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6.5 Resource Permission - Content

Security icon Work GroupMaturity Level: 1 Trial UseSecurity Category: Not Classified Compartments: No defined compartments

Permission resource holds access rules for a given data and context.

A declarative attribute-based access control policy statement to express policies, refrains, and obligations. The Permission resource may be used to record the access control constraints under which data were collected or shared.

Note to Implementers: This resource is under-development, consult the FHIR Permission Confluence page icon for development details, plans, and use-case analysis.

The Permission resource may in the future be used as a provision within a Consent resource.

The Permission resource is intended to be used where Consent resource does not apply or where exposure of the full Consent details are not needed or desired. The Permission resource may be used to express transactional access control rules that may be derived from a Consent. The Permission resource is intended to be used when access control policy rules need to be expressed in an interoperable way other than Consent. Examples are use-cases that are not involving a patient subject. The Permission resource should not be used in a conflicting way with security labels in the .meta.security element.

No references for this Resource.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Permission TU DomainResource Access Rules

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ 0..* Identifier Business Identifier for permission

... status Σ 1..1 code active | entered-in-error | draft | rejected
Binding: Permission Status (Required)
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | HealthcareService) The person or entity that asserts the permission
... validity Σ 0..1 Period The period in which the permission is active
... justification Σ 0..1 BackboneElement The asserted justification for using the data
.... basis Σ 0..* CodeableConcept The regulatory grounds upon which this Permission builds
Binding: Consent PolicyRule Codes (Example)

.... evidence Σ 0..* Reference(Any) Justifing rational

... combining ?!Σ 1..1 code deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny
Binding: Permission Rule Combining (Required)
... rule Σ 0..* BackboneElement Constraints to the Permission
This repeating element order: The order of the rules processing is defined in rule combining selected in .combining element.
.... type ?!Σ 0..1 code deny | permit
Binding: Consent Provision Type (Required)
.... data Σ 0..* BackboneElement The selection criteria to identify data that is within scope of this provision

..... resource Σ 0..* BackboneElement Explicit FHIR Resource references

...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: Consent Data Meaning (Required)
...... reference Σ 1..1 Reference(Any) The actual data reference
..... security Σ 0..* Coding Security tag code on .meta.security

..... period Σ 0..1 Period Timeframe encompasing data create/update
..... expression Σ 0..1 Expression Expression identifying the data
.... activity Σ 0..* BackboneElement A description or definition of which activities are allowed to be done on the data

..... actor Σ 0..* Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Authorized actor(s)

..... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: Consent Action Codes (Example)

..... purpose Σ 0..* CodeableConcept The purpose for which the permission is given
Binding: PurposeOfUse icon (Preferred)

.... limit Σ 0..* CodeableConcept What limits apply to the use of the data
Binding: Example set of Event / Bundle used Security Labels (Example)


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram (Legend)

Permission (DomainResource)A unique identifier assigned to this permisssionidentifier : Identifier [0..*]Statusstatus : code [1..1] « null (Strength=Required)PermissionStatus! »The person or entity that asserts the permissionasserter : Reference [0..1] « Practitioner|PractitionerRole| Organization|CareTeam|Patient|RelatedPerson|HealthcareService »The date that permission was asserteddate : dateTime [0..*]The period in which the permission is activevalidity : Period [0..1]Defines a procedure for arriving at an access decision given the set of rules (this element modifies the meaning of other elements)combining : code [1..1] « null (Strength=Required)PermissionRuleCombining! »JustificationThis would be a codeableconcept, or a coding, which can be constrained to , for example, the 6 grounds for processing in GDPRbasis : CodeableConcept [0..*] « null (Strength=Example)ConsentPolicyRuleCodes?? »Justifing rationalevidence : Reference [0..*] « Any »Ruledeny | permit (this element modifies the meaning of other elements)type : code [0..1] « null (Strength=Required)ConsentProvisionType! »What limits apply to the use of the datalimit : CodeableConcept [0..*] « null (Strength=Example)SecurityLabelEventExamples?? »DataThe data in scope are those with the given codes present in that data .meta.security elementsecurity : Coding [0..*]Clinical or Operational Relevant period of time that bounds the data controlled by this ruleperiod : Period [0..1]Used when other data selection elements are insufficientexpression : Expression [0..1]ResourceHow the resource reference is interpreted when testing consent restrictionsmeaning : code [1..1] « null (Strength=Required)ConsentDataMeaning! »A reference to a specific resource that defines which resources are covered by this consentreference : Reference [1..1] « Any »ActivityThe actor(s) authorized for the defined activityactor : Reference [0..*] « Device|Group|CareTeam|Organization| Patient|Practitioner|RelatedPerson|PractitionerRole »Actions controlled by this Ruleaction : CodeableConcept [0..*] « null (Strength=Example)ConsentActionCodes?? »The purpose for which the permission is givenpurpose : CodeableConcept [0..*] « null (Strength=Preferred)PurposeOfUse? »The asserted justification for using the datajustification[0..1]Explicit FHIR Resource referencesresource[0..*]A description or definition of which activities are allowed to be done on the datadata[0..*]A description or definition of which activities are allowed to be done on the dataactivity[0..*]A set of rulesrule[0..*]

