Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Scope of consent (e.g., medical treatment)o) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	SΣ	1..*	CodeableConcept	Specific category of consent (e.g., patient consent, privacy policy) Binding: ConsentCategoryCodes (extensible)
patient	SΣ	1..1	Reference(Anamnesis_Patient)	Patient to whom the consent refers
dateTime	Σ	0..1	dateTime	Date and time when the consent was recorded
Slices for source[x]	Σ	0..1		Source from which this consent is taken Slice: Unordered, Open by type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceAttachment	SΣ	0..1	Attachment	Attachment containing a copy of the signed or informational document
policy	S	1..*	BackboneElement	Reference to the applicable legislation or internal policy (e.g., GDPR, facility regulations)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
provision	SΣ	1..1	BackboneElement	Details of the consent provision, including actors, purposes, and validity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. Required Pattern: permit
period	SΣ	0..1	Period	Period of validity of consent
actor	S	0..*	BackboneElement	Actors to whom the provision applies (e.g., doctor, patient)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: PractitionerRole (extensible)
reference		1..1	Reference(Practitioner_Anamnesis | Anamnesis_Patient)	Reference to the resource representing the actor
purpose	SΣ	1..*	Coding	Purposes for which data processing is authorized (e.g., treatment, research) Binding: PurposeOfUse (extensible)
code	SΣ	0..*	CodeableConcept	Categories of information subject to consent Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.status	required	ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 From the FHIR Standard
Consent.scope	extensible	Pattern Value: treatment http://hl7.org/fhir/ValueSet/consent-scope From the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category From the FHIR Standard
Consent.provision.type	required	Pattern Value: permit http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 From the FHIR Standard
Consent.provision.actor.role	extensible	PractitionerRole http://hl7.org/fhir/ValueSet/practitioner-role From the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.code	example	ConsentContentCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Consent	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 : 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()
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Consent	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Consent	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule : policy.exists() or policyRule.exists()
ppc-2	error	Consent	IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Consent	IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Consent	IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Consent	IF Scope=treatment, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent		0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
status	S	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error
scope	S	1..1	CodeableConcept	Scope of consent (e.g., medical treatment)o) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatment
category	S	1..*	CodeableConcept	Specific category of consent (e.g., patient consent, privacy policy) Binding: ConsentCategoryCodes (extensible)
patient	S	1..1	Reference(Anamnesis_Patient)	Patient to whom the consent refers
dateTime		0..1	dateTime	Date and time when the consent was recorded
Slices for source[x]		0..1	Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)	Source from which this consent is taken Slice: Unordered, Open by type:$this
source[x]:sourceAttachment	S	0..1	Attachment	Attachment containing a copy of the signed or informational document
policy	S	1..*	BackboneElement	Reference to the applicable legislation or internal policy (e.g., GDPR, facility regulations)
provision	S	1..1	BackboneElement	Details of the consent provision, including actors, purposes, and validity
type		0..1	code	deny | permit Required Pattern: permit
period	S	0..1	Period	Period of validity of consent
actor	S	0..*	BackboneElement	Actors to whom the provision applies (e.g., doctor, patient)
role		1..1	CodeableConcept	How the actor is involved Binding: PractitionerRole (extensible)
reference		1..1	Reference(Practitioner_Anamnesis | Anamnesis_Patient)	Reference to the resource representing the actor
purpose	S	1..*	Coding	Purposes for which data processing is authorized (e.g., treatment, research) Binding: PurposeOfUse (extensible)
code	S	0..*	CodeableConcept	Categories of information subject to consent
