R4 Ballot #1 (Mixed Normative/Trial use)
This page is part of the FHIR Specification (v3.3.0: R4 Ballot 2). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions 
. Page versions: R3 R2
| (No assigned work group) | Maturity Level: 1 | Informative | Use Context: Any |
StructureDefinition for Consent Directive
Financial
{
"resourceType": "StructureDefinition",
"id": "consentdirective",
"text": {
"status": "generated",
"div": "<div>!-- Snipped for Brevity --></div>"
},
"url": "http://hl7.org/fhir/StructureDefinition/consentdirective",
"name": "ConsentDirective",
"title": "Consent Directive",
"status": "draft",
"date": "2014-01-31",
"publisher": "Health Level Seven International (Community Based Collaborative Care)",
"contact": [
{
"telecom": [
{
"system": "other",
"value": "http://hl7.org/special/committees/Security"
}
]
}
],
"description": "Consent Directive",
"fhirVersion": "3.3.0",
"mapping": [
{
"identity": "v2",
"uri": "http://hl7.org/v2",
"name": "HL7 v2"
},
{
"identity": "workflow",
"uri": "http://hl7.org/fhir/workflow",
"name": "Workflow Pattern"
},
{
"identity": "rim",
"uri": "http://hl7.org/v3",
"name": "RIM Mapping"
},
{
"identity": "w5",
"uri": "http://hl7.org/fhir/fivews",
"name": "FiveWs Pattern"
}
],
"kind": "resource",
"abstract": false,
"type": "Contract",
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Contract",
"derivation": "constraint",
"snapshot": {
"element": [
{
"id": "Contract",
"path": "Contract",
"short": "Consent Directive",
"definition": "A record of a healthcare consumer’s privacy policy, which is in accordance with governing jurisdictional and organization privacy policies that grant or withhold consent: • To one or more identified entities in a defined role • To perform one or more operations (e.g. collect, access, use, disclose, amend, or delete) • On an instance or type of individually identifiable health information [IIHI] • For a purpose such as treatment, payment, operations, research, public health, quality measures, health status evaluation by third parties, or marketing • Under certain conditions, e.g. when unconscious • For specified time period, e.g. effective and expiration dates • In certain context, e.g. in an emergency A consent directive is an instance of governing jurisdictional and organization privacy policies, which might or might not be backed up by a signed document (paper or electronic). [HITSP TP30].",
"min": 0,
"max": "*",
"base": {
"path": "Contract",
"min": 0,
"max": "*"
},
"constraint": [
{
"key": "dom-2",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources",
"expression": "contained.contained.empty()",
"xpath": "not(parent::f:contained and f:contained)",
"source": "DomainResource"
},
{
"key": "dom-1",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL NOT contain any narrative",
"expression": "contained.text.empty()",
"xpath": "not(parent::f:contained and f:text)",
"source": "DomainResource"
},
{
"key": "dom-4",
"severity": "error",
"human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated",
"expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()",
"xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))",
"source": "DomainResource"
},
{
"key": "dom-3",
"severity": "error",
"human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource",
"expression": "contained.all(('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists())",
"xpath": "not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))",
"source": "DomainResource"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Entity. Role, or Act"
},
{
"identity": "workflow",
"map": "Request"
},
{
"identity": "rim",
"map": "FinancialContract"
},
{
"identity": "w5",
"map": "financial.other"
}
]
},
{
"id": "Contract.id",
"path": "Contract.id",
"short": "Logical id of this artifact",
"definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.",
"comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "id"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Contract.meta",
"path": "Contract.meta",
"short": "Metadata about the resource",
"definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.meta",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Meta"
}
],
"isModifier": false,
"isSummary": true
},
{
"id": "Contract.implicitRules",
"path": "Contract.implicitRules",
"short": "A set of rules under which this content was created",
"definition": "A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.",
"comment": "Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.",
"min": 0,
"max": "1",
"base": {
"path": "Resource.implicitRules",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"isModifier": true,
"isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation",
"isSummary": true
},
{
"id": "Contract.language",
"path": "Contract.language",
"short": "Language of the resource content",
"definition": "The base language in which the resource is written.",
"comment": "Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).",
"min": 0,
"max": "1",
"base": {
"path": "Resource.language",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet",
"valueReference": {
"reference": "http://hl7.org/fhir/ValueSet/all-languages"
}
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "Language"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "extensible",
"description": "A human language.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/languages"
}
},
{
"id": "Contract.text",
"path": "Contract.text",
"short": "Text summary of the resource, for human interpretation",
"definition": "A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it \"clinically safe\" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.",
"comment": "Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a \"text blob\" or where text is additionally entered raw or narrated and encoded in formation is added later.",
"alias": [
"narrative",
"html",
"xhtml",
"display"
],
"min": 0,
"max": "1",
"base": {
"path": "DomainResource.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Narrative"
}
],
"condition": [
"dom-1"
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Act.text?"
}
]
},
{
"id": "Contract.contained",
"path": "Contract.contained",
"short": "Contained, inline Resources",
"definition": "These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.",
"comment": "This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.",
"alias": [
"inline resources",
"anonymous resources",
"contained resources"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.contained",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Resource"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.extension",
"path": "Contract.extension",
"short": "Additional Content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.modifierExtension",
"path": "Contract.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "DomainResource.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "Not known why this is labelled a modifier",
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.identifier",
"path": "Contract.identifier",
"label": "ConsentDirective-identifier",
"short": "Consent Directive identifier",
"definition": "Unique identifier for this Consent Directive.",
"requirements": "This is the business identifier of the contract content conveyed. It may be a derivative of the legally binding contract, in which case, the identifier of the basal contract is contained in the Contract.binding referenced Contract.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.identifier",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Identifier"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Request.identifier"
},
{
"identity": "rim",
"map": "FinancialContract id"
}
]
},
{
"id": "Contract.status",
"path": "Contract.status",
"short": "amended | appended | cancelled | disputed | entered-in-error | executable | executed | negotiable | offered | policy | rejected | renewed | revoked | resolved | terminated",
"definition": "The status of the resource instance.",
"comment": "This element is labeled as a modifier because the status contains codes that mark the contract as not currently valid or active.",
"requirements": "This is the Contract Business Workflow Status.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.status",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": true,
"isModifierReason": "This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid",
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContractStatus"
}
],
"strength": "required",
"description": "A code specifying the state of the resource instance.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-status"
},
"mapping": [
{
"identity": "workflow",
"map": "Request.status"
},
{
"identity": "w5",
"map": "FiveWs.status"
},
{
"identity": "rim",
"map": "Act.status"
}
]
},
{
"id": "Contract.contentDerivative",
"path": "Contract.contentDerivative",
"short": "Content derived from the basal information",
"definition": "The minimal content derived from the basal information source at a specific stage in its lifecycle.",
"requirements": "In the context of a contract, the information source of the content derivative shall be the information referenced by the contract.binding.\rThe Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. \rHowever, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource.\rIf the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.contentDerivative",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContractContentDerivative"
}
],
"strength": "example",
"description": "This is an example set of Content Derivative type codes, which represent the minimal content derived from the basal information source.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-content-derivative"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "Maps partially to several v3 codes: ActClass: REG (registration) Description: Represents the act of maintaining information about the registration of its associated registered subject. The subject can be either an Act or a Role, and includes subjects such as lab exam definitions, drug protocol definitions, prescriptions, persons, patients, practitioners, and equipment.\rThe registration may have a unique identifier - separate from the unique identification of the subject - as well as a core set of related participations and act relationships that characterize the registration event and aid in the disposition of the subject information by a receiving system. Observation: VERIF (Verification) Description: An act which describes the process whereby a 'verifying party' validates either the existence of the Role attested to by some Credential or the actual Vetting act and its details. TRFR (transfer) Description: The act of transferring information without the intent of imparting understanding about a topic to the subject that is the recipient or holder of the transferred information where the participation association must be RCV or HLD. _ActDetectedIssueManagementCode [abstract term] Description: Codes dealing with the management of Detected Issue observations. _ActInformationAccessContextCode [abstract term] Description: Concepts conveying the context in which authorization given under jurisdictional law, by organizational policy, or by a patient consent directive permits the collection, access, use or disclosure of specified patient health information. _ActListCode [abstract term]vDescription: Provides codes associated with ActClass value of LIST (working list). RefusalReasonCode [abstract term] Description:\rDescription: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action."
}
]
},
{
"id": "Contract.issued",
"path": "Contract.issued",
"label": "ConsentDirective-issued",
"short": "When this Consent Directive was issued",
"definition": "Date and time when this Consent Directive was executed and became effective.",
"requirements": "The Contract issuance dateTime often precedes the Contract effective dateTime.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.issued",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Request.authoredOn"
},
{
"identity": "rim",
"map": "Act.availabilityTime. Definition: A time expression specifying when an Observation, Procedure, or other Act occurs, or, depending on the mood, is supposed to occur, scheduled to occur, etc. The activityTime includes the times of component actions (such as preparation and clean-up). For Procedures and SubstanceAdministrations, the activityTime can provide a needed administrative function by providing a more inclusive time to be anticipated in scheduling. UsageNotes:The activityTime is primarily of administrative rather than clinical use. The clinically relevant time is the effectiveTime. When an observation of a prior symptom is made, the activityTime describes the time the observation is made, as opposed to effectiveTime which is the time the symptom is reported to have occurred. Thus the activityTime may be entirely different from the effectiveTime of the same Act. However, even apart from clinical use cases, designers should first consider effectiveTime as the primary relevant time for an Act. ActivityTime indicates when an Act occurs, not when it is recorded."
