Security and Privacy| Community Based Collaborative Care Work Group | Maturity Level: N/A | Standards Status: Informative | Compartments: Patient |
Raw JSON (canonical form + also see JSON Format Specification)
StructureDefinition for consent
{
"resourceType" : "StructureDefinition",
"id" : "Consent",
"meta" : {
"lastUpdated" : "2021-01-21T15:34:20.265+00:00"
},
"text" : {
"status" : "generated",
"div" : "<div>!-- Snipped for Brevity --></div>"
},
"extension" : [{
"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/StructureDefinition/Consent",
"version" : "4.0.1",
"name" : "Consent",
"status" : "draft",
"date" : "2021-01-21T15:34:20+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" : "Запись о выборе потребителя здравоохранения, которая разрешает или запрещает идентифицированному получателю(ам) или роли(ям) получателя выполнять одно или несколько действий в рамках заданного контекста политики для определенных целей и периодов времени.",
"fhirVersion" : "4.0.1",
"mapping" : [{
"identity" : "workflow",
"uri" : "http://hl7.org/fhir/workflow",
"name" : "Workflow Pattern"
},
{
"identity" : "v2",
"uri" : "http://hl7.org/v2",
"name" : "HL7 v2 Mapping"
},
{
"identity" : "rim",
"uri" : "http://hl7.org/v3",
"name" : "RIM Mapping"
},
{
"identity" : "w5",
"uri" : "http://hl7.org/fhir/fivews",
"name" : "FiveWs Pattern Mapping"
}],
"kind" : "resource",
"abstract" : false,
"type" : "Consent",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/DomainResource",
"derivation" : "specialization",
"snapshot" : {
"element" : [{
"id" : "Consent",
"path" : "Consent",
"short" : "Выбор потребителя здравоохранения разрешить или запретить получателям или ролям выполнять действия для определенных целей и периодов времени",
"definition" : "Запись о выборе потребителя здравоохранения, которая разрешает или запрещает идентифицированному получателю(ам) или роли(ям) получателя выполнять одно или несколько действий в рамках заданного контекста политики для определенных целей и периодов времени.",
"comment" : "В целом, есть 3 ключевые области согласия для пациентов: согласие на обмен информацией (также известное как Директива о согласии на конфиденциальность - разрешение на сбор, использование или раскрытие информации), согласие на конкретное лечение или виды лечения и общие директивы о предварительном уходе.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent",
"min" : 0,
"max" : "*"
},
"constraint" : [{
"key" : "dom-2",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression" : "contained.contained.empty()",
"xpath" : "not(parent::f:contained and f:contained)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-3",
"severity" : "error",
"human" : "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"expression" : "contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()",
"xpath" : "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-4",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression" : "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "dom-5",
"severity" : "error",
"human" : "If a resource is contained in another resource, it SHALL NOT have a security label",
"expression" : "contained.meta.security.empty()",
"xpath" : "not(exists(f:contained/*/f:meta/f:security))",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice",
"valueBoolean" : true
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation",
"valueMarkdown" : "Когда у ресурса нет описания, только системы, которые полностью понимают данные, могут безопасно отображать ресурс для человека. Включение удобочитаемого представления в ресурс делает экосистему гораздо более надежной и удешевляет обработку ресурсов промежуточными системами. Некоторые экосистемы ограничивают распределение ресурсов только теми системами, которые полностью понимают ресурсы, и, как следствие, разработчики могут считать, что повествование излишне. Однако опыт показывает, что такие экосистемы часто открываются для новых участников со временем."
}],
"key" : "dom-6",
"severity" : "warning",
"human" : "A resource should have narrative for robust management",
"expression" : "text.`div`.exists()",
"xpath" : "exists(f:text/h:div)",
"source" : "http://hl7.org/fhir/StructureDefinition/DomainResource"
},
{
"key" : "ppc-1",
"severity" : "error",
"human" : "Policy или PolicyRule",
"expression" : "policy.exists() or policyRule.exists()",
"xpath" : "exists(f:policy) or exists(f:policyRule)"
},
{
"key" : "ppc-2",
"severity" : "error",
"human" : "Если Scope=privacy, должен быть пациент",
"expression" : "patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()",
"xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='patient-privacy'])))"
},
{
"key" : "ppc-3",
"severity" : "error",
"human" : "Если Scope=research, должен быть пациент",
"expression" : "patient.exists() or scope.coding.where(system='something' and code='research').exists().not()",
"xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='research'])))"
},
{
"key" : "ppc-4",
"severity" : "error",
"human" : "Если Scope=adr, должен быть пациент",
"expression" : "patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()",
"xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='adr'])))"
},
{
"key" : "ppc-5",
"severity" : "error",
"human" : "Если Scope=treatment, должен быть пациент",
"expression" : "patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()",
"xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='treatment'])))"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Entity. Role, or Act"
},
{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "v2",
"map" : "CON"
},
{
"identity" : "rim",
"map" : "FinancialConsent"
}]
},
{
"id" : "Consent.id",
"path" : "Consent.id",
"short" : "Logical id of this artifact",
"definition" : "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment" : "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Consent.meta",
"path" : "Consent.meta",
"short" : "Metadata about the resource",
"definition" : "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.meta",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Meta"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Consent.implicitRules",
"path" : "Consent.implicitRules",
"short" : "A set of rules under which this content was created",
"definition" : "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment" : "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.implicitRules",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "uri"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : true,
"isModifierReason" : "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary" : true
},
{
"id" : "Consent.language",
"path" : "Consent.language",
"short" : "Language of the resource content",
"definition" : "The base language in which the resource is written.",
"comment" : "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Resource.language",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueCanonical" : "http://hl7.org/fhir/ValueSet/all-languages"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "Language"
},
{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean" : true
}],
"strength" : "preferred",
"description" : "A human language.",
"valueSet" : "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id" : "Consent.text",
"path" : "Consent.text",
"short" : "Text summary of the resource, for human interpretation",
"definition" : "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment" : "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded information is added later.",
"alias" : ["narrative",
"html",
"xhtml",
"display"],
"min" : 0,
"max" : "1",
"base" : {
"path" : "DomainResource.text",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Narrative"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "Act.text?"