XML Template

<Permission xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier for permission --></identifier>
 <status value="[code]"/><!-- 1..1 active | entered-in-error | draft | rejected -->
 <asserter><!-- 0..1 Reference(CareTeam|HealthcareService|Organization|Patient|
   Practitioner|PractitionerRole|RelatedPerson) The person or entity that asserts the permission --></asserter>
 <date value="[dateTime]"/><!-- 0..* The date that permission was asserted -->
 <validity><!-- 0..1 Period The period in which the permission is active --></validity>
 <justification>  <!-- 0..1 The asserted justification for using the data -->
  <basis><!-- 0..* CodeableConcept The regulatory grounds upon which this Permission builds --></basis>
  <evidence><!-- 0..* Reference(Any) Justifing rational --></evidence>
 </justification>
 <combining value="[code]"/><!-- 1..1 deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny -->
 <rule>  <!-- 0..* Constraints to the Permission -->
  <type value="[code]"/><!-- 0..1 deny | permit -->
  <data>  <!-- 0..* The selection criteria to identify data that is within scope of this provision -->
   <resource>  <!-- 0..* Explicit FHIR Resource references -->
    <meaning value="[code]"/><!-- 1..1 instance | related | dependents | authoredby -->
    <reference><!-- 1..1 Reference(Any) The actual data reference --></reference>
   </resource>
   <security><!-- 0..* Coding Security tag code on .meta.security --></security>
   <period><!-- 0..1 Period Timeframe encompasing data create/update --></period>
   <expression><!-- 0..1 Expression Expression identifying the data --></expression>
  </data>
  <activity>  <!-- 0..* A description or definition of which activities are allowed to be done on the data -->
   <actor><!-- 0..* Reference(CareTeam|Device|Group|Organization|Patient|
     Practitioner|PractitionerRole|RelatedPerson) Authorized actor(s) --></actor>
   <action><!-- 0..* CodeableConcept Actions controlled by this rule --></action>
   <purpose><!-- 0..* CodeableConcept The purpose for which the permission is given icon --></purpose>
  </activity>
  <limit><!-- 0..* CodeableConcept What limits apply to the use of the data --></limit>
 </rule>
</Permission>