},
{
"identity": "rim",
"map": "FinancialContract effectiveTime"
}
]
},
{
"id": "Contract.applies",
"path": "Contract.applies",
"label": "ConsentDirective-applies",
"short": "Effective time",
"definition": "Time period during which this Consent Directive is in effect.",
"requirements": "The dateTime upon which the Contract is binding.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.applies",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Request.occurrence[x]"
},
{
"identity": "rim",
"map": "Act.effectiveTime Definition: The clinically or operationally relevant time of an act, exclusive of administrative activity."
},
{
"identity": "rim",
"map": "FinancialContract activityTime"
}
]
},
{
"id": "Contract.subject",
"path": "Contract.subject",
"label": "ConsentDirective-topic",
"short": "The Patient is the topic of this Consent Directive",
"definition": "Patient information and actions taken on that information that are governed by this Consent Directive.",
"comment": "The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. \rIn many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.",
"requirements": "The Contract.subject is an entity that has some role with respect to the Contract.topic and Contract.topic.term, which is of focal interest to the parties to the contract and likely impacted in a significant way by the Contract.action/Contract.action.reason and the Contract.term.action/Contract.action.reason. In many cases, the Contract.subject is a Contract.signer if the subject is an adult; has a legal interest in the contract; and incompetent to participate in the contract agreement.",
"alias": [
"Patient"
],
"min": 1,
"max": "1",
"base": {
"path": "Contract.subject",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Request.subject"
},
{
"identity": "rim",
"map": "RoleClass, RoleCode"
},
{
"identity": "rim",
"map": "Role"
}
]
},
{
"id": "Contract.authority",
"path": "Contract.authority",
"label": "ConsentDirective-authority",
"short": "Authority under which this Consent Directive has standing",
"definition": "A formally recognized grouping of people, principals, organizations, or jurisdictions with legal standing to promulgate, administer, and enforce privacy policies and applicable Consent Directives.",
"requirements": "The governance framework responsible for ensuring compliance with or enforcement of the contract or policy.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.authority",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Organization Role. CONCEPT DOMAIN: OrganizationEntityType Description: Further classifies entities of EntityClass ORG."
},
{
"identity": "rim",
"map": "Role Scoper"
}
]
},
{
"id": "Contract.domain",
"path": "Contract.domain",
"label": "ConsentDirective-domain",
"short": "Domain in which this Consent Directive applies",
"definition": "Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to privacy protection and control of the collection, access, use and disclosure of resources.",
"requirements": "The entities bound by governance to comply with the enforcement of contracts or policies by a recognized authority.",
"alias": [
"scope of governance jurisdiction"
],
"min": 0,
"max": "*",
"base": {
"path": "Contract.domain",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Location"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "TERR (territory of authority) Description: Relates a place entity (player) as the region over which the scoper (typically an Organization) has certain authority (jurisdiction). For example, the Calgary Regional Health Authority (scoper) has authority over the territory \"Region 4 of Alberta\" (player) in matters of health.\rEntity Class = Place? A physical place or site with its containing structure. May be natural or man-made. The geographic position of a place might or might not be constant.\rCONCEPT DOMAIN: TerritoryEntityType Description: A territorial entity that may be cited as the body over which an agency exercises jurisdiction, or which defines a sphere in which a party has a particular responsibility. CONCEPT DOMAIN: OrganizationEntityType\rDescription: Further classifies entities of EntityClass ORG."
}
]
},
{
"id": "Contract.type",
"path": "Contract.type",
"label": "ConsentDirective-type",
"short": "Consent Directive Type",
"definition": "Specific type of patient privacy Consent Directive reflecting the range of patient discretion over granting of rights to patient information and actions that may be taken on that information; e.g. Opt-in, opt-out, Share All (such as authorization to disclose to payer for payment purposes or benefit eligibility), Share Partial(such as Title 38 Section 7332 and 42 CFR Part 2), Implied Consent, such as a HIPAA Notice of Privacy Practices.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "example",
"description": "List of overall contract codes.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-type"
},
"mapping": [
{
"identity": "workflow",
"map": "Request.code"
},
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "Maps to multiple ActClass and ActCode Concept Domains and Code Systems such as the following: In the ActClass Concept Domain: ActClassPolicy. In the ActCode Concept Domain: ActContractType, which generalizes ActFinancialContractType, ActCoverageType, ActBillingArrangementType. ActConsentType, which generalizes ActDataConsentType; ActFinancialParticipationConsentType; ActInformationAccessCode; AdvanceBeneficiaryNoticeType. ActPolicyType, which generalizes: ActPrivacyPolicyType, ActSensitivityPrivacyPolicyType, ActSecurityPolicyType. In the ActClass Code System: CNTRCT (contract) Description: An agreement of obligation between two or more parties that is subject to contractual law and enforcement, lwhich generalizes FCNTRCT (financial contract) and COV (coverage). POLICY (policy) - Description: A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by one party on: The activity of another party; the behavior of another party; or the manner in which an act is executed. LEAF CONCEPTS: JURISPOL (jurisdictional policy) Description:A mandate, regulation, obligation, requirement, rule, or expectation unilaterally imposed by a jurisdiction on: The activity of another party; the behavior of another party; or the manner in which an act is executed.Examples:A jurisdictional mandate regarding the prescribing and dispensing of a particular medication. A jurisdictional privacy or security regulation dictating the manner in which personal health information is disclosed. A jurisdictional requirement that certain services or health conditions are reported to a monitoring program, e.g., immunizations, methadone treatment, or cancer registries.ORGPOL (organizational policy)Examples:A clinical or research protocols imposed by a payer, a malpractice insurer, or an institution to which a provider must adhere. A mandate imposed by a denominational institution for a provider to provide or withhold certain information from the patient about treatment options.SCOPOL (scope of practice policy)Description:An ethical or clinical obligation, requirement, rule, or expectation imposed or strongly encouraged by organizations that oversee particular clinical domains or provider certification which define the boundaries within which a provider may practice and which may have legal basis or ramifications.Examples:An ethical obligation for a provider to fully inform a patient about all treatment options. An ethical obligation for a provider not to disclose personal health information that meets certain criteria, e.g., where disclosure might result in harm to the patient or another person. The set of health care services which a provider is credentialed or privileged to provide. STDPOL (standard of practice policy) Examples:A payer may require a prescribing provider to adhere to formulary guidelines. An institution may adopt clinical guidelines and protocols and implement these within its electronic health record and decision support systems. CONS (consent)Description: The Consent class represents informed consents and all similar medico-legal transactions between the patient (or his legal guardian) and the provider. Examples are informed consent for surgical procedures, informed consent for clinical trials, advanced beneficiary notice, against medical advice decline from service, release of information agreement, etc. The details of consents vary. Often an institution has a number of different consent forms for various purposes, including reminding the physician about the topics to mention. Such forms also include patient education material. In electronic medical record communication, consents thus are information-generating acts on their own and need to be managed similar to medical activities. Thus, Consent is modeled as a special class of Act. The \"signatures\" to the consent document are represented electronically through Participation instances to the consent object. Typically an informed consent has Participation.typeCode of \"performer\", the healthcare provider informing the patient, and \"consenter\", the patient or legal guardian. Some consent may associate a witness or a notary public (e.g., living wills, advanced directives). In consents where a healthcare provider is not required (e.g. living will), the performer may be the patient himself or a notary public."