}]
},
{
"id" : "Consent.contained",
"path" : "Consent.contained",
"short" : "Contained, inline Resources",
"definition" : "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment" : "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.",
"alias" : ["inline resources",
"anonymous resources",
"contained resources"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.contained",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Resource"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Consent.extension",
"path" : "Consent.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Consent.modifierExtension",
"path" : "Consent.modifierExtension",
"short" : "Extensions that cannot be ignored",
"definition" : "May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "DomainResource.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them",
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Consent.identifier",
"path" : "Consent.identifier",
"short" : "Идентификатор этой записи (внешние ссылки)",
"definition" : "Уникальный идентификатор этой копии заявления о согласии.",
"comment" : "Этот идентификатор идентифицирует данную копию согласия. Если этот идентификатор также используется где-то еще в качестве идентификатора для записи согласия (например, документа согласия АКД), то ожидается, что детали согласия будут такими же.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.identifier",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Identifier"
}],
"example" : [{
"label" : "General",
"valueIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "Local eCMS identifier"
}
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "rim",
"map" : ".id"
}]
},
{
"id" : "Consent.status",
"path" : "Consent.status",
"short" : "draft | proposed | active | rejected | inactive | entered-in-error",
"definition" : "Указывает текущее состояние этого согласия.",
"comment" : "Этот элемент помечен как модификатор, поскольку статус содержит коды отклоненных и введенных с ошибкой, которые помечают согласие как недействительное в настоящее время.",
"requirements" : "Указанная Директива о согласии может находиться в различных состояниях жизненного цикла, например, отозванная Директива о согласии.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Consent.status",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"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|4.0.1"
},
"mapping" : [{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "v2",
"map" : "HL7 Table 0498 - Consent Status"
},
{
"identity" : "rim",
"map" : ".statusCode"
}]
},
{
"id" : "Consent.scope",
"path" : "Consent.scope",
"short" : "Какую из четырех областей охватывает этот ресурс (расширяемый)",
"definition" : "Селектор типа предоставляемого согласия: ADR, Privacy, Treatment, Research. Этот список теперь расширяемый.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Consent.scope",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : true,
"isModifierReason" : "Allows changes to codes based on scope selection",
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConsentScope"
}],
"strength" : "extensible",
"description" : "The four anticipated uses for the Consent Resource.",
"valueSet" : "http://hl7.org/fhir/ValueSet/consent-scope"
}
},
{
"id" : "Consent.category",
"path" : "Consent.category",
"short" : "Классификация заявления о согласии - для индексации / поиска",
"definition" : "Классификация типов согласия в заявлении. Этот элемент поддерживает индексирование и извлечение заявлений о согласии.",
"min" : 1,
"max" : "*",
"base" : {
"path" : "Consent.category",
"min" : 1,
"max" : "*"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConsentCategory"
}],
"strength" : "extensible",
"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" : "HL7 Table 0497 - Consent Type"
},
{
"identity" : "rim",
"map" : "CNTRCT"
}]
},
{
"id" : "Consent.patient",
"path" : "Consent.patient",
"short" : "На кого распространяется согласие",
"definition" : "Пациент / потребитель медицинских услуг, на которого распространяется данное согласие.",
"comment" : "Обычно пациент, к которому относится согласие, является автором, но для детей и пожилых людей это может быть другой человек.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.patient",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "rim",
"map" : "Role"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}]
},
{
"id" : "Consent.dateTime",
"path" : "Consent.dateTime",
"short" : "Когда это Согласие было создано или проиндексировано",
"definition" : "Когда это Согласие было выдано / создано / проиндексировано.",
"comment" : "Это не время исходного согласия, а время, когда это заявление было сделано или получено.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.dateTime",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "dateTime"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.occurrence[x]"
},
{
"identity" : "w5",
"map" : "FiveWs.recorded"
},
{
"identity" : "v2",
"map" : "Field 13/ Consent Decision Date"
},
{
"identity" : "rim",
"map" : "FinancialConsent effectiveTime"
}]
},
{
"id" : "Consent.performer",
"path" : "Consent.performer",
"short" : "Кто соглашается с политикой и правилами",
"definition" : "Либо Правообладатель, который является лицом, ответственным за предоставление прав, перечисленных в Директиве о согласии, либо Грантополучатель, который является лицом, ответственным за соблюдение Директивы о согласии, включая любые обязательства или ограничения в отношении разрешений и соблюдения запретов.",
"comment" : "Обычно пациент, к которому относится согласие, является лицом, согласившимся, но для детей и пожилых людей это может быть какое-либо другое лицо - например, законный опекун.",
"alias" : ["consentor"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.performer",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["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"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.performer"