JSON Template

{doco
  "resourceType" : "Permission",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier for permission
  "status" : "<code>", // R!  active | entered-in-error | draft | rejected
  "asserter" : { Reference(CareTeam|HealthcareService|Organization|Patient|
   Practitioner|PractitionerRole|RelatedPerson) }, // The person or entity that asserts the permission
  "date" : ["<dateTime>"], // The date that permission was asserted
  "validity" : { Period }, // The period in which the permission is active
  "justification" : { // The asserted justification for using the data
    "basis" : [{ CodeableConcept }], // The regulatory grounds upon which this Permission builds
    "evidence" : [{ Reference(Any) }] // Justifing rational
  },
  "combining" : "<code>", // R!  deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny
  "rule" : [{ // Constraints to the Permission
    "type" : "<code>", // deny | permit
    "data" : [{ // The selection criteria to identify data that is within scope of this provision
      "resource" : [{ // Explicit FHIR Resource references
        "meaning" : "<code>", // R!  instance | related | dependents | authoredby
        "reference" : { Reference(Any) } // R!  The actual data reference
      }],
      "security" : [{ Coding }], // Security tag code on .meta.security
      "period" : { Period }, // Timeframe encompasing data create/update
      "expression" : { Expression } // Expression identifying the data
    }],
    "activity" : [{ // A description or definition of which activities are allowed to be done on the data
      "actor" : [{ Reference(CareTeam|Device|Group|Organization|Patient|
     Practitioner|PractitionerRole|RelatedPerson) }], // Authorized actor(s)
      "action" : [{ CodeableConcept }], // Actions controlled by this rule
      "purpose" : [{ CodeableConcept }] // The purpose for which the permission is given icon
    }],
    "limit" : [{ CodeableConcept }] // What limits apply to the use of the data
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Permission;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Business Identifier for permission
  fhir:status [ code ] ; # 1..1 active | entered-in-error | draft | rejected
  fhir:asserter [ Reference(CareTeam|HealthcareService|Organization|Patient|Practitioner|PractitionerRole|
  RelatedPerson) ] ; # 0..1 The person or entity that asserts the permission
  fhir:date  ( [ dateTime ] ... ) ; # 0..* The date that permission was asserted
  fhir:validity [ Period ] ; # 0..1 The period in which the permission is active
  fhir:justification [ # 0..1 The asserted justification for using the data
    fhir:basis  ( [ CodeableConcept ] ... ) ; # 0..* The regulatory grounds upon which this Permission builds
    fhir:evidence  ( [ Reference(Any) ] ... ) ; # 0..* Justifing rational
  ] ;
  fhir:combining [ code ] ; # 1..1 deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny
  fhir:rule ( [ # 0..* Constraints to the Permission
    fhir:type [ code ] ; # 0..1 deny | permit
    fhir:data ( [ # 0..* The selection criteria to identify data that is within scope of this provision
      fhir:resource ( [ # 0..* Explicit FHIR Resource references
        fhir:meaning [ code ] ; # 1..1 instance | related | dependents | authoredby
        fhir:reference [ Reference(Any) ] ; # 1..1 The actual data reference
      ] ... ) ;
      fhir:security  ( [ Coding ] ... ) ; # 0..* Security tag code on .meta.security
      fhir:period [ Period ] ; # 0..1 Timeframe encompasing data create/update
      fhir:expression [ Expression ] ; # 0..1 Expression identifying the data
    ] ... ) ;
    fhir:activity ( [ # 0..* A description or definition of which activities are allowed to be done on the data
      fhir:actor  ( [ Reference(CareTeam|Device|Group|Organization|Patient|Practitioner|PractitionerRole|
  RelatedPerson) ] ... ) ; # 0..* Authorized actor(s)
      fhir:action  ( [ CodeableConcept ] ... ) ; # 0..* Actions controlled by this rule
      fhir:purpose  ( [ CodeableConcept ] ... ) ; # 0..* The purpose for which the permission is given
    ] ... ) ;
    fhir:limit  ( [ CodeableConcept ] ... ) ; # 0..* What limits apply to the use of the data
  ] ... ) ;
]

Changes from both R4 and R4B

This resource did not exist in Release R4

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

Structure

NameFlagsCard.TypeDescription & Constraintsdoco
.. Permission TU DomainResource Access Rules

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
... identifier Σ 0..* Identifier Business Identifier for permission

... status Σ 1..1 code active | entered-in-error | draft | rejected
Binding: Permission Status (Required)
... asserter Σ 0..1 Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | HealthcareService) The person or entity that asserts the permission
... validity Σ 0..1 Period The period in which the permission is active
... justification Σ 0..1 BackboneElement The asserted justification for using the data
.... basis Σ 0..* CodeableConcept The regulatory grounds upon which this Permission builds
Binding: Consent PolicyRule Codes (Example)

.... evidence Σ 0..* Reference(Any) Justifing rational

... combining ?!Σ 1..1 code deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny
Binding: Permission Rule Combining (Required)
... rule Σ 0..* BackboneElement Constraints to the Permission
This repeating element order: The order of the rules processing is defined in rule combining selected in .combining element.
.... type ?!Σ 0..1 code deny | permit
Binding: Consent Provision Type (Required)
.... data Σ 0..* BackboneElement The selection criteria to identify data that is within scope of this provision

..... resource Σ 0..* BackboneElement Explicit FHIR Resource references

...... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: Consent Data Meaning (Required)
...... reference Σ 1..1 Reference(Any) The actual data reference
..... security Σ 0..* Coding Security tag code on .meta.security

..... period Σ 0..1 Period Timeframe encompasing data create/update
..... expression Σ 0..1 Expression Expression identifying the data
.... activity Σ 0..* BackboneElement A description or definition of which activities are allowed to be done on the data