},
{
"identity": "rim",
"map": "CNTRCT"
}
]
},
{
"id": "Contract.type.id",
"path": "Contract.type.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.type.extension",
"path": "Contract.type.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.type.coding",
"path": "Contract.type.coding",
"short": "Code defined by a terminology system",
"definition": "A reference to a code defined by a terminology system.",
"comment": "Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.",
"requirements": "Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.",
"min": 0,
"max": "*",
"base": {
"path": "CodeableConcept.coding",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1-8, C*E.10-22"
},
{
"identity": "rim",
"map": "union(., ./translation)"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding"
}
]
},
{
"id": "Contract.type.coding.id",
"path": "Contract.type.coding.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.type.coding.extension",
"path": "Contract.type.coding.extension",
"slicing": {
"discriminator": [
{
"type": "value",
"path": "url"
}
],
"description": "Extensions are always sliced by (at least) url",
"rules": "open"
},
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.type.coding.system",
"path": "Contract.type.coding.system",
"short": "Identity of the terminology system",
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establish the system clearly and unambiguously.",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.system",
"min": 0,
"max": "1"
},
"type": [
{
"code": "uri"
}
],
"fixedUri": "http://loinc.org",
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.3"
},
{
"identity": "rim",
"map": "./codeSystem"
},
{
"identity": "orim",
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id": "Contract.type.coding.version",
"path": "Contract.type.coding.version",
"short": "Version of the system - if relevant",
"definition": "The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.",
"comment": "Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.version",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.7"
},
{
"identity": "rim",
"map": "./codeSystemVersion"
},
{
"identity": "orim",
"map": "fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion"
}
]
},
{
"id": "Contract.type.coding.code",
"path": "Contract.type.coding.code",
"short": "Symbol in syntax defined by the system",
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements": "Need to refer to a particular code in the system.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"fixedCode": "57016-8",
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1"
},
{
"identity": "rim",
"map": "./code"
},
{
"identity": "orim",
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id": "Contract.type.coding.display",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Contract.type.coding.display",
"short": "Representation defined by the system",
"definition": "A representation of the meaning of the code in the system, following the rules of the system.",
"requirements": "Need to be able to carry a human-readable meaning of the code for readers that do not know the system.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.display",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.2 - but note this is not well followed"
},
{
"identity": "rim",
"map": "CV.displayName"
},
{
"identity": "orim",
"map": "fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName"
}
]
},
{
"id": "Contract.type.coding.userSelected",
"path": "Contract.type.coding.userSelected",
"short": "If this coding was chosen directly by the user",
"definition": "Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).",
"comment": "Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.",
"requirements": "This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.",
"min": 0,
"max": "1",
"base": {
"path": "Coding.userSelected",
"min": 0,
"max": "1"
},
"type": [
{
"code": "boolean"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "Sometimes implied by being first"
},
{
"identity": "rim",
"map": "CD.codingRationale"
},
{
"identity": "orim",
"map": "fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\\#true a [ fhir:source \"true\"; fhir:target dt:CDCoding.codingRationale\\#O ]"
}
]
},
{
"id": "Contract.type.text",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
}
],
"path": "Contract.type.text",
"short": "Plain text representation of the concept",
"definition": "A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.",
"comment": "Very often the text is the same as a displayName of one of the codings.",
"requirements": "The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.",
"min": 0,
"max": "1",
"base": {
"path": "CodeableConcept.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.9. But note many systems use C*E.2 for this"
},
{
"identity": "rim",
"map": "./originalText[mediaType/code=\"text/plain\"]/data"
},
{
"identity": "orim",
"map": "fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText"
}
]
},
{
"id": "Contract.subType",
"path": "Contract.subType",
"label": "ConsentDirective-subType",
"short": "Consent Directive Subtype",
"definition": "A specialized type of an overarching or more general Consent Directive, such as a patient's right to opt-out of a Patient Directory under HIPAA or a multiparty 42 CFR Part 2 consent used in a health information exchange context by a Qualified Service Organization.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.subType",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"strength": "example",
"description": "Detailed codes within the above.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-subtype"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "Examples of Contract or Policy subtypes in ActCodes:_ActCoverageTypeCode Definition: Set of codes indicating the type of insurance policy or program that pays for the cost of benefits provided to covered parties. Generalizes: _ActInsurancePolicyCode; _ActInsuranceTypeCode; ActProgramTypeCode. _ActPolicyType Description:Types of policies that further specify the ActClassPolicy value set. Generalizes: _ActPrivacyPolicy; _ActPrivacyLaw; _InformationSensitivityPolicy; ActTrustPolicyType; SecurityPolicy. _ActInvoiceAdjudicationPaymentGroupCode Description: Codes representing adjustments to a Payment Advice such as retroactive, clawback, garnishee, etc., e.g. RECOV (recovery) Description: Retroactive adjustment such as fee rate adjustment due to contract negotiations."
},
{
"identity": "rim",
"map": "e.g. RECOV"
}
]
},
{
"id": "Contract.term",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Term"
}
],
"path": "Contract.term",
"label": "ConsentDirective-term",
"short": "Consent Directive Term List",
"definition": "One or more Consent DirectiveProvisions, which may be related and conveyed as a group, and may contain nested groups.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "RIM mechanism for grouping or nesting rules, which are likely Acts and Observations."
}
]
},
{
"id": "Contract.term.id",
"path": "Contract.term.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.extension",
"path": "Contract.term.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.modifierExtension",
"path": "Contract.term.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.term.identifier",
"path": "Contract.term.identifier",
"label": "ConsentDirective-term-identifier",
"short": "Consent Directive Term identifier",
"definition": "Unique identifier for this particular Consent Directive Provision.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Request.identifier"
},
{
"identity": "rim",
"map": "Act or Observation identifier."
}
]
},
{
"id": "Contract.term.issued",
"path": "Contract.term.issued",
"label": "ConsentDirective-term-issued",
"short": "Consent Directive Term Issue Date Time",
"definition": "When this Consent Directive Provision was issued.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.issued",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Request.authoredOn"
},
{
"identity": "w5",
"map": "FiveWs.recorded"
},
{
"identity": "rim",
"map": "Act availabilityTime"
}
]
},
{
"id": "Contract.term.applies",
"path": "Contract.term.applies",
"label": "ConsentDirective-term-applies",
"short": "Consent Directive Term Effective Time",
"definition": "Relevant time or time-period when this Consent Directive Provision is applicable.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.applies",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Request.occurrence[x]"
},
{
"identity": "w5",
"map": "FiveWs.done[x]"
},
{
"identity": "rim",
"map": "Act effectiveTime"
}
]
},
{
"id": "Contract.term.type",
"path": "Contract.term.type",
"label": "ConsentDirective-term-type",
"short": "Consent Directive Term Type",
"definition": "Type of Consent Directive Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "example",
"description": "Detailed codes for the types of contract provisions.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-term-type"
},
"mapping": [
{
"identity": "workflow",
"map": "Request.code"
},
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "See Contract.term mapping."
}
]
},
{
"id": "Contract.term.subType",
"path": "Contract.term.subType",
"label": "ConsentDirective-term-subType",
"short": "Consent Directive Term Subtype",
"definition": "Subtype of this Consent Directive Provision, e.g. life time maximum payment for a contract term for specific valued item, e.g. disability payment.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.subType",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "example",
"description": "Detailed codes for the subtypes of contract provisions.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-term-subtype"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "See Contract.topic mapping."
}
]
},
{
"id": "Contract.term.offer",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "ContractOffer"
}
],
"path": "Contract.term.offer",
"short": "Context of the Contract term",
"definition": "The matter of concern in the context of this provision of the agrement.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.term.offer",
"min": 1,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Document"
}
]
},
{
"id": "Contract.term.offer.id",
"path": "Contract.term.offer.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.offer.extension",
"path": "Contract.term.offer.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.offer.modifierExtension",
"path": "Contract.term.offer.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.term.offer.topic",
"path": "Contract.term.offer.topic",
"label": "ConsentDirective-term-topic",
"short": "Topic of this Consent Directive Term",
"definition": "Who or what this Consent Directive Provision is about.",
"comment": "The Contract.topic may be an application for or offer of a policy or service (e.g., uri to a consent directive form or a health insurance policy), which becomes the Contract once accepted by both the grantor and grantee. \rThe Contract Resource may function simply as the computable representation of the executed contract, which may be the attached to the Contract Resource as the “binding” or as the “friendly” electronic form. For example, a Contract Resource may be automatically populated with the values expressed in a related QuestionnaireResponse. \rHowever, the Contract Resource may be considered the legally binding contract if it is the only “executed” form of this contract, and includes the signatures as *The Contract Resource may function as the computable representation of an application or offer in a pre-executed Contract if the grantor has not entered any values. In this case, it is populated with values in a “legal” form of the application or offer or by the values in an associated Questionnaire. If the grantor has filled in the legal form or the associated Questionnaire Response, then these values are used to populate a pre-executed Contract Resource.\rIf the Contract.topic is considered an application or offer, then the policy is often required to be attached as the “legal” basis for the application to ensure “informed consent” to the contract, and that any discrepancy between the application and the policy are interpreted against the policy. Implementers should check organizational and jurisdictional policies to determine the relationship among multiple representations of a contract pre- and post-execution.",
"requirements": "In the context of a contract, the topic is the matter under consideration in regards to which specific rights, privileges, obligations, restrictions, and prohibitions are binding on any grantor and grantee parties upon the execution of the contract. \rGiven the wide range of contract topics, implementers need to be cognizant of the business use case for which they are designing a FHIR Contract, and narrowly specify the topic being represented with respect to the Contract.type and any specializing Contract.subtype. \rThe same topic, e.g., an asset such as a good or service, such as a real property, medical supply, insurance, information, a procedure or employment, or a manner of conduct, such adherence to a privacy, trust, or security policy, may be the topic of multiple types of contracts. \rOne way to determine the Contract.topic is to answer the question: “What is the object of negotiation?”\rAnswer: The Contract.topic, which may be described with more detail in the [0..*]Contract.valuedItem @ [0..1] Contract.valuedItem.entity[x] Definition: Specific type of Contract Valued Item that may be priced. CodeableConcept|Reference(Any)\rContract.topic is “the what” that a grantor is exchanging with a grantee in return for some benefit. \rContract.topic is “the what” to which any Contract.action is being applied for any stipulated Contract.action.reason. \rAContract.topic is “the what” governed by the execution of the contract to which any party’s rights, privileges, obligations, restrictions, and prohibitions apply.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.offer.topic",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"isModifier": false,
"isSummary": true,
"mapping": [
{
"identity": "workflow",
"map": "Event.context"
},
{
"identity": "rim",
"map": "Includes many ActClass, ActCode, RoleClass, RoleCode, EntityClass, EntityCode, ParticipationType codes from HL7 concept domains and code systems. For example, RoleCode: HLD (held entity) Description: Entity that is currently in the possession of a holder (scoper), who holds, or uses it, usually based on some agreement with the owner. MANU (manufactured product) Description: Scoped by the manufacturer. OWN (owned entity) Description: An Entity (player) for which someone (scoper) is granted by law the right to call the material (player) his own. This entitles the scoper to make decisions about the disposition of that material. WRTE (warranted product) Description:\rA role a product plays when a guarantee is given to the purchaser by the seller (scoping entity) stating that the product is reliable and free from known defects and that the seller will repair or replace defective parts within a given time limit and under certain conditions."