},
{
"identity" : "w5",
"map" : "FiveWs.actor"
},
{
"identity" : "v2",
"map" : "Field 24/ ConsenterID"
}]
},
{
"id" : "Consent.organization",
"path" : "Consent.organization",
"short" : "Хранитель согласия",
"definition" : "Организация, которая управляет согласием, и структура, в которой оно оформляется.",
"alias" : ["custodian"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.organization",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.performer"
},
{
"identity" : "w5",
"map" : "FiveWs.witness"
}]
},
{
"id" : "Consent.source[x]",
"path" : "Consent.source[x]",
"short" : "Источник, из которого взято это согласие",
"definition" : "Источник, на котором основано это согласие. Источником может быть отсканированная оригинальная бумажная форма или ссылка на согласие, которая ссылается на такой источник, ссылка на репозиторий документов (например, XDS), в котором хранится исходный документ согласия.",
"comment" : "Источник может быть встроенным (вложение), на него можно ссылаться напрямую (Согласие), на него можно ссылаться в репозитории согласия (DocumentReference) или просто с помощью идентификатора (Идентификатор), например идентификатора документа CDA.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.source[x]",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Attachment"
},
{
"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"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "v2",
"map" : "Field 19 Informational Material Supplied Indicator"
}]
},
{
"id" : "Consent.policy",
"path" : "Consent.policy",
"short" : "Политики, на которые распространяется это согласие",
"definition" : "Ссылки на политики, включенные в эту область согласия. Политика может быть организационной, но часто определяется юрисдикцией или законом.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.policy",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Consent.policy.id",
"path" : "Consent.policy.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.policy.extension",
"path" : "Consent.policy.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.policy.modifierExtension",
"path" : "Consent.policy.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Consent.policy.authority",
"path" : "Consent.policy.authority",
"short" : "Источник правоприменения для политики",
"definition" : "Субъект или организация, обладающая регулирующей юрисдикцией или подотчетной за обеспечение соблюдения политик, относящихся к Директивам о согласии.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.policy.authority",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "uri"
}],
"condition" : ["ppc-1"],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Consent.policy.uri",
"path" : "Consent.policy.uri",
"short" : "Конкретная политика, на которую распространяется это согласие",
"definition" : "Ссылки на политики, включенные в эту область согласия. Политика может быть организационной, но часто определяется юрисдикцией или законом.",
"comment" : "Этот элемент предназначен для обнаружения / документации и не изменяет и не квалифицирует правила политики.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.policy.uri",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "uri"
}],
"condition" : ["ppc-1"],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Consent.policyRule",
"path" : "Consent.policyRule",
"short" : "Положение, на которое дается согласие",
"definition" : "Ссылка на конкретное базовое вычислимое регулирование или политику.",
"comment" : "Если policyRule отсутствует, вычислимое согласие должно быть построено из элементов ресурса Consent.",
"requirements" : "Может быть уникальным идентификатором политики, установленной в XACML или другом механизме правил.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.policyRule",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"condition" : ["ppc-1"],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConsentPolicyRule"
}],
"strength" : "extensible",
"description" : "Regulatory policy examples.",
"valueSet" : "http://hl7.org/fhir/ValueSet/consent-policy"
}
},
{
"id" : "Consent.verification",
"path" : "Consent.verification",
"short" : "Согласие подтверждено пациентом или семьей",
"definition" : "Была ли проверена инструкция по лечению (например, искусственное дыхание - да или нет) с пациентом, его / ее семьей или другим уполномоченным лицом.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.verification",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Consent.verification.id",
"path" : "Consent.verification.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.verification.extension",
"path" : "Consent.verification.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.verification.modifierExtension",
"path" : "Consent.verification.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Consent.verification.verified",
"path" : "Consent.verification.verified",
"short" : "Было проверено",
"definition" : "Была ли инструкция проверена.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Consent.verification.verified",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "boolean"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Consent.verification.verifiedWith",
"path" : "Consent.verification.verifiedWith",
"short" : "Лицо, подтвердившее согласие",
"definition" : "Кто проверил инструкцию (пациент, родственник или другое уполномоченное лицо).",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.verification.verifiedWith",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient",
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Consent.verification.verificationDate",
"path" : "Consent.verification.verificationDate",
"short" : "Когда согласие было подтверждено",
"definition" : "Дата подтверждения согласия.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.verification.verificationDate",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "dateTime"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Consent.provision",
