhir/StructureDefinition/Contract",
              "http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "Potential mappings to CON-5,6,7,8,16,19, 20-23"
          }
        ]
      },
      {
        "id": "Consent.policy",
        "extension": [
          {
            "url": "http://hl7.org/fhir/build/StructureDefinition/svg",
            "valueCode": "400,0"
          }
        ],
        "path": "Consent.policy",
        "short": "Policies covered by this consent",
        "definition": "The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.",
        "comment": "if policy and policyRule are not present, the resource must include the policy being agreed to, or complied with, and that policy and/or policyRule SHOULD be populated as soon as is practical to support workflows that require computability. In addition, the policy could be indicated via the sourceReference or sourceAttachment content.\n\nAlternately, creating an invariant for individual scopes that forces one or more of the elements to be populated as part of a profile or Implementation Guide may be advisable.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "mapping": [
          {
            "identity": "v2",
            "map": "CON-3 (Consent Form ID and Version – ST)\nNote: An implementation-specific requirement will be needed"
          }
        ]
      },
      {
        "id": "Consent.policy.authority",
        "path": "Consent.policy.authority",
        "short": "Enforcement source for policy",
        "definition": "Entity or Organization having regulatory jurisdiction or accountability for  enforcing policies pertaining to Consent Directives.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "condition": [
          "ppc-1"
        ]
      },
      {
        "id": "Consent.policy.uri",
        "path": "Consent.policy.uri",
        "short": "Specific policy covered by this consent",
        "definition": "The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.",
        "comment": "This element is for discoverability / documentation and does not modify or qualify the policy rules.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "uri"
          }
        ],
        "condition": [
          "ppc-1"
        ]
      },
      {
        "id": "Consent.policyRule",
        "path": "Consent.policyRule",
        "short": "Regulation that this consents to",
        "definition": "A reference to the specific base computable regulation or policy.",
        "comment": "If the policyRule is absent, computable consent would need to be constructed from the elements of the Consent resource.",
        "requirements": "Might be a unique identifier of a policy set in XACML, or other rules engine.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "condition": [
          "ppc-1"
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentPolicyRule"
            }
          ],
          "strength": "example",
          "description": "Regulatory policy examples.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-policy"
        },
        "mapping": [
          {
            "identity": "v2",
            "map": "CON-3 (Consent Form ID and Version – ST)\nNote: An implementation-specific requirement will be needed"
          }
        ]
      },
      {
        "id": "Consent.verification",
        "path": "Consent.verification",
        "short": "Consent Verified by patient or family",
        "definition": "Whether a treatment instruction (e.g. artificial respiration yes or no) was verified with the patient, his/her family or another authorized person.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Consent.verification.verified",
        "path": "Consent.verification.verified",
        "short": "Has been verified",
        "definition": "Has the instruction been verified.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "boolean"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Consent.verification.verificationType",
        "path": "Consent.verification.verificationType",
        "short": "Business case of verification",
        "definition": "Extensible list of verification type starting with verification and re-validation.",
        "comment": "This allows the verification element to hold multiple use cases including RelatedPerson verification of the Grantee decision and periodic re-validation of the consent.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentVerificationType"
            }
          ],
          "strength": "example",
          "description": "Types of Verification/Validation.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-verification"
        }
      },
      {
        "id": "Consent.verification.verifiedBy",
        "path": "Consent.verification.verifiedBy",
        "short": "Person conducting verification",
        "definition": "The person who conducted the verification/validation of the Grantee decision.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ]
      },
      {
        "id": "Consent.verification.verifiedWith",
        "path": "Consent.verification.verifiedWith",
        "short": "Person who verified",
        "definition": "Who verified the instruction (Patient, Relative or other Authorized Person).",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson"
            ]
          }
        ]
      },
      {
        "id": "Consent.verification.verificationDate",
        "path": "Consent.verification.verificationDate",
        "short": "When consent verified",
        "definition": "Date(s) verification was collected.",
        "comment": "Allows for history of verification/validation.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "Consent.provision",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "provision"
          },
          {
            "url": "http://hl7.org/fhir/build/StructureDefinition/uml-dir",
            "valueCode": "right"
          }
        ],
        "path": "Consent.provision",
        "short": "Constraints to the base Consent.policyRule/Consent.policy",
        "definition": "An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Consent.provision.type",
        "path": "Consent.provision.type",
        "short": "deny | permit",
        "definition": "Action  to take - permit or deny - when the rule conditions are met.  Not permitted in root rule, required in all nested rules.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentProvisionType"
            }
          ],
          "strength": "required",
          "description": "How a rule statement is applied, such as adding additional consent or removing consent.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-provision-type"
        }
      },
      {
        "id": "Consent.provision.period",
        "path": "Consent.provision.period",
        "short": "Timeframe for this rule",
        "definition": "The timeframe in this rule is valid.",
        "comment": "This is the bound effective time of the consent and should be in the base provision in the Consent resource.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "isSummary": true,
        "mapping": [
          {
            "identity": "v2",
            "map": "CON-14&15 (Consent Effective Date Time, Consent End DateTime)"
          }
        ]
      },
      {
        "id": "Consent.provision.actor",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "provisionActor"
          },
          {
            "url": "http://hl7.org/fhir/build/StructureDefinition/uml-dir",
            "valueCode": "up"
          }
        ],
        "path": "Consent.provision.actor",
        "short": "Who|what controlled by this rule (or group, by role)",
        "definition": "Who or what is controlled by this rule. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "meaningWhenMissing": "There is no specific actor associated with the exception"
      },
      {
        "id": "Consent.provision.actor.role",