}
]
},
{
"id": "Contract.term.offer.type",
"path": "Contract.term.offer.type",
"short": "Contract Offer Type or Form",
"definition": "Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.offer.type",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContractTermType"
}
],
"strength": "example",
"description": "Detailed codes for the types of contract provisions.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-term-type"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "See Contract.term mapping."
}
]
},
{
"id": "Contract.term.offer.decision",
"path": "Contract.term.offer.decision",
"short": "Decision by Grantor",
"definition": "The type of decision made by a grantor with respect to an offer made by a grantee.",
"requirements": "In some policy or contract contexts, the \"offer\" is made by an offeror wishing to be the \"grantee\" of the offer topic by the grantor. From this perspective, the grantor is the \"offeree\".",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.offer.decision",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContractDecisionType"
}
],
"strength": "extensible",
"description": "The type of decision made by a grantor with respect to an offer made by a grantee.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/v3-ActConsentDirective"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "ActCode: _ActConsentDirective [abstract term] Description: Specifies the type of agreement between one or more grantor and grantee in which rights and obligations related to one or more shared items of interest are allocated. Usage Note: Such agreements may be considered \"consent directives\" or \"contracts\" depending on the context, and are considered closely related or synonymous from a legal perspective."
}
]
},
{
"id": "Contract.term.offer.text",
"path": "Contract.term.offer.text",
"label": "ConsentDirective-term-text",
"short": "Human readable Consent Directive term text",
"definition": "Human readable form of this Consent Directive Provision.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.offer.text",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Document.text"
}
]
},
{
"id": "Contract.term.offer.linkId",
"path": "Contract.term.offer.linkId",
"short": "Pointer to text",
"definition": "The id of the clause or question text of the offer in the referenced questionnaire/response.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.offer.linkId",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": ".outboundRelationship[typeCode=DEFN].target[classCode=OBS, moodCode=DEFN].id"
}
]
},
{
"id": "Contract.term.asset",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "ContractAsset"
}
],
"path": "Contract.term.asset",
"short": "Contract Term Asset List",
"definition": "Contract Term Asset List.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term.asset",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "FinancialContract.paymentTermsCode"
}
]
},
{
"id": "Contract.term.asset.id",
"path": "Contract.term.asset.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.asset.extension",
"path": "Contract.term.asset.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.asset.modifierExtension",
"path": "Contract.term.asset.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.term.asset.class",
"path": "Contract.term.asset.class",
"short": "Resource Type, Profile, or CDA etc.",
"definition": "Categorization of the type of asset.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.class",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConsentContentClass"
}
],
"strength": "extensible",
"description": "The class (type) of information a consent rule covers",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/consent-content-class"
},
"mapping": [
{
"identity": "rim",
"map": "FinancialContract.code"
}
]
},
{
"id": "Contract.term.asset.code",
"path": "Contract.term.asset.code",
"short": "Code in the content",
"definition": "Code in the content.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.code",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ConsentContentCode"
}
],
"strength": "example",
"description": "If this code is found in an instance, then the exception applies",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/consent-content-code"
},
"mapping": [
{
"identity": "rim",
"map": "FinancialContract.code"
}
]
},
{
"id": "Contract.term.asset.period",
"path": "Contract.term.asset.period",
"short": "Time period of the asset",
"definition": "Time period of the asset.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.period",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "FinancialContract.activityTime"
}
]
},
{
"id": "Contract.term.asset.dataPeriod",
"path": "Contract.term.asset.dataPeriod",
"short": "Time period of the data for the asset",
"definition": "Time period of the data for the asset.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.dataPeriod",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Period"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "FinancialContract.effectiveTime"
}
]
},
{
"id": "Contract.term.asset.data",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "AssetData"
}
],
"path": "Contract.term.asset.data",
"short": "Data defined by this Asset",
"definition": "Data defined by this Asset.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term.asset.data",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "FinancialContract.paymentTermsCode"
}
]
},
{
"id": "Contract.term.asset.data.id",
"path": "Contract.term.asset.data.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.asset.data.extension",
"path": "Contract.term.asset.data.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.asset.data.modifierExtension",
"path": "Contract.term.asset.data.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.term.asset.data.meaning",
"path": "Contract.term.asset.data.meaning",
"short": "instance | related | dependents | authoredby",
"definition": "instance | related | dependents | authoredby.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.data.meaning",
"min": 0,
"max": "1"
},
"type": [
{
"code": "code"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "ContractDataMeaning"
}
],
"strength": "required",
"description": "How a resource reference is interpreted when evaluating contract offers",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-data-meaning"
},
"mapping": [
{
"identity": "rim",
"map": "FinancialContract.code"
}
]
},
{
"id": "Contract.term.asset.data.reference",
"path": "Contract.term.asset.data.reference",
"short": "The actual data reference",
"definition": "The actual data reference.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.data.reference",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Document"
}
]
},
{
"id": "Contract.term.asset.valuedItem",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "ValuedItem"
}
],
"path": "Contract.term.asset.valuedItem",
"label": "ConsentDirective-term-valuedItem",
"short": "Contract Term Valued Item",
"definition": "Contract Provision Valued Item List.",
"min": 0,
"max": "0",
"base": {
"path": "Contract.term.asset.valuedItem",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedItem classCode INVE"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem classCode INVE"
}
]
},
{
"id": "Contract.term.asset.valuedItem.id",
"path": "Contract.term.asset.valuedItem.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.asset.valuedItem.extension",
"path": "Contract.term.asset.valuedItem.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.asset.valuedItem.modifierExtension",
"path": "Contract.term.asset.valuedItem.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.term.asset.valuedItem.entity[x]",
"path": "Contract.term.asset.valuedItem.entity[x]",
"label": "ConsentDirective-term-valuedItem-entity[x]",
"short": "Contract Term Valued Item Type",
"definition": "Specific type of Contract Provision Valued Item that may be priced.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.valuedItem.entity[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "CodeableConcept"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedItem code"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem code"
}
]
},
{
"id": "Contract.term.asset.valuedItem.identifier",
"path": "Contract.term.asset.valuedItem.identifier",
"label": "ConsentDirective-term-valuedItem",
"short": "Contract Term Valued Item Identifier",
"definition": "Identifies a Contract Provision Valued Item instance.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.valuedItem.identifier",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Identifier"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedItem id"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem id"
}
]
},
{
"id": "Contract.term.asset.valuedItem.effectiveTime",
"path": "Contract.term.asset.valuedItem.effectiveTime",
"label": "ConsentDirective-term-valuedItem-effectiveTime",
"short": "Contract Term Valued Item Effective Time",
"definition": "Indicates the time during which this Contract Term ValuedItem information is effective.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.valuedItem.effectiveTime",
"min": 0,
"max": "1"
},
"type": [
{
"code": "dateTime"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.done[x]"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedItem effectiveTime"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem effectiveTime"
}
]
},
{
"id": "Contract.term.asset.valuedItem.quantity",
"path": "Contract.term.asset.valuedItem.quantity",
"label": "ConsentDirective-term-valuedItem-quantity",
"short": "Contract Term Valued Item Count",
"definition": "Specifies the units by which the Contract Provision Valued Item is measured or counted, and quantifies the countable or measurable Contract Term Valued Item instances.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.valuedItem.quantity",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"condition": [
"ele-1"
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
},
{
"key": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "Quantity"
},
{
"key": "sqty-1",
"severity": "error",
"human": "The comparator is not used on a SimpleQuantity",
"expression": "comparator.empty()",
"xpath": "not(exists(f:comparator))",
"source": "Quantity"
}
],
"isModifier": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
},
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem unitQuantity"
}
]
},
{
"id": "Contract.term.asset.valuedItem.unitPrice",
"path": "Contract.term.asset.valuedItem.unitPrice",
"label": "ConsentDirective-term-valuedItem-unitPrice",
"short": "Contract Term Valued Item fee, charge, or cost.",
"definition": "A Contract Provision Valued Item unit valuation measure.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.valuedItem.unitPrice",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Money"
]
}
],
"constraint": [
{
"key": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "Quantity"
},
{
"key": "mny-1",
"severity": "error",
"human": "There SHALL be a code if there is a value and it SHALL be an expression of currency. If system is present, it SHALL be ISO 4217 (system = \"urn:iso:std:iso:4217\" - currency).",
"expression": "(code.exists() or value.empty()) and (system.empty() or system = 'urn:iso:std:iso:4217')",
"xpath": "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='urn:iso:std:iso:4217')",
"source": "Money"
}
],
"isModifier": false,
"mapping": [
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "rim",
"map": "MO"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem unitPriceAmt"
}
]
},
{
"id": "Contract.term.asset.valuedItem.factor",
"path": "Contract.term.asset.valuedItem.factor",
"label": "ConsentDirective-term-valuedItem-factor",
"short": "Contract Term Valued Item Price Scaling Factor",
"definition": "A real number that represents a multiplier used in determining the overall value of the Contract Provision Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.valuedItem.factor",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedItem factorNumber"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem factorNumber"
}
]
},
{
"id": "Contract.term.asset.valuedItem.points",
"path": "Contract.term.asset.valuedItem.points",
"label": "ConsentDirective-term-valuedItem-points",
"short": "Contract Term Valued Item Difficulty Scaling Factor",
"definition": "An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Provision Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Provision Valued Item, such that a monetary amount can be assigned to each point.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.valuedItem.points",
"min": 0,
"max": "1"
},
"type": [
{
"code": "decimal"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedItem pointNumber"
},
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem pointNumber"
}
]
},
{
"id": "Contract.term.asset.valuedItem.net",
"path": "Contract.term.asset.valuedItem.net",
"label": "ConsentDirective-term-valuedItem-net",
"short": "Total Contract Term Valued Item Value",
"definition": "Expresses the product of the Contract Provision Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.",
"comment": "The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.term.asset.valuedItem.net",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Money"
]
}
],
"constraint": [
{
"key": "qty-3",
"severity": "error",
"human": "If a code for the unit is present, the system SHALL also be present",
"expression": "code.empty() or system.exists()",
"xpath": "not(exists(f:code)) or exists(f:system)",
"source": "Quantity"
},
{
"key": "mny-1",
"severity": "error",
"human": "There SHALL be a code if there is a value and it SHALL be an expression of currency. If system is present, it SHALL be ISO 4217 (system = \"urn:iso:std:iso:4217\" - currency).",
"expression": "(code.exists() or value.empty()) and (system.empty() or system = 'urn:iso:std:iso:4217')",
"xpath": "(f:code or not(f:value)) and (not(exists(f:system)) or f:system/@value='urn:iso:std:iso:4217')",
"source": "Money"
}
],
"isModifier": false,
"mapping": [
{
"identity": "v2",
"map": "SN (see also Range) or CQ"
},
{
"identity": "rim",
"map": "PQ, IVL<PQ>, MO, CO, depending on the values"
},
{
"identity": "rim",
"map": "MO"
}
]
},
{
"id": "Contract.term.asset.securityLabel",
"path": "Contract.term.asset.securityLabel",
"short": "Security Labels that define affected terms",
"definition": "A set of security labels that define which terms are controlled by this condition.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term.asset.securityLabel",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Coding"
}
],
"isModifier": false,
"isSummary": true,
"binding": {
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "SecurityLabels"
},
{
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding",
"valueBoolean": true
}
],
"strength": "extensible",
"description": "Security Labels from the Healthcare Privacy and Security Classification System.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/security-labels"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "See Contract.securityLabel mapping."