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "provision"
}],
"path" : "Consent.provision",
"short" : "Ограничения базового Consent.policyRule",
"definition" : "Исключение из основной политики этого согласия. Исключением может быть добавление или удаление прав доступа.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.provision",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "BackboneElement"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Consent.provision.id",
"path" : "Consent.provision.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.provision.extension",
"path" : "Consent.provision.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.provision.modifierExtension",
"path" : "Consent.provision.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Consent.provision.type",
"path" : "Consent.provision.type",
"short" : "deny | permit",
"definition" : "Действия, которые необходимо предпринять - разрешить или запретить - при выполнении условий правила. Не разрешено в корневом правиле, требуется во всех вложенных правилах.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.provision.type",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"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|4.0.1"
}
},
{
"id" : "Consent.provision.period",
"path" : "Consent.provision.period",
"short" : "Срок действия этого правила",
"definition" : "Срок действия этого правила.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.provision.period",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Period"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Consent.provision.actor",
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "provisionActor"
}],
"path" : "Consent.provision.actor",
"short" : "Кто | что контролируется этим правилом (или группой, по роли)",
"definition" : "Кто или что контролирует это правило. Используйте группу, чтобы идентифицировать набор участников по некоторому признаку, который они разделяют (например, 'admitting officers').",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.provision.actor",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"meaningWhenMissing" : "Нет конкретного субъекта, связанного с исключением",
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Consent.provision.actor.id",
"path" : "Consent.provision.actor.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.provision.actor.extension",
"path" : "Consent.provision.actor.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.provision.actor.modifierExtension",
"path" : "Consent.provision.actor.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Consent.provision.actor.role",
"path" : "Consent.provision.actor.role",
"short" : "Как задействовано действующее лицо",
"definition" : "Каким образом данное лицо участвует в содержании ресурсов, описанном в исключении.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Consent.provision.actor.role",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false,
"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/security-role-type"
}
},
{
"id" : "Consent.provision.actor.reference",
"path" : "Consent.provision.actor.reference",
"short" : "Ресурс для действующего лица (или группы, по ролям)",
"definition" : "Ресурс, идентифицирующий актера. Чтобы идентифицировать актеров по типу, используйте группу, чтобы идентифицировать набор актеров по некоторому общему свойству (например, 'admitting officers').",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Consent.provision.actor.reference",
"min" : 1,
"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"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
},
{
"id" : "Consent.provision.action",
"path" : "Consent.provision.action",
"short" : "Действия, контролируемые этим правилом",
"definition" : "Действия, контролируемые этим правилом.",
"comment" : "Обратите внимание, что это прямое действие (а не основания для действия, указанные в элементе цели). В настоящее время единственное действие в понятном и протестированном объеме этого ресурса - 'прочитать'.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.provision.action",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "CodeableConcept"
}],
"meaningWhenMissing" : "all actions",
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"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" : "Метки безопасности затронутых ресурсов",
"definition" : "Метка безопасности, состоящая из 0 .. * полей метки безопасности (тегов конфиденциальности), которые определяют, какие ресурсы контролируются этим исключением.",
"comment" : "Если в согласии указана метка безопасности «R», то оно применяется ко всем ресурсам с меткой «R» или ниже. Например, для конфиденциальности это высокая отметка. Для других видов защитных меток применяется логика подчинения. Когда тег цели использования относится к данным, цель использования запроса доступа не должна конфликтовать.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.provision.securityLabel",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Coding"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"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" : "Контекст действий, подпадающих под это правило",
"definition" : "Контекст действий, которые выполняет пользователь - почему пользователь обращается к данным, - которые контролируются этим правилом.",
"comment" : "Когда тег цели использования относится к данным, цель использования запроса доступа не должна конфликтовать.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.provision.purpose",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Coding"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"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" : "Например, тип ресурса, профиль, CDA",
"definition" : "Класс информации, на который распространяется это правило. Тип может быть типом ресурса FHIR, профилем типа, документом CDA или каким-либо другим типом, который указывает, к какому виду информации относится согласие.",
