{
  "description": "FHIR Consent profile for the NHS England National Proxy use case. Supports proxy access to patient records, capturing proxy identity, legal basis, lifecycle status, and recording relevant actors.",
  "_filename": "England-Consent-National-Proxy.json",
  "package_name": "fhir.r4.nhsengland.programme",
  "date": "2026-01-07",
  "derivation": "constraint",
  "publisher": "NHS England",
  "fhirVersion": "4.0.1",
  "purpose": "Defines how Consent is used for NHS England National Proxy.",
  "name": "EnglandConsentNationalProxy",
  "abstract": false,
  "type": "Consent",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": "England Consent National Proxy",
  "package_version": "0.23.2-pre-release",
  "status": "draft",
  "id": "08f904d4-55ac-4fb1-8131-413f02198103",
  "kind": "resource",
  "url": "https://fhir.nhs.uk/England/StructureDefinition/England-Consent-National-Proxy",
  "version": "0.6.1",
  "differential": {
    "element": [ {
      "id": "Consent.extension",
      "max": "*",
      "min": 0,
      "path": "Consent.extension",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "url",
          "type": "value"
        } ]
      }
    }, {
      "id": "Consent.extension:statusReason",
      "max": "1",
      "min": 0,
      "path": "Consent.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "https://fhir.nhs.uk/England/StructureDefinition/Extension-England-Consent-Status-Reason" ]
      } ],
      "sliceName": "statusReason"
    }, {
      "id": "Consent.extension:grantor",
      "max": "1",
      "min": 0,
      "path": "Consent.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/valueset-reference" ]
      } ],
      "sliceName": "grantor"
    }, {
      "id": "Consent.extension:grantee",
      "max": "1",
      "min": 0,
      "path": "Consent.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/valueset-reference" ]
      } ],
      "sliceName": "grantee"
    }, {
      "id": "Consent.extension:regulatoryBasis",
      "max": "1",
      "min": 0,
      "path": "Consent.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/valueset-reference" ]
      } ],
      "sliceName": "regulatoryBasis"
    }, {
      "id": "Consent.status",
      "max": "1",
      "min": 1,
      "path": "Consent.status"
    }, {
      "id": "Consent.scope",
      "max": "1",
      "min": 1,
      "path": "Consent.scope"
    }, {
      "id": "Consent.category",
      "max": "*",
      "min": 1,
      "path": "Consent.category"
    }, {
      "id": "Consent.patient",
      "max": "1",
      "min": 1,
      "path": "Consent.patient",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient" ]
      } ]
    }, {
      "id": "Consent.dateTime",
      "max": "1",
      "min": 0,
      "path": "Consent.dateTime"
    }, {
      "id": "Consent.performer",
      "max": "*",
      "min": 0,
      "path": "Consent.performer",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" ]
      } ]
    }, {
      "id": "Consent.policy",
      "max": "*",
      "min": 0,
      "path": "Consent.policy"
    }, {
      "id": "Consent.provision",
      "max": "1",
      "min": 0,
      "path": "Consent.provision"
    }, {
      "id": "Consent.provision.actor",
      "max": "*",
      "min": 0,
      "path": "Consent.provision.actor"
    }, {
      "id": "Consent.provision.actor.role",
      "max": "1",
      "min": 0,
      "path": "Consent.provision.actor.role",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "https://fhir.nhs.uk/England/ValueSet/England-NHSProxyLegalBasis"
      }
    }, {
      "id": "Consent.provision.actor.reference",
      "max": "1",
      "min": 0,
      "path": "Consent.provision.actor.reference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient", "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson" ]
      } ]
    } ]
  },
  "contact": [ {
    "name": "NHS England",
    "telecom": [ {
      "use": "work",
      "value": "interoperabilityteam@nhs.net",
      "system": "email"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Consent"
}