}
]
},
{
"id": "Contract.term.agent",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Agent"
}
],
"path": "Contract.term.agent",
"label": "ConsentDirective-term-actor",
"short": "Consent Directive Term Actor List",
"definition": "List of actors participating in this Consent Directive Provision.",
"comment": "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.\rFor example, in cases of actions initiated by one user for other users, or in events that involve more than one user, hardware device, software, or system process. However, only one user may be the initiator/requestor for the event.",
"requirements": "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term.agent",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Participation"
}
]
},
{
"id": "Contract.term.agent.id",
"path": "Contract.term.agent.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.agent.extension",
"path": "Contract.term.agent.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.term.agent.modifierExtension",
"path": "Contract.term.agent.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.term.agent.actor",
"path": "Contract.term.agent.actor",
"label": "ConsentDirective-term-actor-entity",
"short": "Consent Directive Term Actor",
"definition": "The actor assigned a role in this Consent Directive Provision.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.term.agent.actor",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Contract"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Device"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Group"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Location"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Substance"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "workflow",
"map": "Request.performer"
},
{
"identity": "w5",
"map": "FiveWs.actor"
},
{
"identity": "rim",
"map": "RIM Role, Participation Type classes"
}
]
},
{
"id": "Contract.term.agent.role",
"path": "Contract.term.agent.role",
"label": "ConsentDirective-term-actor-role",
"short": "Consent Directive Term Actor Role",
"definition": "Role played by the actor assigned this role in this Consent Directive Provision.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term.agent.role",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "example",
"description": "Detailed codes for the contract actor role.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-actorrole"
},
"mapping": [
{
"identity": "rim",
"map": "RoleClass, RoleCode, ParticipationType, ParticipationFunction codes"
}
]
},
{
"id": "Contract.term.action",
"path": "Contract.term.action",
"label": "ConsentDirective-term-action",
"short": "Consent Directive Term Action",
"definition": "Action stipulated by this Consent Directive Provision.",
"requirements": "If the Contract.topic references a Resource, which contains actions or activities, such as a Procedure to which a grantor is agreeing to receive from the grantee, then this element would likely not be populated. If the Resource referenced in the Contract.topic does not include an action such as a Device, then the Contract.action would likely be populated, for example with the actions \"purchase and sale\" the Device.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term.action",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "example",
"description": "Detailed codes for the contract action.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-action"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "Maps to multiple ActClass and ActCode Concept Domains and Code Systems."
}
]
},
{
"id": "Contract.term.actionReason",
"path": "Contract.term.actionReason",
"label": "ConsentDirective-term-actionReason",
"short": "Consent Directive Term Action Reason",
"definition": "Reason or purpose for the action stipulated by this Consent Directive Provision.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term.actionReason",
"min": 0,
"max": "*"
},
"type": [
{
"code": "CodeableConcept"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "example",
"description": "Detailed codes for the contract action reason.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"
},
"mapping": [
{
"identity": "workflow",
"map": "Request.reasonCode"
},
{
"identity": "w5",
"map": "FiveWs.why[x]"
},
{
"identity": "rim",
"map": "Examples from ActReason Concept Domains: ActCoverageReason Description:Codes used to specify reasons or criteria relating to coverage provided under a policy or program. May be used to convey reasons pertaining to coverage contractual provisions, including criteria for eligibility, coverage limitations, coverage maximums, or financial participation required of covered parties. ActInformationPrivacyReason Description: The rationale or purpose for an act relating to the management of personal information, such as disclosing personal tax information for the purpose of complying with a court order. ClinicalResearchObservationReason Definition: Specifies the reason that a test was performed or observation collected in a clinical research study. SafetyInvestigationReportReasonType Description: Possible reasons generating a report providing information developed during the investigation of an adverse event or a product problem. ControlActReason Description: Indicates the motivation, cause or rationale of an Act which results in a trigger event. NonPerformanceReasonCode Description: The reason the action was not performed, e.g. why the medication was not taken. If an action was not performed, it is often clinically important to know why the action was not taken. RefusalReasonCode Description: Identifies why a request to add (or activate) a record is being refused. Examples include the receiving system not able to match the identifier and find that record in the receiving system, having no permission, or a detected issue exists which precludes the requested action.\r\r\r\r\r\r\r\rExamples from HL7 ActReason Code System: QUALIMP (quality improvement) Description:Operational activities conducted for the purposes of improving the quality of an activity, product, or service. _PatientProfileQueryReasonCode Description: A collection of concepts identifying why the patient's profile is being queried. _ActInformationManagementReason Description:The rationale or purpose for an act relating to information management, such as archiving information for the purpose of complying with an enterprise data retention policy. _ActInvalidReason (ActInvalidReason) Description: Types of reasons why a substance is invalid for use. _NonPerformanceReasonCode Description: The reason the action wasn't performed, e.g. why the medication was not taken. If an action wasn\"t performed, it is often clinically important to know why the action wasn\"t taken."
}
]
},
{
"id": "Contract.term.group",
"path": "Contract.term.group",
"label": "ConsentDirective-term-group",
"short": "Nested Consent DirectiveTerm Group",
"definition": "Nested group of Consent Directive Provision.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.term.group",
"min": 0,
"max": "*"
},
"contentReference": "#Contract.term",
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "RIM Grouping or Nesting mechanisms"
}
]
},
{
"id": "Contract.signer",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "Signatory"
}
],
"path": "Contract.signer",
"label": "ConsentDirective-signer",
"short": "Consent Directive Signer",
"definition": "Party signing this Consent Directive.",
"comment": "Signers who are principal parties to the contract are bound by the Contract.activity related to the Contract.topic, and the Contract.term(s), which either extend or restrict the overall action on the topic by, for example, stipulating specific policies or obligations constraining actions, action reason, or agents with respect to some or all of the topic.\rFor example, specifying how policies or obligations shall constrain actions and action reasons permitted or denied on all or a subset of the Contract.topic (e.g., all or a portion of property being transferred by the contract), agents (e.g., who can resell, assign interests, or alter the property being transferred by the contract), actions, and action reasons; or with respect to Contract.terms, stipulating, extending, or limiting the Contract.period of applicability or valuation of items under consideration.",
"requirements": "The Contract.signer applies a signature to the Contract.binding referenced resource, which is the documentation that is the legal \"source of truth\". The Contract.signer may delegate, such as a legally recognized personal representative, or have a delegate assigned e.g., by a court of law, to actually sign the Contract, such as a trustee in the case of incompetence.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.signer",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "Participation"
}
]
},
{
"id": "Contract.signer.id",
"path": "Contract.signer.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.signer.extension",
"path": "Contract.signer.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.signer.modifierExtension",
"path": "Contract.signer.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.signer.type",
"path": "Contract.signer.type",
"label": "ConsentDirective-signer-type",
"short": "Consent Directive Signer Type",
"definition": "Role of this Consent Directive signer, e.g. patient who is Consent Directive Grantee, the Substitute Decision Maker such as a person with Power of Attorney to whom the patient has granted or delegated rights to execute a Consent Directive on the patient's behalf, a notary public or witness.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.signer.type",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Coding"
}
],
"isModifier": false,
"isSummary": false,
"binding": {
"strength": "preferred",
"description": "List of parties who may be signing.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-signer-type"
},
"mapping": [
{
"identity": "w5",
"map": "FiveWs.actor"
},
{
"identity": "rim",
"map": "RoleClass, RoleCode, ParticipationType, ParticipationFunction class codes."