"comment" : "Несколько типов объединены или объединены. Назначение элемента contentType состоит в том, что коды относятся к профилям или типам документов, определенным в каком-либо стандарте или руководстве по реализации.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.provision.class",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Coding"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"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" : "Например, код LOINC или SNOMED CT и т. д. в содержимом",
"definition" : "Если этот код найден в экземпляре, то применяется правило.",
"comment" : "Обычно это используется в коде документа с class = CDA.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.provision.code",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "CodeableConcept"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"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" : "Сроки для данных, контролируемых этим правилом",
"definition" : "Клинически релевантный или рабочий период времени, ограничивающий данные, контролируемые этим правилом.",
"comment" : "Это имеет другой смысл, чем период согласия - когда действует соглашение о согласии. Это период времени данных, который регулируется соглашением.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Consent.provision.dataPeriod",
"min" : 0,
"max" : "1"
},
"type" : [{
"code" : "Period"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Consent.provision.data",
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "provisionData"
}],
"path" : "Consent.provision.data",
"short" : "Данные, контролируемые этим правилом",
"definition" : "Ресурсы, контролируемые этим правилом, если есть ссылки на определенные ресурсы.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.provision.data",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "BackboneElement"
}],
"meaningWhenMissing" : "all data",
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "Role"
}]
},
{
"id" : "Consent.provision.data.id",
"path" : "Consent.provision.data.id",
"representation" : ["xmlAttr"],
"short" : "Unique id for inter-element referencing",
"definition" : "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min" : 0,
"max" : "1",
"base" : {
"path" : "Element.id",
"min" : 0,
"max" : "1"
},
"type" : [{
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type",
"valueUrl" : "string"
}],
"code" : "http://hl7.org/fhirpath/System.String"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.provision.data.extension",
"path" : "Consent.provision.data.extension",
"short" : "Additional content defined by implementations",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias" : ["extensions",
"user content"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "Element.extension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : false,
"isSummary" : false,
"mapping" : [{
"identity" : "rim",
"map" : "n/a"
}]
},
{
"id" : "Consent.provision.data.modifierExtension",
"path" : "Consent.provision.data.modifierExtension",
"short" : "Extensions that cannot be ignored even if unrecognized",
"definition" : "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).",
"comment" : "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"requirements" : "Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).",
"alias" : ["extensions",
"user content",
"modifiers"],
"min" : 0,
"max" : "*",
"base" : {
"path" : "BackboneElement.modifierExtension",
"min" : 0,
"max" : "*"
},
"type" : [{
"code" : "Extension"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
},
{
"key" : "ext-1",
"severity" : "error",
"human" : "Must have either extensions or value[x], not both",
"expression" : "extension.exists() != value.exists()",
"xpath" : "exists(f:extension)!=exists(f:*[starts-with(local-name(.), \"value\")])",
"source" : "http://hl7.org/fhir/StructureDefinition/Extension"
}],
"isModifier" : true,
"isModifierReason" : "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "N/A"
}]
},
{
"id" : "Consent.provision.data.meaning",
"path" : "Consent.provision.data.meaning",
"short" : "instance | related | dependents | authoredby",
"definition" : "Как интерпретируется ссылка на ресурс при тестировании ограничений согласия.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Consent.provision.data.meaning",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "code"
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"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|4.0.1"
}
},
{
"id" : "Consent.provision.data.reference",
"path" : "Consent.provision.data.reference",
"short" : "Ссылка на сами данные",
"definition" : "Ссылка на конкретный ресурс, который определяет, на какие ресурсы распространяется это согласие.",
"min" : 1,
"max" : "1",
"base" : {
"path" : "Consent.provision.data.reference",
"min" : 1,
"max" : "1"
},
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
}],
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : true
},
{
"id" : "Consent.provision.provision",
"path" : "Consent.provision.provision",
"short" : "Вложенные правила исключений",
"definition" : "Правила, которые предоставляют исключения из основного правила или подправил.",
"min" : 0,
"max" : "*",
"base" : {
"path" : "Consent.provision.provision",
"min" : 0,
"max" : "*"
},
"contentReference" : "#Consent.provision",
"constraint" : [{
"key" : "ele-1",
"severity" : "error",
"human" : "All FHIR elements must have a @value or children",
"expression" : "hasValue() or (children().count() > id.count())",
"xpath" : "@value|f:*|h:div",
"source" : "http://hl7.org/fhir/StructureDefinition/Element"
}],
"isModifier" : false,
"isSummary" : false
}]
},
"differential" : {
"element" : [{
"id" : "Consent",
"path" : "Consent",
"short" : "Выбор потребителя здравоохранения разрешить или запретить получателям или ролям выполнять действия для определенных целей и периодов времени",
