Implementation Guide
TIFlow - Grenzüberschreitender Datenaustausch
Version 2.0.0-ballot.2 - ballot

## Resource Profile: Consent for ePrescriptions

Official URL: https://gematik.de/fhir/tiflow-xborder/StructureDefinition/GEM-ERPEU-PR-Consent | Version: 2.0.0-ballot.2
Draft as of 2026-06-30 | Computable Name: GEM_ERPEU_PR_Consent

Records the consent of the patient for an operation in the context of ePrescription.

Usages:

- Examples for this Profile: Consent/f97a0772-c99f-4159-90c6-2a41c7d96779

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

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: dom-2, dom-3, dom-4, dom-5, dom-6, ppc-4, ppc-5, ppc-2, ppc-3, ppc-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Fixed Value: active
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: patient-privacy
display | Σ | 0..1 | string | Representation defined by the system Fixed Value: Privacy Consent
category | Σ | 1..1 | CodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ValueSet of Consent Codes (required)
patient | Σ C | 1..1 | Reference(Patient) | Who the consent applies to Constraints: ref-1
identifier | Σ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ C | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Constraints: kvid-2 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://fhir.de/CodeSystem/identifier-type-de-basis
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: KVZ10
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
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value | Σ C | 1..1 | string | The value that is unique Constraints: kvid-1 Example General: 123456
assigner | S Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
identifier | S Σ | 0..1 | IdentifierIknr | Logical reference, when literal reference is not known
dateTime | S Σ | 0..1 | dateTime | When this Consent was created or indexed
policyRule | S Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ValueSet of Consent PolyRule Codes (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | required | ValueSet of Consent Codes | 📦2.0.0-ballot.2 | This IG
Consent.patient.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Consent.patient.identifier.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Consent.policyRule | Base | required | ValueSet of Consent PolyRule Codes | 📦2.0.0-ballot.2 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`
kvid-1 | warning | Consent.patient.identifier.value | Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen | `matches('^[A-Z][0-9]{9}$')`
kvid-2 | warning | Consent.patient.identifier.type | Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden | `($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()`
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()`
ref-1 | error | Consent.patient, Consent.patient.identifier.assigner | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from Consent

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 |  | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Fixed Value: active
scope |  |  |  |
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code |  | 0..1 | code | Symbol in syntax defined by the system Fixed Value: patient-privacy
display |  | 0..1 | string | Representation defined by the system Fixed Value: Privacy Consent
category |  | 1..1 | CodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ValueSet of Consent Codes (required)
patient |  | 1..1 | Reference(Patient) | Who the consent applies to
identifier |  | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
assigner | S | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier | S | 0..1 | IdentifierIknr | Logical reference, when literal reference is not known
dateTime | S | 0..1 | dateTime | When this Consent was created or indexed
policyRule | S | 0..1 | CodeableConcept | Regulation that this consents to Binding: ValueSet of Consent PolyRule Codes (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Consent.category | Base | required | ValueSet of Consent Codes | 📦2.0.0-ballot.2 | This IG
Consent.policyRule | Base | required | ValueSet of Consent PolyRule Codes | 📦2.0.0-ballot.2 | This IG