..... actor Σ 0..* Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Authorized actor(s)

..... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: Consent Action Codes (Example)

..... purpose Σ 0..* CodeableConcept The purpose for which the permission is given
Binding: PurposeOfUse icon (Preferred)

.... limit Σ 0..* CodeableConcept What limits apply to the use of the data
Binding: Example set of Event / Bundle used Security Labels (Example)


doco Documentation for this format icon

See the Extensions for this resource

UML Diagram (Legend)

Permission (DomainResource)A unique identifier assigned to this permisssionidentifier : Identifier [0..*]Statusstatus : code [1..1] « null (Strength=Required)PermissionStatus! »The person or entity that asserts the permissionasserter : Reference [0..1] « Practitioner|PractitionerRole| Organization|CareTeam|Patient|RelatedPerson|HealthcareService »The date that permission was asserteddate : dateTime [0..*]The period in which the permission is activevalidity : Period [0..1]Defines a procedure for arriving at an access decision given the set of rules (this element modifies the meaning of other elements)combining : code [1..1] « null (Strength=Required)PermissionRuleCombining! »JustificationThis would be a codeableconcept, or a coding, which can be constrained to , for example, the 6 grounds for processing in GDPRbasis : CodeableConcept [0..*] « null (Strength=Example)ConsentPolicyRuleCodes?? »Justifing rationalevidence : Reference [0..*] « Any »Ruledeny | permit (this element modifies the meaning of other elements)type : code [0..1] « null (Strength=Required)ConsentProvisionType! »What limits apply to the use of the datalimit : CodeableConcept [0..*] « null (Strength=Example)SecurityLabelEventExamples?? »DataThe data in scope are those with the given codes present in that data .meta.security elementsecurity : Coding [0..*]Clinical or Operational Relevant period of time that bounds the data controlled by this ruleperiod : Period [0..1]Used when other data selection elements are insufficientexpression : Expression [0..1]ResourceHow the resource reference is interpreted when testing consent restrictionsmeaning : code [1..1] « null (Strength=Required)ConsentDataMeaning! »A reference to a specific resource that defines which resources are covered by this consentreference : Reference [1..1] « Any »ActivityThe actor(s) authorized for the defined activityactor : Reference [0..*] « Device|Group|CareTeam|Organization| Patient|Practitioner|RelatedPerson|PractitionerRole »Actions controlled by this Ruleaction : CodeableConcept [0..*] « null (Strength=Example)ConsentActionCodes?? »The purpose for which the permission is givenpurpose : CodeableConcept [0..*] « null (Strength=Preferred)PurposeOfUse? »The asserted justification for using the datajustification[0..1]Explicit FHIR Resource referencesresource[0..*]A description or definition of which activities are allowed to be done on the datadata[0..*]A description or definition of which activities are allowed to be done on the dataactivity[0..*]A set of rulesrule[0..*]

XML Template

<Permission xmlns="http://hl7.org/fhir"> doco
 <!-- from Resource: id, meta, implicitRules, and language -->
 <!-- from DomainResource: text, contained, extension, and modifierExtension -->
 <identifier><!-- 0..* Identifier Business Identifier for permission --></identifier>
 <status value="[code]"/><!-- 1..1 active | entered-in-error | draft | rejected -->
 <asserter><!-- 0..1 Reference(CareTeam|HealthcareService|Organization|Patient|
   Practitioner|PractitionerRole|RelatedPerson) The person or entity that asserts the permission --></asserter>
 <date value="[dateTime]"/><!-- 0..* The date that permission was asserted -->
 <validity><!-- 0..1 Period The period in which the permission is active --></validity>
 <justification>  <!-- 0..1 The asserted justification for using the data -->
  <basis><!-- 0..* CodeableConcept The regulatory grounds upon which this Permission builds --></basis>
  <evidence><!-- 0..* Reference(Any) Justifing rational --></evidence>
 </justification>
 <combining value="[code]"/><!-- 1..1 deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny -->
 <rule>  <!-- 0..* Constraints to the Permission -->
  <type value="[code]"/><!-- 0..1 deny | permit -->
  <data>  <!-- 0..* The selection criteria to identify data that is within scope of this provision -->
   <resource>  <!-- 0..* Explicit FHIR Resource references -->
    <meaning value="[code]"/><!-- 1..1 instance | related | dependents | authoredby -->
    <reference><!-- 1..1 Reference(Any) The actual data reference --></reference>
   </resource>
   <security><!-- 0..* Coding Security tag code on .meta.security --></security>
   <period><!-- 0..1 Period Timeframe encompasing data create/update --></period>
   <expression><!-- 0..1 Expression Expression identifying the data --></expression>
  </data>
  <activity>  <!-- 0..* A description or definition of which activities are allowed to be done on the data -->
   <actor><!-- 0..* Reference(CareTeam|Device|Group|Organization|Patient|
     Practitioner|PractitionerRole|RelatedPerson) Authorized actor(s) --></actor>
   <action><!-- 0..* CodeableConcept Actions controlled by this rule --></action>
   <purpose><!-- 0..* CodeableConcept The purpose for which the permission is given icon --></purpose>
  </activity>
  <limit><!-- 0..* CodeableConcept What limits apply to the use of the data --></limit>
 </rule>
</Permission>