"definition" : "Запись о выборе потребителя здравоохранения, которая разрешает или запрещает идентифицированному получателю(ам) или роли(ям) получателя выполнять одно или несколько действий в рамках заданного контекста политики для определенных целей и периодов времени.",
"comment" : "В целом, есть 3 ключевые области согласия для пациентов: согласие на обмен информацией (также известное как Директива о согласии на конфиденциальность - разрешение на сбор, использование или раскрытие информации), согласие на конкретное лечение или виды лечения и общие директивы о предварительном уходе.",
"min" : 0,
"max" : "*",
"constraint" : [{
"key" : "ppc-4",
"severity" : "error",
"human" : "Если Scope=adr, должен быть пациент",
"expression" : "patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()",
"xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='adr'])))"
},
{
"key" : "ppc-5",
"severity" : "error",
"human" : "Если Scope=treatment, должен быть пациент",
"expression" : "patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()",
"xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='treatment'])))"
},
{
"key" : "ppc-2",
"severity" : "error",
"human" : "Если Scope=privacy, должен быть пациент",
"expression" : "patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()",
"xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='patient-privacy'])))"
},
{
"key" : "ppc-3",
"severity" : "error",
"human" : "Если Scope=research, должен быть пациент",
"expression" : "patient.exists() or scope.coding.where(system='something' and code='research').exists().not()",
"xpath" : "exists(f:patient) or not(exists(f:scope/f:coding[f:system/@value='something' and f:code/@value='research'])))"
},
{
"key" : "ppc-1",
"severity" : "error",
"human" : "Policy или PolicyRule",
"expression" : "policy.exists() or policyRule.exists()",
"xpath" : "exists(f:policy) or exists(f:policyRule)"
}],
"mapping" : [{
"identity" : "workflow",
"map" : "Event"
},
{
"identity" : "v2",
"map" : "CON"
},
{
"identity" : "rim",
"map" : "FinancialConsent"
}]
},
{
"id" : "Consent.identifier",
"path" : "Consent.identifier",
"short" : "Идентификатор этой записи (внешние ссылки)",
"definition" : "Уникальный идентификатор этой копии заявления о согласии.",
"comment" : "Этот идентификатор идентифицирует данную копию согласия. Если этот идентификатор также используется где-то еще в качестве идентификатора для записи согласия (например, документа согласия АКД), то ожидается, что детали согласия будут такими же.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Identifier"
}],
"example" : [{
"label" : "General",
"valueIdentifier" : {
"system" : "urn:ietf:rfc:3986",
"value" : "Local eCMS identifier"
}
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.identifier"
},
{
"identity" : "w5",
"map" : "FiveWs.identifier"
},
{
"identity" : "rim",
"map" : ".id"
}]
},
{
"id" : "Consent.status",
"path" : "Consent.status",
"short" : "draft | proposed | active | rejected | inactive | entered-in-error",
"definition" : "Указывает текущее состояние этого согласия.",
"comment" : "Этот элемент помечен как модификатор, поскольку статус содержит коды отклоненных и введенных с ошибкой, которые помечают согласие как недействительное в настоящее время.",
"requirements" : "Указанная Директива о согласии может находиться в различных состояниях жизненного цикла, например, отозванная Директива о согласии.",
"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|4.0.1"
},
"mapping" : [{
"identity" : "workflow",
"map" : "Event.status"
},
{
"identity" : "w5",
"map" : "FiveWs.status"
},
{
"identity" : "v2",
"map" : "HL7 Table 0498 - Consent Status"
},
{
"identity" : "rim",
"map" : ".statusCode"
}]
},
{
"id" : "Consent.scope",
"path" : "Consent.scope",
"short" : "Какую из четырех областей охватывает этот ресурс (расширяемый)",
"definition" : "Селектор типа предоставляемого согласия: ADR, Privacy, Treatment, Research. Этот список теперь расширяемый.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "CodeableConcept"
}],
"isModifier" : true,
"isModifierReason" : "Allows changes to codes based on scope selection",
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConsentScope"
}],
"strength" : "extensible",
"description" : "The four anticipated uses for the Consent Resource.",
"valueSet" : "http://hl7.org/fhir/ValueSet/consent-scope"
}
},
{
"id" : "Consent.category",
"path" : "Consent.category",
"short" : "Классификация заявления о согласии - для индексации / поиска",
"definition" : "Классификация типов согласия в заявлении. Этот элемент поддерживает индексирование и извлечение заявлений о согласии.",
"min" : 1,
"max" : "*",
"type" : [{
"code" : "CodeableConcept"
}],
"isSummary" : true,
"binding" : {
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString" : "ConsentCategory"
}],
"strength" : "extensible",
"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" : "HL7 Table 0497 - Consent Type"
},
{
"identity" : "rim",
"map" : "CNTRCT"
}]
},
{
"id" : "Consent.patient",
"path" : "Consent.patient",
"short" : "На кого распространяется согласие",
"definition" : "Пациент / потребитель медицинских услуг, на которого распространяется данное согласие.",
"comment" : "Обычно пациент, к которому относится согласие, является автором, но для детей и пожилых людей это может быть другой человек.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Patient"]
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.subject"
},
{
"identity" : "w5",
"map" : "FiveWs.subject[x]"
},
{
"identity" : "rim",
"map" : "Role"
},
{
"identity" : "w5",
"map" : "FiveWs.subject"
}]
},
{
"id" : "Consent.dateTime",
"path" : "Consent.dateTime",
"short" : "Когда это Согласие было создано или проиндексировано",
"definition" : "Когда это Согласие было выдано / создано / проиндексировано.",
"comment" : "Это не время исходного согласия, а время, когда это заявление было сделано или получено.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "dateTime"
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.occurrence[x]"
},
{