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: dom-2, dom-3, dom-4, dom-5, dom-6, ppc-4, ppc-5, ppc-2, ppc-3, ppc-1
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 Slice: Unordered, Open by value:url
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Fixed Value: active
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: patient-privacy
display | Σ | 0..1 | string | Representation defined by the system Fixed Value: Privacy Consent
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
category | Σ | 1..1 | CodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ValueSet of Consent Codes (required)
patient | Σ C | 1..1 | Reference(Patient) | Who the consent applies to Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ C | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Constraints: kvid-2 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://fhir.de/CodeSystem/identifier-type-de-basis
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: KVZ10
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
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value | Σ C | 1..1 | string | The value that is unique Constraints: kvid-1 Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | S Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | IdentifierIknr | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
display | Σ | 0..1 | string | Text alternative for the resource
dateTime | S Σ | 0..1 | dateTime | When this Consent was created or indexed
performer | Σ C | 0..* | Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Who is agreeing to the policy and rules Constraints: ref-1
organization | Σ C | 0..* | Reference(Organization) | Custodian of the consent Constraints: ref-1
source[x] | Σ | 0..1 |  | Source from which this consent is taken
sourceAttachment |  |  | Attachment |
sourceReference |  |  | Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) |
policy |  | 0..* | BackboneElement | Policies covered by this consent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
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 | S Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ValueSet of Consent PolyRule Codes (required)
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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verifiedWith | C | 0..1 | Reference(Patient | RelatedPerson) | Person who verified Constraints: ref-1
verificationDate |  | 0..1 | dateTime | When consent verified
provision | Σ | 0..1 | BackboneElement | Constraints to the base Consent.policyRule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
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.
period | Σ C | 0..1 | Period | Timeframe for this rule Constraints: per-1
actor |  | 0..* | BackboneElement | Who|what controlled by this rule (or group, by role)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role |  | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference | C | 1..1 | Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Resource for the actor (or group, by role) Constraints: ref-1
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 | Σ | 0..* | Coding | Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code | Σ | 0..* | CodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod | Σ C | 0..1 | Period | Timeframe for data controlled by this rule Constraints: per-1
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 Slice: Unordered, Open by value:url
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 C | 1..1 | Reference(Resource) | The actual data reference Constraints: ref-1
provision |  | 0..* | See provision (Consent) | Nested Exception Rules
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | required | ValueSet of Consent Codes | 📦2.0.0-ballot.2 | This IG
Consent.patient.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Consent.patient.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Consent.patient.identifier.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Consent.patient.identifier.​assigner.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Consent.policyRule | Base | required | ValueSet of Consent PolyRule Codes | 📦2.0.0-ballot.2 | This IG
Consent.provision.type | Base | required | ConsentProvisionType | 📍4.0.1 | FHIR Std.
Consent.provision.actor.​role | Base | extensible | SecurityRoleType | 📍4.0.1 | FHIR Std.
Consent.provision.action | Base | example | Consent Action Codes | 📍4.0.1 | FHIR Std.
Consent.provision.securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Consent.provision.purpose | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.2
Consent.provision.class | Base | extensible | Consent Content Class | 📍4.0.1 | FHIR Std.
Consent.provision.code | Base | example | Consent Content Codes | 📍4.0.1 | FHIR Std.
Consent.provision.data.​meaning | Base | required | ConsentDataMeaning | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`
kvid-1 | warning | Consent.patient.identifier.value | Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen | `matches('^[A-Z][0-9]{9}$')`
kvid-2 | warning | Consent.patient.identifier.type | Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden | `($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()`
per-1 | error | Consent.patient.identifier.period, Consent.provision.period, Consent.provision.dataPeriod | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
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()`
ref-1 | error | Consent.patient, Consent.patient.identifier.assigner, Consent.performer, Consent.organization, Consent.verification.verifiedWith, Consent.provision.actor.reference, Consent.provision.data.reference | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from Consent

Summary

Mandatory: 3 elements
Must-Support: 4 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

- Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
- Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) (http://fhir.de/StructureDefinition/identifier-iknr)

Key Elements View

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: dom-2, dom-3, dom-4, dom-5, dom-6, ppc-4, ppc-5, ppc-2, ppc-3, ppc-1
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Fixed Value: active
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
coding | Σ | 1..1 | Coding | Code defined by a terminology system
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: patient-privacy
display | Σ | 0..1 | string | Representation defined by the system Fixed Value: Privacy Consent
category | Σ | 1..1 | CodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ValueSet of Consent Codes (required)
patient | Σ C | 1..1 | Reference(Patient) | Who the consent applies to Constraints: ref-1
identifier | Σ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ C | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Constraints: kvid-2 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://fhir.de/CodeSystem/identifier-type-de-basis
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: KVZ10
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
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value | Σ C | 1..1 | string | The value that is unique Constraints: kvid-1 Example General: 123456
assigner | S Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
identifier | S Σ | 0..1 | IdentifierIknr | Logical reference, when literal reference is not known
dateTime | S Σ | 0..1 | dateTime | When this Consent was created or indexed
policyRule | S Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ValueSet of Consent PolyRule Codes (required)
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | required | ValueSet of Consent Codes | 📦2.0.0-ballot.2 | This IG
Consent.patient.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Consent.patient.identifier.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Consent.policyRule | Base | required | ValueSet of Consent PolyRule Codes | 📦2.0.0-ballot.2 | This IG