JSON Template

{doco
  "resourceType" : "Permission",
  // from Resource: id, meta, implicitRules, and language
  // from DomainResource: text, contained, extension, and modifierExtension
  "identifier" : [{ Identifier }], // Business Identifier for permission
  "status" : "<code>", // R!  active | entered-in-error | draft | rejected
  "asserter" : { Reference(CareTeam|HealthcareService|Organization|Patient|
   Practitioner|PractitionerRole|RelatedPerson) }, // The person or entity that asserts the permission
  "date" : ["<dateTime>"], // The date that permission was asserted
  "validity" : { Period }, // The period in which the permission is active
  "justification" : { // The asserted justification for using the data
    "basis" : [{ CodeableConcept }], // The regulatory grounds upon which this Permission builds
    "evidence" : [{ Reference(Any) }] // Justifing rational
  },
  "combining" : "<code>", // R!  deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny
  "rule" : [{ // Constraints to the Permission
    "type" : "<code>", // deny | permit
    "data" : [{ // The selection criteria to identify data that is within scope of this provision
      "resource" : [{ // Explicit FHIR Resource references
        "meaning" : "<code>", // R!  instance | related | dependents | authoredby
        "reference" : { Reference(Any) } // R!  The actual data reference
      }],
      "security" : [{ Coding }], // Security tag code on .meta.security
      "period" : { Period }, // Timeframe encompasing data create/update
      "expression" : { Expression } // Expression identifying the data
    }],
    "activity" : [{ // A description or definition of which activities are allowed to be done on the data
      "actor" : [{ Reference(CareTeam|Device|Group|Organization|Patient|
     Practitioner|PractitionerRole|RelatedPerson) }], // Authorized actor(s)
      "action" : [{ CodeableConcept }], // Actions controlled by this rule
      "purpose" : [{ CodeableConcept }] // The purpose for which the permission is given icon
    }],
    "limit" : [{ CodeableConcept }] // What limits apply to the use of the data
  }]
}