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category From the FHIR Standard
Consent.provision.actor.role	extensible	PractitionerRole http://hl7.org/fhir/ValueSet/practitioner-role From the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!SΣ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Scope of consent (e.g., medical treatment)o) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	SΣ	1..*	CodeableConcept	Specific category of consent (e.g., patient consent, privacy policy) Binding: ConsentCategoryCodes (extensible)
patient	SΣ	1..1	Reference(Anamnesis_Patient)	Patient to whom the consent refers
dateTime	Σ	0..1	dateTime	Date and time when the consent was recorded
performer	Σ	0..*	Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Who is agreeing to the policy and rules
organization	Σ	0..*	Reference(Organization)	Custodian of the consent
Slices for source[x]	Σ	0..1		Source from which this consent is taken Slice: Unordered, Open by type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceAttachment	SΣ	0..1	Attachment	Attachment containing a copy of the signed or informational document
policy	S	1..*	BackboneElement	Reference to the applicable legislation or internal policy (e.g., GDPR, facility regulations)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
authority	C	0..1	uri	Enforcement source for policy
uri	C	0..1	uri	Specific policy covered by this consent
policyRule	ΣC	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification	Σ	0..*	BackboneElement	Consent Verified by patient or family
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
verified	Σ	1..1	boolean	Has been verified
verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
verificationDate		0..1	dateTime	When consent verified
provision	SΣ	1..1	BackboneElement	Details of the consent provision, including actors, purposes, and validity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. Required Pattern: permit
period	SΣ	0..1	Period	Period of validity of consent
actor	S	0..*	BackboneElement	Actors to whom the provision applies (e.g., doctor, patient)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: PractitionerRole (extensible)
reference		1..1	Reference(Practitioner_Anamnesis | Anamnesis_Patient)	Reference to the resource representing the actor
action	Σ	0..*	CodeableConcept	Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	SΣ	1..*	Coding	Purposes for which data processing is authorized (e.g., treatment, research) Binding: PurposeOfUse (extensible)
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	SΣ	0..*	CodeableConcept	Categories of information subject to consent Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	Σ	0..*	BackboneElement	Data controlled by this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference	Σ	1..1	Reference(Resource)	The actual data reference
provision		0..*	See provision (Consent)	Nested Exception Rules
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Consent.status	required	ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 From the FHIR Standard
Consent.scope	extensible	Pattern Value: treatment http://hl7.org/fhir/ValueSet/consent-scope From the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category From the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy From the FHIR Standard
Consent.provision.type	required	Pattern Value: permit http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 From the FHIR Standard
Consent.provision.actor.role	extensible	PractitionerRole http://hl7.org/fhir/ValueSet/practitioner-role From the FHIR Standard
Consent.provision.action	example	ConsentActionCodes http://hl7.org/fhir/ValueSet/consent-action From the FHIR Standard
Consent.provision.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.class	extensible	ConsentContentClass http://hl7.org/fhir/ValueSet/consent-content-class From the FHIR Standard
Consent.provision.code	example	ConsentContentCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code From the FHIR Standard
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Consent	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 : 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()
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Consent	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Consent	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule : policy.exists() or policyRule.exists()
ppc-2	error	Consent	IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Consent	IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Consent	IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Consent	IF Scope=treatment, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