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`
kvid-1 | warning | Consent.patient.identifier.value | Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen | `matches('^[A-Z][0-9]{9}$')`
kvid-2 | warning | Consent.patient.identifier.type | Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden | `($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()`
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()`
ref-1 | error | Consent.patient, Consent.patient.identifier.assigner | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

Differential View

This structure is derived from Consent

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 |  | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Fixed Value: active
scope |  |  |  |
coding |  | 1..1 | Coding | Code defined by a terminology system
system |  | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
code |  | 0..1 | code | Symbol in syntax defined by the system Fixed Value: patient-privacy
display |  | 0..1 | string | Representation defined by the system Fixed Value: Privacy Consent
category |  | 1..1 | CodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ValueSet of Consent Codes (required)
patient |  | 1..1 | Reference(Patient) | Who the consent applies to
identifier |  | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
assigner | S | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
identifier | S | 0..1 | IdentifierIknr | Logical reference, when literal reference is not known
dateTime | S | 0..1 | dateTime | When this Consent was created or indexed
policyRule | S | 0..1 | CodeableConcept | Regulation that this consents to Binding: ValueSet of Consent PolyRule Codes (required)
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Consent.category | Base | required | ValueSet of Consent Codes | 📦2.0.0-ballot.2 | This IG
Consent.policyRule | Base | required | ValueSet of Consent PolyRule Codes | 📦2.0.0-ballot.2 | This IG