Turtle Template

@prefix fhir: <http://hl7.org/fhir/> .doco


[ a fhir:Permission;
  fhir:nodeRole fhir:treeRoot; # if this is the parser root

  # from Resource: .id, .meta, .implicitRules, and .language
  # from DomainResource: .text, .contained, .extension, and .modifierExtension
  fhir:identifier  ( [ Identifier ] ... ) ; # 0..* Business Identifier for permission
  fhir:status [ code ] ; # 1..1 active | entered-in-error | draft | rejected
  fhir:asserter [ Reference(CareTeam|HealthcareService|Organization|Patient|Practitioner|PractitionerRole|
  RelatedPerson) ] ; # 0..1 The person or entity that asserts the permission
  fhir:date  ( [ dateTime ] ... ) ; # 0..* The date that permission was asserted
  fhir:validity [ Period ] ; # 0..1 The period in which the permission is active
  fhir:justification [ # 0..1 The asserted justification for using the data
    fhir:basis  ( [ CodeableConcept ] ... ) ; # 0..* The regulatory grounds upon which this Permission builds
    fhir:evidence  ( [ Reference(Any) ] ... ) ; # 0..* Justifing rational
  ] ;
  fhir:combining [ code ] ; # 1..1 deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny
  fhir:rule ( [ # 0..* Constraints to the Permission
    fhir:type [ code ] ; # 0..1 deny | permit
    fhir:data ( [ # 0..* The selection criteria to identify data that is within scope of this provision
      fhir:resource ( [ # 0..* Explicit FHIR Resource references
        fhir:meaning [ code ] ; # 1..1 instance | related | dependents | authoredby
        fhir:reference [ Reference(Any) ] ; # 1..1 The actual data reference
      ] ... ) ;
      fhir:security  ( [ Coding ] ... ) ; # 0..* Security tag code on .meta.security
      fhir:period [ Period ] ; # 0..1 Timeframe encompasing data create/update
      fhir:expression [ Expression ] ; # 0..1 Expression identifying the data
    ] ... ) ;
    fhir:activity ( [ # 0..* A description or definition of which activities are allowed to be done on the data
      fhir:actor  ( [ Reference(CareTeam|Device|Group|Organization|Patient|Practitioner|PractitionerRole|
  RelatedPerson) ] ... ) ; # 0..* Authorized actor(s)
      fhir:action  ( [ CodeableConcept ] ... ) ; # 0..* Actions controlled by this rule
      fhir:purpose  ( [ CodeableConcept ] ... ) ; # 0..* The purpose for which the permission is given
    ] ... ) ;
    fhir:limit  ( [ CodeableConcept ] ... ) ; # 0..* What limits apply to the use of the data
  ] ... ) ;
]

Changes from both R4 and R4B

This resource did not exist in Release R4

See the Full Difference for further information

This analysis is available for R4 as XML or JSON and for R4B as XML or JSON.

 

Additional definitions: Master Definition XML + JSON, XML Schema/Schematron + JSON Schema, ShEx (for Turtle) + see the extensions, the spreadsheet version & the dependency analysis

Path ValueSet Type Documentation
Permission.status PermissionStatus Required

Codes identifying the lifecycle stage of a product.

Permission.justification.basis ConsentPolicyRuleCodes Example

This value set includes sample Regulatory consent policy types from the US and other regions.

Permission.combining PermissionRuleCombining Required

Codes identifying rule combining algorithm.

Permission.rule.type ConsentProvisionType Required

How a rule statement is applied, such as adding additional consent or removing consent.

Permission.rule.data.resource.meaning ConsentDataMeaning Required

How a resource reference is interpreted when testing consent restrictions.

Permission.rule.activity.action ConsentActionCodes Example

This value set includes sample Consent Action codes.

Permission.rule.activity.purpose PurposeOfUse icon Preferred

Supports communication of purpose of use at a general level.

Permission.rule.limit SecurityLabelEventExamples Example

A sample of security labels from Healthcare Privacy and Security Classification System that are used on events and requests/responses (aka user context or organization context) made up of PurposeOfUse and maybe a refrain/obligation.

Each .rule is evaulated within the combining rule identified in the .combining element.

Within a .rule any repititions of the .data element are in an OR relationship. That is to say that the data identified by the rule is all the data identified by all repititions of .data. Thus to identify one rule that applies to data tagged with STD and data that is tagged with HIV, one would repeat this at the .data level.

Within a .rule any repititions of the .activity element are in an OR relationship. That is to say that the rule applies to all the repititions of .activity. Thus to identify one rule that applies to both TREAT and HOPERAT, one would have one rule with repititions at the .activity level.

Within a .rule all repititions of the .limit all apply to the rule. That is to say if there are multiple limits, and the rule permits the activity, then all the identified limits are applied to that authorized activity.

Within the .data element, all elements and all repetitions of elements, are in an AND relationship. Thus to select data that has both STD and HIV one puts both into one .rule. To have different rules for STD from HIV, one would need to have two .rule elements. To have a rule that applies to both, those that have just STD and just HIV, this repitition may also be done at the data level as described above.

Within the .activity element, all elements and all repetitions of elements, are in an AND relationship. Thus to control an actity that is covering purpose of both TREAT and HOPERAT, one rule with an .activity .purpose holding both TREAT and HOPERAT can define that rule. However this will not cover activities covering only TREAT, for that repeat at the .activity with just a .purpose of TREAT.

Search parameters for this resource. See also the full list of search parameters for this resource, and check the Extensions registry for search parameters on extensions related to this resource. The common parameters also apply. See Searching for more information about searching in REST, messaging, and services.

Name Type Description Expression In Common
identifier token The unique id for a particular permission Permission.identifier
status token active | entered-in-error | draft | rejected Permission.status