Summary

Mandatory: 4 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Anamnesis_Patient (http://remote-anamnesis.na.icar.cnr/StructureDefinition/patient-anamnesi)
• Practitioner_Anamnesis (http://remote-anamnesis.na.icar.cnr/StructureDefinition/PractitionerAnamnesi)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Consent.source[x]

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!SΣ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Scope of consent (e.g., medical treatment)o) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	SΣ	1..*	CodeableConcept	Specific category of consent (e.g., patient consent, privacy policy) Binding: ConsentCategoryCodes (extensible)
patient	SΣ	1..1	Reference(Anamnesis_Patient)	Patient to whom the consent refers
dateTime	Σ	0..1	dateTime	Date and time when the consent was recorded
Slices for source[x]	Σ	0..1		Source from which this consent is taken Slice: Unordered, Open by type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceAttachment	SΣ	0..1	Attachment	Attachment containing a copy of the signed or informational document
policy	S	1..*	BackboneElement	Reference to the applicable legislation or internal policy (e.g., GDPR, facility regulations)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
provision	SΣ	1..1	BackboneElement	Details of the consent provision, including actors, purposes, and validity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. Required Pattern: permit
period	SΣ	0..1	Period	Period of validity of consent
actor	S	0..*	BackboneElement	Actors to whom the provision applies (e.g., doctor, patient)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: PractitionerRole (extensible)
reference		1..1	Reference(Practitioner_Anamnesis | Anamnesis_Patient)	Reference to the resource representing the actor
purpose	SΣ	1..*	Coding	Purposes for which data processing is authorized (e.g., treatment, research) Binding: PurposeOfUse (extensible)
code	SΣ	0..*	CodeableConcept	Categories of information subject to consent Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.status	required	ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 From the FHIR Standard
Consent.scope	extensible	Pattern Value: treatment http://hl7.org/fhir/ValueSet/consent-scope From the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category From the FHIR Standard
Consent.provision.type	required	Pattern Value: permit http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 From the FHIR Standard
Consent.provision.actor.role	extensible	PractitionerRole http://hl7.org/fhir/ValueSet/practitioner-role From the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.code	example	ConsentContentCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Consent	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 : 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()
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Consent	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Consent	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule : policy.exists() or policyRule.exists()
ppc-2	error	Consent	IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Consent	IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Consent	IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Consent	IF Scope=treatment, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent		0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
status	S	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error
scope	S	1..1	CodeableConcept	Scope of consent (e.g., medical treatment)o) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatment
category	S	1..*	CodeableConcept	Specific category of consent (e.g., patient consent, privacy policy) Binding: ConsentCategoryCodes (extensible)
patient	S	1..1	Reference(Anamnesis_Patient)	Patient to whom the consent refers
dateTime		0..1	dateTime	Date and time when the consent was recorded
Slices for source[x]		0..1	Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)	Source from which this consent is taken Slice: Unordered, Open by type:$this
source[x]:sourceAttachment	S	0..1	Attachment	Attachment containing a copy of the signed or informational document
policy	S	1..*	BackboneElement	Reference to the applicable legislation or internal policy (e.g., GDPR, facility regulations)
provision	S	1..1	BackboneElement	Details of the consent provision, including actors, purposes, and validity
type		0..1	code	deny | permit Required Pattern: permit
period	S	0..1	Period	Period of validity of consent
actor	S	0..*	BackboneElement	Actors to whom the provision applies (e.g., doctor, patient)
role		1..1	CodeableConcept	How the actor is involved Binding: PractitionerRole (extensible)
reference		1..1	Reference(Practitioner_Anamnesis | Anamnesis_Patient)	Reference to the resource representing the actor
purpose	S	1..*	Coding	Purposes for which data processing is authorized (e.g., treatment, research) Binding: PurposeOfUse (extensible)
code	S	0..*	CodeableConcept	Categories of information subject to consent
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category From the FHIR Standard
Consent.provision.actor.role	extensible	PractitionerRole http://hl7.org/fhir/ValueSet/practitioner-role From the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Consent	C	0..*	Consent	A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time Constraints: ppc-1, ppc-2, ppc-3, ppc-4, ppc-5
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status	?!SΣ	1..1	code	draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent.
scope	?!SΣ	1..1	CodeableConcept	Scope of consent (e.g., medical treatment)o) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (Complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: treatment
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
category	SΣ	1..*	CodeableConcept	Specific category of consent (e.g., patient consent, privacy policy) Binding: ConsentCategoryCodes (extensible)