}
]
},
{
"id": "Contract.signer.party",
"path": "Contract.signer.party",
"label": "ConsentDirective-signer-party",
"short": "Consent Directive Signatory party",
"definition": "Party which is a signatory to this Consent Directive.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.signer.party",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "workflow",
"map": "Request.requester"
},
{
"identity": "w5",
"map": "FiveWs.author"
},
{
"identity": "rim",
"map": "Role Class"
}
]
},
{
"id": "Contract.signer.signature",
"path": "Contract.signer.signature",
"label": "ConsentDirective-signer-signature",
"short": "Consent Directive Documentation Signature",
"definition": "Legally binding Consent Directive DSIG signature contents in Base64.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.signer.signature",
"min": 1,
"max": "*"
},
"type": [
{
"code": "Signature"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.author"
},
{
"identity": "rim",
"map": "Participation.signatureCode :: CD (0..1) Definition: Whether the participant has attested participation through a signature, or whether such a signature is needed. Examples: A surgical Procedure act object (representing a procedure report) requires a signature of the performing and responsible surgeon, and possibly other participants; The participant intends to provide a signature. Participation.signatureText :: ED (0..1) Definition: A textual or multimedia depiction of the signature by which the participant endorses and accepts responsibility for his or her participation in the Act as specified in the Participation.typeCode. UsageNotes: The signature can be represented either inline or by reference according to the ED data type. Typical cases are \r1) Paper-based signatures: the ED data type may refer to a document or other resource that can be retrieved through an electronic interface to a hardcopy archive. 2) Electronic signature: this attribute can represent virtually any electronic signature scheme. 3) Digital signature: this attribute can represent digital signatures by reference to a signature data block that is constructed in accordance to a digital signature standard, such as XML-DSIG, PKCS#7, PGP, etc. Examples: 1) An \"author\" participant assumes accountability for the truth of the Act statement to the best of his knowledge. 2) An information recipient only attests to the fact that he or she has received the information."
}
]
},
{
"id": "Contract.friendly",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "FriendlyLanguage"
}
],
"path": "Contract.friendly",
"label": "ConsentDirective-friendly",
"short": "Consent Directive Friendly Language",
"definition": "The \"patient friendly language\" versionof the Consent Directive in whole or in parts. \"Patient friendly language\" means the representation of the Consent Directive and Consent Directive Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Consent Directive understand the roles, actions, obligations, responsibilities, and implication of the agreement.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.friendly",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "LanguageCommunication"
}
]
},
{
"id": "Contract.friendly.id",
"path": "Contract.friendly.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.friendly.extension",
"path": "Contract.friendly.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.friendly.modifierExtension",
"path": "Contract.friendly.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.friendly.content[x]",
"path": "Contract.friendly.content[x]",
"label": "ConsentDirective-friendly-content[x]",
"short": "Easily comprehended representation of this Consent Directive",
"definition": "Human readable rendering of this Consent Directive in a format and representation intended to enhance comprehension and ensure understandability.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.friendly.content[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Composition"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "Act.text Definition: A renderable textual or multimedia description (or reference to a description) of the complete information which would reasonably be expected to be displayed to a human reader conveyed by the Act."
}
]
},
{
"id": "Contract.legal",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "LegalLanguage"
}
],
"path": "Contract.legal",
"label": "ConsentDirective-legal",
"short": "Consent Directive Legal Language",
"definition": "List of Legal expressions or representations of this Consent Directive.",
"min": 0,
"max": "*",
"base": {
"path": "Contract.legal",
"min": 0,
"max": "*"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "LanguageCommunication"
}
]
},
{
"id": "Contract.legal.id",
"path": "Contract.legal.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.legal.extension",
"path": "Contract.legal.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.legal.modifierExtension",
"path": "Contract.legal.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.legal.content[x]",
"path": "Contract.legal.content[x]",
"label": "ConsentDirective-legal-content[x]",
"short": "Consent Directive Legal Text",
"definition": "Legal Consent Directive text in human renderable form.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.legal.content[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Composition"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "Example: Act.text of an Act coded as with ActPrivacyLaw, ActPolicy code"
}
]
},
{
"id": "Contract.rule",
"extension": [
{
"url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name",
"valueString": "ComputableLanguage"
}
],
"path": "Contract.rule",
"label": "ConsentDirective-rule",
"short": "Computable Consent Directive Language",
"definition": "List of Computable Policy Rule Language Representations of this Consent Directive.",
"min": 0,
"max": "1",
"base": {
"path": "Contract.rule",
"min": 0,
"max": "1"
},
"type": [
{
"code": "BackboneElement"
}
],
"constraint": [
{
"key": "ele-1",
"severity": "error",
"human": "All FHIR elements must have a @value or children",
"expression": "hasValue() | (children().count() > id.count())",
"xpath": "@value|f:*|h:div",
"source": "Element"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "LanguageCommunication"
}
]
},
{
"id": "Contract.rule.id",
"path": "Contract.rule.id",
"representation": [
"xmlAttr"
],
"short": "xml:id (or equivalent in JSON)",
"definition": "Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.",
"min": 0,
"max": "1",
"base": {
"path": "Element.id",
"min": 0,
"max": "1"
},
"type": [
{
"code": "string"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.rule.extension",
"path": "Contract.rule.extension",
"short": "Additional content defined by implementations",
"definition": "May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content"
],
"min": 0,
"max": "*",
"base": {
"path": "Element.extension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "n/a"
}
]
},
{
"id": "Contract.rule.modifierExtension",
"path": "Contract.rule.modifierExtension",
"short": "Extensions that cannot be ignored",
"definition": "May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.",
"comment": "There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.",
"alias": [
"extensions",
"user content",
"modifiers"
],
"min": 0,
"max": "*",
"base": {
"path": "BackboneElement.modifierExtension",
"min": 0,
"max": "*"
},
"type": [
{
"code": "Extension"
}
],
"isModifier": true,
"isModifierReason": "modifierExtension is reserved for use where modifier extensions must be used",
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "N/A"
}
]
},
{
"id": "Contract.rule.content[x]",
"path": "Contract.rule.content[x]",
"label": "ConsentDirective-rule-content[x]",
"short": "Computable Consent Directive Rules",
"definition": "Computable Consent Directive conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).",
"min": 1,
"max": "1",
"base": {
"path": "Contract.rule.content[x]",
"min": 1,
"max": "1"
},
"type": [
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "w5",
"map": "FiveWs.what[x]"
},
{
"identity": "rim",
"map": "Computable Policy Consent [Observation: templateId 2.16.840.1.113883.3.445.16] This template is used to represent an alternative representation of the Privacy Consent Directive (e.g.,ODRL, XrML, XACML) as a computer-readable set of rules. An implementation may use any appropriate representations of the privacy consent in addition to the \"ConsentDirectiveStructuredDefinition\" which uses the Clinical Template structure to express the elements of a consent directive in an interoperable way.\r1. SHALL contain exactly one [1..1] templateId ( CONF-CD-16 ) such that it\ra. SHALL contain exactly one [1..1] @root=\"2.16.840.1.113883.3.445.16\"\r2. SHALL contain exactly one [1..1] @moodCode=\"DEF\" (CodeSystem: 2.16.840.1.113883.5.1001 HL7ActMood) (CONF:14912)\r3. SHALL contain exactly one [1..1] code (CONF:9139)/@code=\"57016-8\" Privacy Policy Acknowledgement Document (CodeSystem: 2.16.840.1.113883.6.1 LOINC) (CONF:9138)\rIt specifies the LOINC code corresponding to \"Privacy Policy Acknowledgement Document\", it is fixed at this value.\r4. SHOULD contain zero or more [0..*] value with @xsi:type=\"ANY\" (CONF:9140) The value contains the computable representation of the policy. This may be a standard-based access control or attribute control based policy (See\r\"References\"). Computable Policy Consent example\r<!-- Sample computable policy language representation -->\r<entryRelationship typeCode=\"COMP\">\r<templateId root=\"2.16.840.1.113883.3.445.16\" />\r<observationMedia classCode=\"OBS\" moodCode=\"EVN\">\r<value mediaType=\"text/xml\" representation=\"TXT\"> ... </value>\r</observationMedia>\r</entryRelationship>"
}
]
},
{
"id": "Contract.legallyBinding[x]",
"path": "Contract.legallyBinding[x]",
"label": "ConsentDirective-binding[x]",
"short": "Binding Consent Directive",
"definition": "Legally binding onsent Directive Provision. This is the signed and legally recognized representation of the Consent Directive. that is considered the \"source of truth\", which would be the basis for legal action related to enforcement of the onsent Directive Provision.",
"min": 1,
"max": "1",
"base": {
"path": "Contract.legallyBinding[x]",
"min": 0,
"max": "1"
},
"type": [
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Composition"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
]
}
],
"isModifier": false,
"isSummary": false,
"mapping": [
{
"identity": "rim",
"map": "DocumentCompletion code system AU (authenticated) Description: A completion status in which a document has been signed manually or electronically by one or more individuals who attest to its accuracy. No explicit determination is made that the assigned individual has performed the authentication. While the standard allows multiple instances of authentication, it would be typical to have a single instance of authentication, usually by the assigned individual."