        "path": "Consent.provision.actor.role",
        "short": "How the actor is involved",
        "definition": "How the individual is involved in the resources content that is described in the exception.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentActorRole"
            }
          ],
          "strength": "extensible",
          "description": "How an actor is involved in the consent considerations.",
          "valueSet": "http://hl7.org/fhir/ValueSet/participation-role-type"
        }
      },
      {
        "id": "Consent.provision.actor.reference",
        "path": "Consent.provision.actor.reference",
        "short": "Resource for the actor (or group, by role)",
        "definition": "The resource that identifies the actor. To identify actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://hl7.org/fhir/StructureDefinition/Group",
              "http://hl7.org/fhir/StructureDefinition/CareTeam",
              "http://hl7.org/fhir/StructureDefinition/Organization",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole"
            ]
          }
        ]
      },
      {
        "id": "Consent.provision.action",
        "path": "Consent.provision.action",
        "short": "Actions controlled by this rule",
        "definition": "Actions controlled by this Rule.",
        "comment": "Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "meaningWhenMissing": "all actions",
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentAction"
            }
          ],
          "strength": "example",
          "description": "Detailed codes for the consent action.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-action"
        }
      },
      {
        "id": "Consent.provision.securityLabel",
        "path": "Consent.provision.securityLabel",
        "short": "Security Labels that define affected resources",
        "definition": "A security label, comprised of 0..* security label fields (Privacy tags), which define which resources are controlled by this exception.",
        "comment": "If the consent specifies a security label of \"R\" then it applies to all resources that are labeled \"R\" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. When the purpose of use tag is on the data, access request purpose of use shall not conflict.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "SecurityLabels"
            },
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
              "valueBoolean": true
            }
          ],
          "strength": "extensible",
          "description": "Security Labels from the Healthcare Privacy and Security Classification System.",
          "valueSet": "http://hl7.org/fhir/ValueSet/security-labels"
        }
      },
      {
        "id": "Consent.provision.purpose",
        "path": "Consent.provision.purpose",
        "short": "Context of activities covered by this rule",
        "definition": "The context of the activities a user is taking - why the user is accessing the data - that are controlled by this rule.",
        "comment": "When the purpose of use tag is on the data, access request purpose of use shall not conflict.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "PurposeOfUse"
            }
          ],
          "strength": "extensible",
          "description": "What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.",
          "valueSet": "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"
        }
      },
      {
        "id": "Consent.provision.class",
        "path": "Consent.provision.class",
        "short": "e.g. Resource Type, Profile, CDA, etc.",
        "definition": "The class of information covered by this rule. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.",
        "comment": "Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Coding"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentContentClass"
            }
          ],
          "strength": "extensible",
          "description": "The class (type) of information a consent rule covers.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-content-class"
        }
      },
      {
        "id": "Consent.provision.code",
        "path": "Consent.provision.code",
        "short": "e.g. LOINC or SNOMED CT code, etc. in the content",
        "definition": "If this code is found in an instance, then the rule applies.",
        "comment": "Typical use of this is a Document code with class = CDA.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentContentCode"
            }
          ],
          "strength": "example",
          "description": "If this code is found in an instance, then the exception applies.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-content-code"
        }
      },
      {
        "id": "Consent.provision.dataPeriod",
        "path": "Consent.provision.dataPeriod",
        "short": "Timeframe for data controlled by this rule",
        "definition": "Clinical or Operational Relevant period of time that bounds the data controlled by this rule.",
        "comment": "This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Period"
          }
        ],
        "isSummary": true
      },
      {
        "id": "Consent.provision.data",
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
            "valueString": "provisionData"
          },
          {
            "url": "http://hl7.org/fhir/build/StructureDefinition/uml-dir",
            "valueCode": "down"
          }
        ],
        "path": "Consent.provision.data",
        "short": "Data controlled by this rule",
        "definition": "The resources controlled by this rule if specific resources are referenced.",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "BackboneElement"
          }
        ],
        "meaningWhenMissing": "all data",
        "isSummary": true
      },
      {
        "id": "Consent.provision.data.meaning",
        "path": "Consent.provision.data.meaning",
        "short": "instance | related | dependents | authoredby",
        "definition": "How the resource reference is interpreted when testing consent restrictions.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "code"
          }
        ],
        "isSummary": true,
        "binding": {
          "extension": [
            {
              "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
              "valueString": "ConsentDataMeaning"
            }
          ],
          "strength": "required",
          "description": "How a resource reference is interpreted when testing consent restrictions.",
          "valueSet": "http://hl7.org/fhir/ValueSet/consent-data-meaning"
        }
      },
      {
        "id": "Consent.provision.data.reference",
        "path": "Consent.provision.data.reference",
        "short": "The actual data reference",
        "definition": "A reference to a specific resource that defines which resources are covered by this consent.",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource"
            ]
          }
        ],
        "isSummary": true
      },
      {
        "id": "Consent.provision.expression",
        "path": "Consent.provision.expression",
        "short": "A computable expression of the consent",
        "definition": "A computable (FHIRPath or other) definition of what is controlled by this consent.",
        "comment": "Constraining the expression type for a specific implementation via profile is recommended",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Expression"
          }
        ]
      },
      {
        "id": "Consent.provision.provision",
        "path": "Consent.provision.provision",
        "short": "Nested Exception Rules",
        "definition": "Rules which provide exceptions to the base rule or subrules.",
        "min": 0,
        "max": "*",
        "contentReference": "#Consent.provision"
      }
    ]
  }
}