"identity" : "w5",
"map" : "FiveWs.recorded"
},
{
"identity" : "v2",
"map" : "Field 13/ Consent Decision Date"
},
{
"identity" : "rim",
"map" : "FinancialConsent effectiveTime"
}]
},
{
"id" : "Consent.performer",
"path" : "Consent.performer",
"short" : "Кто соглашается с политикой и правилами",
"definition" : "Либо Правообладатель, который является лицом, ответственным за предоставление прав, перечисленных в Директиве о согласии, либо Грантополучатель, который является лицом, ответственным за соблюдение Директивы о согласии, включая любые обязательства или ограничения в отношении разрешений и соблюдения запретов.",
"comment" : "Обычно пациент, к которому относится согласие, является лицом, согласившимся, но для детей и пожилых людей это может быть какое-либо другое лицо - например, законный опекун.",
"alias" : ["consentor"],
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Reference",
"targetProfile" : ["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,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.performer"
},
{
"identity" : "w5",
"map" : "FiveWs.actor"
},
{
"identity" : "v2",
"map" : "Field 24/ ConsenterID"
}]
},
{
"id" : "Consent.organization",
"path" : "Consent.organization",
"short" : "Хранитель согласия",
"definition" : "Организация, которая управляет согласием, и структура, в которой оно оформляется.",
"alias" : ["custodian"],
"min" : 0,
"max" : "*",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Organization"]
}],
"isSummary" : true,
"mapping" : [{
"identity" : "workflow",
"map" : "Event.performer"
},
{
"identity" : "w5",
"map" : "FiveWs.witness"
}]
},
{
"id" : "Consent.source[x]",
"path" : "Consent.source[x]",
"short" : "Источник, из которого взято это согласие",
"definition" : "Источник, на котором основано это согласие. Источником может быть отсканированная оригинальная бумажная форма или ссылка на согласие, которая ссылается на такой источник, ссылка на репозиторий документов (например, XDS), в котором хранится исходный документ согласия.",
"comment" : "Источник может быть встроенным (вложение), на него можно ссылаться напрямую (Согласие), на него можно ссылаться в репозитории согласия (DocumentReference) или просто с помощью идентификатора (Идентификатор), например идентификатора документа CDA.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Attachment"
},
{
"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"]
}],
"isSummary" : true,
"mapping" : [{
"identity" : "v2",
"map" : "Field 19 Informational Material Supplied Indicator"
}]
},
{
"id" : "Consent.policy",
"path" : "Consent.policy",
"short" : "Политики, на которые распространяется это согласие",
"definition" : "Ссылки на политики, включенные в эту область согласия. Политика может быть организационной, но часто определяется юрисдикцией или законом.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}]
},
{
"id" : "Consent.policy.authority",
"path" : "Consent.policy.authority",
"short" : "Источник правоприменения для политики",
"definition" : "Субъект или организация, обладающая регулирующей юрисдикцией или подотчетной за обеспечение соблюдения политик, относящихся к Директивам о согласии.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "uri"
}],
"condition" : ["ppc-1"]
},
{
"id" : "Consent.policy.uri",
"path" : "Consent.policy.uri",
"short" : "Конкретная политика, на которую распространяется это согласие",
"definition" : "Ссылки на политики, включенные в эту область согласия. Политика может быть организационной, но часто определяется юрисдикцией или законом.",
"comment" : "Этот элемент предназначен для обнаружения / документации и не изменяет и не квалифицирует правила политики.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "uri"
}],
"condition" : ["ppc-1"]
},
{
"id" : "Consent.policyRule",
"path" : "Consent.policyRule",
"short" : "Положение, на которое дается согласие",
"definition" : "Ссылка на конкретное базовое вычислимое регулирование или политику.",
"comment" : "Если policyRule отсутствует, вычислимое согласие должно быть построено из элементов ресурса Consent.",
"requirements" : "Может быть уникальным идентификатором политики, установленной в XACML или другом механизме правил.",
"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" : "extensible",
"description" : "Regulatory policy examples.",
"valueSet" : "http://hl7.org/fhir/ValueSet/consent-policy"
}
},
{
"id" : "Consent.verification",
"path" : "Consent.verification",
"short" : "Согласие подтверждено пациентом или семьей",
"definition" : "Была ли проверена инструкция по лечению (например, искусственное дыхание - да или нет) с пациентом, его / ее семьей или другим уполномоченным лицом.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}],
"isSummary" : true
},
{
"id" : "Consent.verification.verified",
"path" : "Consent.verification.verified",
"short" : "Было проверено",
"definition" : "Была ли инструкция проверена.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "boolean"
}],
"isSummary" : true
},
{
"id" : "Consent.verification.verifiedWith",
"path" : "Consent.verification.verifiedWith",
"short" : "Лицо, подтвердившее согласие",
"definition" : "Кто проверил инструкцию (пациент, родственник или другое уполномоченное лицо).",
"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" : "Когда согласие было подтверждено",
"definition" : "Дата подтверждения согласия.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "dateTime"
}]
},
{
"id" : "Consent.provision",
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "provision"
}],
"path" : "Consent.provision",
"short" : "Ограничения базового Consent.policyRule",
"definition" : "Исключение из основной политики этого согласия. Исключением может быть добавление или удаление прав доступа.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "BackboneElement"
}],
"isSummary" : true
},
{
"id" : "Consent.provision.type",
"path" : "Consent.provision.type",
"short" : "deny | permit",