}
]
}
]
},
"differential": {
"element": [
{
"id": "Contract",
"path": "Contract",
"short": "Consent Directive",
"definition": "A record of a healthcare consumer’s privacy policy, which is in accordance with governing jurisdictional and organization privacy policies that grant or withhold consent: • To one or more identified entities in a defined role • To perform one or more operations (e.g. collect, access, use, disclose, amend, or delete) • On an instance or type of individually identifiable health information [IIHI] • For a purpose such as treatment, payment, operations, research, public health, quality measures, health status evaluation by third parties, or marketing • Under certain conditions, e.g. when unconscious • For specified time period, e.g. effective and expiration dates • In certain context, e.g. in an emergency A consent directive is an instance of governing jurisdictional and organization privacy policies, which might or might not be backed up by a signed document (paper or electronic). [HITSP TP30].",
"min": 0,
"max": "*",
"mapping": [
{
"identity": "rim",
"map": "FinancialContract"
},
{
"identity": "w5",
"map": "financial.other"
}
]
},
{
"id": "Contract.identifier",
"path": "Contract.identifier",
"label": "ConsentDirective-identifier",
"short": "Consent Directive identifier",
"definition": "Unique identifier for this Consent Directive.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "FinancialContract id"
}
]
},
{
"id": "Contract.issued",
"path": "Contract.issued",
"label": "ConsentDirective-issued",
"short": "When this Consent Directive was issued",
"definition": "Date and time when this Consent Directive was executed and became effective.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "FinancialContract effectiveTime"
}
]
},
{
"id": "Contract.applies",
"path": "Contract.applies",
"label": "ConsentDirective-applies",
"short": "Effective time",
"definition": "Time period during which this Consent Directive is in effect.",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "FinancialContract activityTime"
}
]
},
{
"id": "Contract.subject",
"path": "Contract.subject",
"label": "ConsentDirective-topic",
"short": "The Patient is the topic of this Consent Directive",
"definition": "Patient information and actions taken on that information that are governed by this Consent Directive.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
}
],
"isSummary": true,
"mapping": [
{
"identity": "rim",
"map": "Role"
}
]
},
{
"id": "Contract.authority",
"path": "Contract.authority",
"label": "ConsentDirective-authority",
"short": "Authority under which this Consent Directive has standing",
"definition": "A formally recognized grouping of people, principals, organizations, or jurisdictions with legal standing to promulgate, administer, and enforce privacy policies and applicable Consent Directives.",
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
}
],
"mapping": [
{
"identity": "rim",
"map": "Role Scoper"
}
]
},
{
"id": "Contract.domain",
"path": "Contract.domain",
"label": "ConsentDirective-domain",
"short": "Domain in which this Consent Directive applies",
"definition": "Recognized governance framework or system operating with a circumscribed scope in accordance with specified principles, policies, processes or procedures for managing rights, actions, or behaviors of parties or principals relative to privacy protection and control of the collection, access, use and disclosure of resources.",
"alias": [
"scope of governance jurisdiction"
],
"min": 0,
"max": "*",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Location"
]
}
]
},
{
"id": "Contract.type",
"path": "Contract.type",
"label": "ConsentDirective-type",
"short": "Consent Directive Type",
"definition": "Specific type of patient privacy Consent Directive reflecting the range of patient discretion over granting of rights to patient information and actions that may be taken on that information; e.g. Opt-in, opt-out, Share All (such as authorization to disclose to payer for payment purposes or benefit eligibility), Share Partial(such as Title 38 Section 7332 and 42 CFR Part 2), Implied Consent, such as a HIPAA Notice of Privacy Practices.",
"min": 1,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "List of overall contract codes.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-type"
},
"mapping": [
{
"identity": "rim",
"map": "CNTRCT"
}
]
},
{
"id": "Contract.type.coding",
"path": "Contract.type.coding"
},
{
"id": "Contract.type.coding.system",
"path": "Contract.type.coding.system",
"short": "Identity of the terminology system",
"definition": "The identification of the code system that defines the meaning of the symbol in the code.",
"comment": "The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establish the system clearly and unambiguously.",
"requirements": "Need to be unambiguous about the source of the definition of the symbol.",
"min": 0,
"max": "1",
"type": [
{
"code": "uri"
}
],
"fixedUri": "http://loinc.org",
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.3"
},
{
"identity": "rim",
"map": "./codeSystem"
},
{
"identity": "orim",
"map": "fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem"
}
]
},
{
"id": "Contract.type.coding.code",
"path": "Contract.type.coding.code",
"short": "Symbol in syntax defined by the system",
"definition": "A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).",
"requirements": "Need to refer to a particular code in the system.",
"min": 0,
"max": "1",
"type": [
{
"code": "code"
}
],
"fixedCode": "57016-8",
"isSummary": true,
"mapping": [
{
"identity": "v2",
"map": "C*E.1"
},
{
"identity": "rim",
"map": "./code"
},
{
"identity": "orim",
"map": "fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code"
}
]
},
{
"id": "Contract.subType",
"path": "Contract.subType",
"label": "ConsentDirective-subType",
"short": "Consent Directive Subtype",
"definition": "A specialized type of an overarching or more general Consent Directive, such as a patient's right to opt-out of a Patient Directory under HIPAA or a multiparty 42 CFR Part 2 consent used in a health information exchange context by a Qualified Service Organization.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"isSummary": true,
"binding": {
"strength": "example",
"description": "Detailed codes within the above.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-subtype"
},
"mapping": [
{
"identity": "rim",
"map": "e.g. RECOV"
}
]
},
{
"id": "Contract.term",
"path": "Contract.term",
"label": "ConsentDirective-term",
"short": "Consent Directive Term List",
"definition": "One or more Consent DirectiveProvisions, which may be related and conveyed as a group, and may contain nested groups.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "Contract.term.identifier",
"path": "Contract.term.identifier",
"label": "ConsentDirective-term-identifier",
"short": "Consent Directive Term identifier",
"definition": "Unique identifier for this particular Consent Directive Provision.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"isSummary": true
},
{
"id": "Contract.term.issued",
"path": "Contract.term.issued",
"label": "ConsentDirective-term-issued",
"short": "Consent Directive Term Issue Date Time",
"definition": "When this Consent Directive Provision was issued.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"isSummary": true
},
{
"id": "Contract.term.applies",
"path": "Contract.term.applies",
"label": "ConsentDirective-term-applies",
"short": "Consent Directive Term Effective Time",
"definition": "Relevant time or time-period when this Consent Directive Provision is applicable.",
"min": 0,
"max": "1",
"type": [
{
"code": "Period"
}
],
"isSummary": true
},
{
"id": "Contract.term.type",
"path": "Contract.term.type",
"label": "ConsentDirective-term-type",
"short": "Consent Directive Term Type",
"definition": "Type of Consent Directive Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Detailed codes for the types of contract provisions.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-term-type"
}
},
{
"id": "Contract.term.subType",
"path": "Contract.term.subType",
"label": "ConsentDirective-term-subType",
"short": "Consent Directive Term Subtype",
"definition": "Subtype of this Consent Directive Provision, e.g. life time maximum payment for a contract term for specific valued item, e.g. disability payment.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Detailed codes for the subtypes of contract provisions.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-term-subtype"
}
},
{
"id": "Contract.term.offer",
"path": "Contract.term.offer"
},
{
"id": "Contract.term.offer.topic",
"path": "Contract.term.offer.topic",
"label": "ConsentDirective-term-topic",
"short": "Topic of this Consent Directive Term",
"definition": "Who or what this Consent Directive Provision is about.",
"min": 0,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
]
},
{
"id": "Contract.term.offer.text",
"path": "Contract.term.offer.text",
"label": "ConsentDirective-term-text",
"short": "Human readable Consent Directive term text",
"definition": "Human readable form of this Consent Directive Provision.",
"min": 0,
"max": "1",
"type": [
{
"code": "string"
}
]
},
{
"id": "Contract.term.asset",
"path": "Contract.term.asset"
},
{
"id": "Contract.term.asset.valuedItem",
"path": "Contract.term.asset.valuedItem",
"label": "ConsentDirective-term-valuedItem",
"short": "Contract Term Valued Item",
"definition": "Contract Provision Valued Item List.",
"min": 0,
"max": "0",
"type": [
{
"code": "BackboneElement"
}
],
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem classCode INVE"
}
]
},
{
"id": "Contract.term.asset.valuedItem.entity[x]",
"path": "Contract.term.asset.valuedItem.entity[x]",
"label": "ConsentDirective-term-valuedItem-entity[x]",
"short": "Contract Term Valued Item Type",
"definition": "Specific type of Contract Provision Valued Item that may be priced.",
"min": 0,
"max": "1",
"type": [
{
"code": "CodeableConcept"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Resource"
]
}
],
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem code"
}
]
},
{
"id": "Contract.term.asset.valuedItem.identifier",
"path": "Contract.term.asset.valuedItem.identifier",
"label": "ConsentDirective-term-valuedItem",
"short": "Contract Term Valued Item Identifier",
"definition": "Identifies a Contract Provision Valued Item instance.",
"min": 0,
"max": "1",
"type": [
{
"code": "Identifier"
}
],
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem id"
}
]
},
{
"id": "Contract.term.asset.valuedItem.effectiveTime",