Snapshot View

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: dom-2, dom-3, dom-4, dom-5, dom-6, ppc-4, ppc-5, ppc-2, ppc-3, ppc-1
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 Slice: Unordered, Open by value:url
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier | Σ | 0..* | Identifier | Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
status | ?!Σ | 1..1 | code | draft | proposed | active | rejected | inactive | entered-in-error Binding: ConsentState (required): Indicates the state of the consent. Fixed Value: active
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
coding | Σ | 1..1 | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 0..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/consentscope
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system Fixed Value: patient-privacy
display | Σ | 0..1 | string | Representation defined by the system Fixed Value: Privacy Consent
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
category | Σ | 1..1 | CodeableConcept | Classification of the consent statement - for indexing/retrieval Binding: ValueSet of Consent Codes (required)
patient | Σ C | 1..1 | Reference(Patient) | Who the consent applies to Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 1..1 | IdentifierKvid10 | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ C | 0..1 | CodeableConcept | Description of identifier Binding: Identifier Type DeBasis ValueSet (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. Constraints: kvid-2 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://fhir.de/CodeSystem/identifier-type-de-basis
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: KVZ10
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
system | Σ | 1..1 | uri | The namespace for the identifier value Fixed Value: http://fhir.de/sid/gkv/kvid-10
value | Σ C | 1..1 | string | The value that is unique Constraints: kvid-1 Example General: 123456
period | Σ C | 0..1 | Period | Time period when id is/was valid for use Constraints: per-1
assigner | S Σ C | 0..1 | Reference(Organization) | Organization that issued id (may be just text) Constraints: ref-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | Σ C | 0..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | S Σ | 0..1 | IdentifierIknr | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
display | Σ | 0..1 | string | Text alternative for the resource
dateTime | S Σ | 0..1 | dateTime | When this Consent was created or indexed
performer | Σ C | 0..* | Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Who is agreeing to the policy and rules Constraints: ref-1
organization | Σ C | 0..* | Reference(Organization) | Custodian of the consent Constraints: ref-1
source[x] | Σ | 0..1 |  | Source from which this consent is taken
sourceAttachment |  |  | Attachment |
sourceReference |  |  | Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) |
policy |  | 0..* | BackboneElement | Policies covered by this consent
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
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 | S Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ValueSet of Consent PolyRule Codes (required)
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 Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
verified | Σ | 1..1 | boolean | Has been verified
verifiedWith | C | 0..1 | Reference(Patient | RelatedPerson) | Person who verified Constraints: ref-1
verificationDate |  | 0..1 | dateTime | When consent verified
provision | Σ | 0..1 | BackboneElement | Constraints to the base Consent.policyRule
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
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.
period | Σ C | 0..1 | Period | Timeframe for this rule Constraints: per-1
actor |  | 0..* | BackboneElement | Who|what controlled by this rule (or group, by role)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role |  | 1..1 | CodeableConcept | How the actor is involved Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.
reference | C | 1..1 | Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Resource for the actor (or group, by role) Constraints: ref-1
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 | Σ | 0..* | Coding | Context of activities covered by this rule Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.
class | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc. Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.
code | Σ | 0..* | CodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.
dataPeriod | Σ C | 0..1 | Period | Timeframe for data controlled by this rule Constraints: per-1
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 Slice: Unordered, Open by value:url
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 C | 1..1 | Reference(Resource) | The actual data reference Constraints: ref-1
provision |  | 0..* | See provision (Consent) | Nested Exception Rules
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Consent.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Consent.status | Base | required | ConsentState | 📍4.0.1 | FHIR Std.
Consent.scope | Base | extensible | Consent Scope Codes | 📍4.0.1 | FHIR Std.
Consent.category | Base | required | ValueSet of Consent Codes | 📦2.0.0-ballot.2 | This IG
Consent.patient.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Consent.patient.identifier.​use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Consent.patient.identifier.​type | Base | extensible | Identifier Type DeBasis ValueSet | 📦1.5.4 | de.basisprofil.r4 v1.5
Consent.patient.identifier.​assigner.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Consent.policyRule | Base | required | ValueSet of Consent PolyRule Codes | 📦2.0.0-ballot.2 | This IG
Consent.provision.type | Base | required | ConsentProvisionType | 📍4.0.1 | FHIR Std.
Consent.provision.actor.​role | Base | extensible | SecurityRoleType | 📍4.0.1 | FHIR Std.
Consent.provision.action | Base | example | Consent Action Codes | 📍4.0.1 | FHIR Std.
Consent.provision.securityLabel | Base | extensible | SecurityLabels | 📍4.0.1 | FHIR Std.
Consent.provision.purpose | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.2
Consent.provision.class | Base | extensible | Consent Content Class | 📍4.0.1 | FHIR Std.
Consent.provision.code | Base | example | Consent Content Codes | 📍4.0.1 | FHIR Std.
Consent.provision.data.​meaning | Base | required | ConsentDataMeaning | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
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()`
kvid-1 | warning | Consent.patient.identifier.value | Der unveränderliche Teil der KVID muss 10-stellig sein und mit einem Großbuchstaben anfangen | `matches('^[A-Z][0-9]{9}$')`
kvid-2 | warning | Consent.patient.identifier.type | Die type Codes 'GKV' und 'PKV' haben den Status 'retired', daher sollen diese nicht mehr verwendet werden | `($this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='GKV') or $this.coding.exists(system='http://fhir.de/CodeSystem/identifier-type-de-basis' and code='PKV')).not()`
per-1 | error | Consent.patient.identifier.period, Consent.provision.period, Consent.provision.dataPeriod | If present, start SHALL have a lower value than end | `start.hasValue().not() or end.hasValue().not() or (start <= end)`
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()`
ref-1 | error | Consent.patient, Consent.patient.identifier.assigner, Consent.performer, Consent.organization, Consent.verification.verifiedWith, Consent.provision.actor.reference, Consent.provision.data.reference | SHALL have a contained resource if a local reference is provided | `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`

This structure is derived from Consent

Summary

Mandatory: 3 elements
Must-Support: 4 elements
Fixed: 4 elements

Structures

This structure refers to these other structures:

- Identifier-Profil für die 10-stellige Krankenversichertennummer (http://fhir.de/StructureDefinition/identifier-kvid-10)
- Identifier-Profil für die Abbildung eines Institutionskennzeichens (IKNR) (http://fhir.de/StructureDefinition/identifier-iknr)

Other representations of profile: CSV, Excel, Schematron