"definition" : "Действия, которые необходимо предпринять - разрешить или запретить - при выполнении условий правила. Не разрешено в корневом правиле, требуется во всех вложенных правилах.",
"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|4.0.1"
}
},
{
"id" : "Consent.provision.period",
"path" : "Consent.provision.period",
"short" : "Срок действия этого правила",
"definition" : "Срок действия этого правила.",
"min" : 0,
"max" : "1",
"type" : [{
"code" : "Period"
}],
"isSummary" : true
},
{
"id" : "Consent.provision.actor",
"extension" : [{
"url" : "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString" : "provisionActor"
}],
"path" : "Consent.provision.actor",
"short" : "Кто | что контролируется этим правилом (или группой, по роли)",
"definition" : "Кто или что контролирует это правило. Используйте группу, чтобы идентифицировать набор участников по некоторому признаку, который они разделяют (например, 'admitting officers').",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}],
"meaningWhenMissing" : "Нет конкретного субъекта, связанного с исключением"
},
{
"id" : "Consent.provision.actor.role",
"path" : "Consent.provision.actor.role",
"short" : "Как задействовано действующее лицо",
"definition" : "Каким образом данное лицо участвует в содержании ресурсов, описанном в исключении.",
"min" : 1,
"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/security-role-type"
}
},
{
"id" : "Consent.provision.actor.reference",
"path" : "Consent.provision.actor.reference",
"short" : "Ресурс для действующего лица (или группы, по ролям)",
"definition" : "Ресурс, идентифицирующий актера. Чтобы идентифицировать актеров по типу, используйте группу, чтобы идентифицировать набор актеров по некоторому общему свойству (например, 'admitting officers').",
"min" : 1,
"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" : "Действия, контролируемые этим правилом",
"definition" : "Действия, контролируемые этим правилом.",
"comment" : "Обратите внимание, что это прямое действие (а не основания для действия, указанные в элементе цели). В настоящее время единственное действие в понятном и протестированном объеме этого ресурса - 'прочитать'.",
"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" : "Метки безопасности затронутых ресурсов",
"definition" : "Метка безопасности, состоящая из 0 .. * полей метки безопасности (тегов конфиденциальности), которые определяют, какие ресурсы контролируются этим исключением.",
"comment" : "Если в согласии указана метка безопасности «R», то оно применяется ко всем ресурсам с меткой «R» или ниже. Например, для конфиденциальности это высокая отметка. Для других видов защитных меток применяется логика подчинения. Когда тег цели использования относится к данным, цель использования запроса доступа не должна конфликтовать.",
"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" : "Контекст действий, подпадающих под это правило",
"definition" : "Контекст действий, которые выполняет пользователь - почему пользователь обращается к данным, - которые контролируются этим правилом.",
"comment" : "Когда тег цели использования относится к данным, цель использования запроса доступа не должна конфликтовать.",
"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" : "Например, тип ресурса, профиль, CDA",
"definition" : "Класс информации, на который распространяется это правило. Тип может быть типом ресурса FHIR, профилем типа, документом CDA или каким-либо другим типом, который указывает, к какому виду информации относится согласие.",
"comment" : "Несколько типов объединены или объединены. Назначение элемента contentType состоит в том, что коды относятся к профилям или типам документов, определенным в каком-либо стандарте или руководстве по реализации.",
"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" : "Например, код LOINC или SNOMED CT и т. д. в содержимом",
"definition" : "Если этот код найден в экземпляре, то применяется правило.",
"comment" : "Обычно это используется в коде документа с 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" : "Сроки для данных, контролируемых этим правилом",
"definition" : "Клинически релевантный или рабочий период времени, ограничивающий данные, контролируемые этим правилом.",
"comment" : "Это имеет другой смысл, чем период согласия - когда действует соглашение о согласии. Это период времени данных, который регулируется соглашением.",
"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"
}],
"path" : "Consent.provision.data",
"short" : "Данные, контролируемые этим правилом",
"definition" : "Ресурсы, контролируемые этим правилом, если есть ссылки на определенные ресурсы.",
"min" : 0,
"max" : "*",
"type" : [{
"code" : "BackboneElement"
}],
"meaningWhenMissing" : "all data",
"isSummary" : true,
"mapping" : [{
"identity" : "rim",
"map" : "Role"
}]
},
{
"id" : "Consent.provision.data.meaning",
"path" : "Consent.provision.data.meaning",
"short" : "instance | related | dependents | authoredby",
"definition" : "Как интерпретируется ссылка на ресурс при тестировании ограничений согласия.",
"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|4.0.1"
}
},
{
"id" : "Consent.provision.data.reference",
"path" : "Consent.provision.data.reference",
"short" : "Ссылка на сами данные",
"definition" : "Ссылка на конкретный ресурс, который определяет, на какие ресурсы распространяется это согласие.",
"min" : 1,
"max" : "1",
"type" : [{
"code" : "Reference",
"targetProfile" : ["http://hl7.org/fhir/StructureDefinition/Resource"]
}],
"isSummary" : true
},
{
"id" : "Consent.provision.provision",
"path" : "Consent.provision.provision",
"short" : "Вложенные правила исключений",
"definition" : "Правила, которые предоставляют исключения из основного правила или подправил.",
"min" : 0,
"max" : "*",
"contentReference" : "#Consent.provision"
}]
}
}
Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.
®© HL7.org 2011+. FHIR Release 4 (Technical Correction #1) (v4.0.1) generated on Thu, Jan 21, 2021 15:37+0000. QA Page
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