"path": "Contract.term.asset.valuedItem.effectiveTime",
"label": "ConsentDirective-term-valuedItem-effectiveTime",
"short": "Contract Term Valued Item Effective Time",
"definition": "Indicates the time during which this Contract Term ValuedItem information is effective.",
"min": 0,
"max": "1",
"type": [
{
"code": "dateTime"
}
],
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem effectiveTime"
}
]
},
{
"id": "Contract.term.asset.valuedItem.quantity",
"path": "Contract.term.asset.valuedItem.quantity",
"label": "ConsentDirective-term-valuedItem-quantity",
"short": "Contract Term Valued Item Count",
"definition": "Specifies the units by which the Contract Provision Valued Item is measured or counted, and quantifies the countable or measurable Contract Term Valued Item instances.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/SimpleQuantity"
]
}
],
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem unitQuantity"
}
]
},
{
"id": "Contract.term.asset.valuedItem.unitPrice",
"path": "Contract.term.asset.valuedItem.unitPrice",
"label": "ConsentDirective-term-valuedItem-unitPrice",
"short": "Contract Term Valued Item fee, charge, or cost.",
"definition": "A Contract Provision Valued Item unit valuation measure.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Money"
]
}
],
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem unitPriceAmt"
}
]
},
{
"id": "Contract.term.asset.valuedItem.factor",
"path": "Contract.term.asset.valuedItem.factor",
"label": "ConsentDirective-term-valuedItem-factor",
"short": "Contract Term Valued Item Price Scaling Factor",
"definition": "A real number that represents a multiplier used in determining the overall value of the Contract Provision Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem factorNumber"
}
]
},
{
"id": "Contract.term.asset.valuedItem.points",
"path": "Contract.term.asset.valuedItem.points",
"label": "ConsentDirective-term-valuedItem-points",
"short": "Contract Term Valued Item Difficulty Scaling Factor",
"definition": "An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Provision Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Provision Valued Item, such that a monetary amount can be assigned to each point.",
"min": 0,
"max": "1",
"type": [
{
"code": "decimal"
}
],
"mapping": [
{
"identity": "rim",
"map": "COCT_RM440000UV09 ValuedUnitItem pointNumber"
}
]
},
{
"id": "Contract.term.asset.valuedItem.net",
"path": "Contract.term.asset.valuedItem.net",
"label": "ConsentDirective-term-valuedItem-net",
"short": "Total Contract Term Valued Item Value",
"definition": "Expresses the product of the Contract Provision Valued Item unitQuantity and the unitPriceAmt. For example, the formula: unit Quantity * unit Price (Cost per Point) * factor Number * points = net Amount. Quantity, factor and points are assumed to be 1 if not supplied.",
"min": 0,
"max": "1",
"type": [
{
"code": "Quantity",
"profile": [
"http://hl7.org/fhir/StructureDefinition/Money"
]
}
]
},
{
"id": "Contract.term.agent",
"path": "Contract.term.agent",
"label": "ConsentDirective-term-actor",
"short": "Consent Directive Term Actor List",
"definition": "List of actors participating in this Consent Directive Provision.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "Contract.term.agent.actor",
"path": "Contract.term.agent.actor",
"label": "ConsentDirective-term-actor-entity",
"short": "Consent Directive Term Actor",
"definition": "The actor assigned a role in this Consent Directive Provision.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Contract"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Device"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Group"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Location"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Substance"
]
}
]
},
{
"id": "Contract.term.agent.role",
"path": "Contract.term.agent.role",
"label": "ConsentDirective-term-actor-role",
"short": "Consent Directive Term Actor Role",
"definition": "Role played by the actor assigned this role in this Consent Directive Provision.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Detailed codes for the contract actor role.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-actorrole"
}
},
{
"id": "Contract.term.action",
"path": "Contract.term.action",
"label": "ConsentDirective-term-action",
"short": "Consent Directive Term Action",
"definition": "Action stipulated by this Consent Directive Provision.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Detailed codes for the contract action.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-action"
}
},
{
"id": "Contract.term.actionReason",
"path": "Contract.term.actionReason",
"label": "ConsentDirective-term-actionReason",
"short": "Consent Directive Term Action Reason",
"definition": "Reason or purpose for the action stipulated by this Consent Directive Provision.",
"min": 0,
"max": "*",
"type": [
{
"code": "CodeableConcept"
}
],
"binding": {
"strength": "example",
"description": "Detailed codes for the contract action reason.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"
}
},
{
"id": "Contract.term.group",
"path": "Contract.term.group",
"label": "ConsentDirective-term-group",
"short": "Nested Consent DirectiveTerm Group",
"definition": "Nested group of Consent Directive Provision.",
"min": 0,
"max": "*",
"contentReference": "#term"
},
{
"id": "Contract.signer",
"path": "Contract.signer",
"label": "ConsentDirective-signer",
"short": "Consent Directive Signer",
"definition": "Party signing this Consent Directive.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "Contract.signer.type",
"path": "Contract.signer.type",
"label": "ConsentDirective-signer-type",
"short": "Consent Directive Signer Type",
"definition": "Role of this Consent Directive signer, e.g. patient who is Consent Directive Grantee, the Substitute Decision Maker such as a person with Power of Attorney to whom the patient has granted or delegated rights to execute a Consent Directive on the patient's behalf, a notary public or witness.",
"min": 1,
"max": "1",
"type": [
{
"code": "Coding"
}
],
"binding": {
"strength": "preferred",
"description": "List of parties who may be signing.",
"valueSetCanonical": "http://hl7.org/fhir/ValueSet/contract-signer-type"
}
},
{
"id": "Contract.signer.party",
"path": "Contract.signer.party",
"label": "ConsentDirective-signer-party",
"short": "Consent Directive Signatory party",
"definition": "Party which is a signatory to this Consent Directive.",
"min": 1,
"max": "1",
"type": [
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Organization"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Patient"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Practitioner"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/RelatedPerson"
]
}
]
},
{
"id": "Contract.signer.signature",
"path": "Contract.signer.signature",
"label": "ConsentDirective-signer-signature",
"short": "Consent Directive Documentation Signature",
"definition": "Legally binding Consent Directive DSIG signature contents in Base64.",
"min": 1,
"max": "1",
"type": [
{
"code": "Signature"
}
]
},
{
"id": "Contract.friendly",
"path": "Contract.friendly",
"label": "ConsentDirective-friendly",
"short": "Consent Directive Friendly Language",
"definition": "The \"patient friendly language\" versionof the Consent Directive in whole or in parts. \"Patient friendly language\" means the representation of the Consent Directive and Consent Directive Provisions in a manner that is readily accessible and understandable by a layperson in accordance with best practices for communication styles that ensure that those agreeing to or signing the Consent Directive understand the roles, actions, obligations, responsibilities, and implication of the agreement.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "Contract.friendly.content[x]",
"path": "Contract.friendly.content[x]",
"label": "ConsentDirective-friendly-content[x]",
"short": "Easily comprehended representation of this Consent Directive",
"definition": "Human readable rendering of this Consent Directive in a format and representation intended to enhance comprehension and ensure understandability.",
"min": 1,
"max": "1",
"type": [
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Composition"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
]
}
]
},
{
"id": "Contract.legal",
"path": "Contract.legal",
"label": "ConsentDirective-legal",
"short": "Consent Directive Legal Language",
"definition": "List of Legal expressions or representations of this Consent Directive.",
"min": 0,
"max": "*",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "Contract.legal.content[x]",
"path": "Contract.legal.content[x]",
"label": "ConsentDirective-legal-content[x]",
"short": "Consent Directive Legal Text",
"definition": "Legal Consent Directive text in human renderable form.",
"min": 1,
"max": "1",
"type": [
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Composition"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
]
}
]
},
{
"id": "Contract.rule",
"path": "Contract.rule",
"label": "ConsentDirective-rule",
"short": "Computable Consent Directive Language",
"definition": "List of Computable Policy Rule Language Representations of this Consent Directive.",
"min": 0,
"max": "1",
"type": [
{
"code": "BackboneElement"
}
]
},
{
"id": "Contract.rule.content[x]",
"path": "Contract.rule.content[x]",
"label": "ConsentDirective-rule-content[x]",
"short": "Computable Consent Directive Rules",
"definition": "Computable Consent Directive conveyed using a policy rule language (e.g. XACML, DKAL, SecPal).",
"min": 1,
"max": "1",
"type": [
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
}
]
},
{
"id": "Contract.legallyBinding[x]",
"path": "Contract.legallyBinding[x]",
"label": "ConsentDirective-binding[x]",
"short": "Binding Consent Directive",
"definition": "Legally binding onsent Directive Provision. This is the signed and legally recognized representation of the Consent Directive. that is considered the \"source of truth\", which would be the basis for legal action related to enforcement of the onsent Directive Provision.",
"min": 1,
"max": "1",
"type": [
{
"code": "Attachment"
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/Composition"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/DocumentReference"
]
},
{
"code": "Reference",
"targetProfile": [
"http://hl7.org/fhir/StructureDefinition/QuestionnaireResponse"
]
}
]
}
]
}
}
®© HL7.org 2011+. FHIR Mixed Nomative/Trial Use Ballot (v3.3.0-13671) generated on Tue, Apr 3, 2018 12:14+1000. QA Page
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