patient	SΣ	1..1	Reference(Anamnesis_Patient)	Patient to whom the consent refers
dateTime	Σ	0..1	dateTime	Date and time when the consent was recorded
performer	Σ	0..*	Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)	Who is agreeing to the policy and rules
organization	Σ	0..*	Reference(Organization)	Custodian of the consent
Slices for source[x]	Σ	0..1		Source from which this consent is taken Slice: Unordered, Open by type:$this
sourceAttachment			Attachment
sourceReference			Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
source[x]:sourceAttachment	SΣ	0..1	Attachment	Attachment containing a copy of the signed or informational document
policy	S	1..*	BackboneElement	Reference to the applicable legislation or internal policy (e.g., GDPR, facility regulations)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
authority	C	0..1	uri	Enforcement source for policy
uri	C	0..1	uri	Specific policy covered by this consent
policyRule	ΣC	0..1	CodeableConcept	Regulation that this consents to Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.
verification	Σ	0..*	BackboneElement	Consent Verified by patient or family
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
verified	Σ	1..1	boolean	Has been verified
verifiedWith		0..1	Reference(Patient | RelatedPerson)	Person who verified
verificationDate		0..1	dateTime	When consent verified
provision	SΣ	1..1	BackboneElement	Details of the consent provision, including actors, purposes, and validity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	0..1	code	deny | permit Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent. Required Pattern: permit
period	SΣ	0..1	Period	Period of validity of consent
actor	S	0..*	BackboneElement	Actors to whom the provision applies (e.g., doctor, patient)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role		1..1	CodeableConcept	How the actor is involved Binding: PractitionerRole (extensible)
reference		1..1	Reference(Practitioner_Anamnesis | Anamnesis_Patient)	Reference to the resource representing the actor
action	Σ	0..*	CodeableConcept	Actions controlled by this rule Binding: ConsentActionCodes (example): Detailed codes for the consent action.
securityLabel	Σ	0..*	Coding	Security Labels that define affected resources Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
purpose	SΣ	1..*	Coding	Purposes for which data processing is authorized (e.g., treatment, research) Binding: PurposeOfUse (extensible)
class	Σ	0..*	Coding	e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code	SΣ	0..*	CodeableConcept	Categories of information subject to consent Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod	Σ	0..1	Period	Timeframe for data controlled by this rule
data	Σ	0..*	BackboneElement	Data controlled by this rule
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
meaning	Σ	1..1	code	instance | related | dependents | authoredby Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.
reference	Σ	1..1	Reference(Resource)	The actual data reference
provision		0..*	See provision (Consent)	Nested Exception Rules
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Consent.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Consent.status	required	ConsentState http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1 From the FHIR Standard
Consent.scope	extensible	Pattern Value: treatment http://hl7.org/fhir/ValueSet/consent-scope From the FHIR Standard
Consent.category	extensible	ConsentCategoryCodes http://hl7.org/fhir/ValueSet/consent-category From the FHIR Standard
Consent.policyRule	extensible	ConsentPolicyRuleCodes http://hl7.org/fhir/ValueSet/consent-policy From the FHIR Standard
Consent.provision.type	required	Pattern Value: permit http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1 From the FHIR Standard
Consent.provision.actor.role	extensible	PractitionerRole http://hl7.org/fhir/ValueSet/practitioner-role From the FHIR Standard
Consent.provision.action	example	ConsentActionCodes http://hl7.org/fhir/ValueSet/consent-action From the FHIR Standard
Consent.provision.securityLabel	extensible	All Security Labels http://hl7.org/fhir/ValueSet/security-labels From the FHIR Standard
Consent.provision.purpose	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.class	extensible	ConsentContentClass http://hl7.org/fhir/ValueSet/consent-content-class From the FHIR Standard
Consent.provision.code	example	ConsentContentCodes(a valid code from LOINC) http://hl7.org/fhir/ValueSet/consent-content-code From the FHIR Standard
Consent.provision.data.meaning	required	ConsentDataMeaning http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Consent	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Consent	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 : 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()
dom-4	error	Consent	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Consent	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Consent	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
ppc-1	error	Consent	Either a Policy or PolicyRule : policy.exists() or policyRule.exists()
ppc-2	error	Consent	IF Scope=privacy, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3	error	Consent	IF Scope=research, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4	error	Consent	IF Scope=adr, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5	error	Consent	IF Scope=treatment, there must be a patient : patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()

Summary

Mandatory: 4 elements
Must-Support: 11 elements

Structures

This structure refers to these other structures:

• Anamnesis_Patient (http://remote-anamnesis.na.icar.cnr/StructureDefinition/patient-anamnesi)
• Practitioner_Anamnesis (http://remote-anamnesis.na.icar.cnr/StructureDefinition/PractitionerAnamnesi)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Consent.source[x]