{
  "description": null,
  "_filename": "Consent.StructureDefinition.json",
  "package_name": "ca.bc.bcy-ids",
  "date": null,
  "derivation": "constraint",
  "publisher": null,
  "fhirVersion": "4.0.1",
  "name": "Consent",
  "abstract": false,
  "type": "Consent",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "1.0.0",
  "status": "draft",
  "id": "17489356-8d3a-4789-bf14-865fc1957883",
  "kind": "resource",
  "url": "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Consent",
  "version": null,
  "differential": {
    "element": [ {
      "id": "Consent.id",
      "min": 1,
      "path": "Consent.id",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.CONSENT_DIRECTIVE_ID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.meta",
      "path": "Consent.meta"
    }, {
      "id": "Consent.meta.versionId",
      "path": "Consent.meta.versionId",
      "comment": "Apply \"2025.01.1\".  This indicates the FHIR Specs as of year 2025 Jan."
    }, {
      "id": "Consent.meta.lastUpdated",
      "path": "Consent.meta.lastUpdated",
      "comment": "Updated: Relax the previously crossed-out elements."
    }, {
      "id": "Consent.meta.profile",
      "max": "1",
      "min": 1,
      "path": "Consent.meta.profile",
      "comment": "Apply \"http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/Consent\""
    }, {
      "id": "Consent.meta.security",
      "max": "1",
      "path": "Consent.meta.security"
    }, {
      "id": "Consent.meta.tag",
      "max": "1",
      "path": "Consent.meta.tag"
    }, {
      "id": "Consent.contained",
      "min": 1,
      "path": "Consent.contained",
      "type": [ {
        "code": "Resource",
        "profile": [ "RelatedPerson", "PractitionerConsentGivenTo" ]
      } ]
    }, {
      "id": "Consent.extension:consentExtension",
      "path": "Consent.extension",
      "type": [ {
        "code": "Extension",
        "profile": [ "http://ehealth.bc.ca/fhir/StructureDefinition/bc-bcyimmunizationdistribution/consent-type-form-doses-comments" ]
      } ],
      "sliceName": "consentExtension"
    }, {
      "id": "Consent.identifier",
      "max": "1",
      "min": 1,
      "path": "Consent.identifier"
    }, {
      "id": "Consent.identifier.type",
      "min": 1,
      "path": "Consent.identifier.type"
    }, {
      "id": "Consent.identifier.type.coding",
      "max": "1",
      "path": "Consent.identifier.type.coding"
    }, {
      "id": "Consent.identifier.type.text",
      "min": 1,
      "path": "Consent.identifier.type.text",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "\"PANORAMACONSENTID\"",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.identifier.system",
      "min": 1,
      "path": "Consent.identifier.system",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "https://health.gov.bc.ca/fhir/NamingSystem/ca-bc-panorama-consent-id",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.identifier.value",
      "min": 1,
      "path": "Consent.identifier.value",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.CONSENT_DIRECTIVE_ID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.status",
      "code": [ {
        "code": "active",
        "system": "http://hl7.org/fhir/ValueSet/consent-state-codes"
      } ],
      "path": "Consent.status",
      "comment": "Confirmed (PIR) maps to Active (FHIR).  See Mappings.",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.DIRECTIVE_STATUS_CODE_CNCPT_ID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.scope.coding",
      "min": 1,
      "path": "Consent.scope.coding"
    }, {
      "id": "Consent.scope.coding.system",
      "min": 1,
      "code": [ {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope"
      } ],
      "path": "Consent.scope.coding.system",
      "comment": "See Code"
    }, {
      "id": "Consent.scope.coding.code",
      "min": 1,
      "path": "Consent.scope.coding.code",
      "comment": "Apply \"treatment\""
    }, {
      "id": "Consent.category.coding.system",
      "min": 1,
      "code": [ {
        "system": "http://loinc.org"
      } ],
      "path": "Consent.category.coding.system",
      "comment": "See Code"
    }, {
      "id": "Consent.category.coding.code",
      "min": 1,
      "path": "Consent.category.coding.code",
      "comment": "Apply \"59284-0\""
    }, {
      "id": "Consent.patient.reference",
      "min": 1,
      "path": "Consent.patient.reference",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "fullURL + \"Patient/\" + (Patient ID)",
        "comment": "e.g. http://ehealth.bc.ca/panorama/fhir/Patient/59900999\"",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.performer",
      "max": "1",
      "path": "Consent.performer"
    }, {
      "id": "Consent.performer.reference",
      "min": 1,
      "path": "Consent.performer.reference",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "\"#RelatedPerson\"+(CONSENT.CONSENT_DIRECTIVE.CONSENT_DIRECTIVE_ID)\"",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.organization",
      "max": "1",
      "path": "Consent.organization"
    }, {
      "id": "Consent.policy",
      "max": "1",
      "path": "Consent.policy"
    }, {
      "id": "Consent.policyRule",
      "min": 1,
      "path": "Consent.policyRule"
    }, {
      "id": "Consent.policyRule.coding",
      "min": 1,
      "path": "Consent.policyRule.coding"
    }, {
      "id": "Consent.policyRule.coding.system",
      "min": 1,
      "code": [ {
        "system": "http://terminology.hl7.org/CodeSystem/consentpolicycodes"
      } ],
      "path": "Consent.policyRule.coding.system",
      "comment": "See Code"
    }, {
      "id": "Consent.policyRule.coding.code",
      "min": 1,
      "path": "Consent.policyRule.coding.code",
      "comment": "Apply \"cric\" (Common Rule Informed Consent)."
    }, {
      "id": "Consent.verification",
      "max": "1",
      "path": "Consent.verification"
    }, {
      "id": "Consent.provision",
      "min": 1,
      "path": "Consent.provision"
    }, {
      "id": "Consent.provision.period",
      "min": 1,
      "path": "Consent.provision.period"
    }, {
      "id": "Consent.provision.period.start",
      "min": 1,
      "path": "Consent.provision.period.start",
      "comment": "See Mappings.",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.EFFECT_FROM_DATE",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.provision.period.end",
      "path": "Consent.provision.period.end",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.EFFECT_TO_DATE",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.provision.actor.role.coding",
      "min": 1,
      "path": "Consent.provision.actor.role.coding"
    }, {
      "id": "Consent.provision.actor.role.coding.system",
      "min": 1,
      "code": [ {
        "system": "http://terminology.hl7.org/CodeSystem/v3-RoleCode"
      } ],
      "path": "Consent.provision.actor.role.coding.system"
    }, {
      "id": "Consent.provision.actor.role.coding.code",
      "min": 1,
      "path": "Consent.provision.actor.role.coding.code",
      "comment": "Apply \"CONSENTER\""
    }, {
      "id": "Consent.provision.actor.reference.reference",
      "min": 1,
      "path": "Consent.provision.actor.reference.reference",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "\"#PractitionerConsentGivenTo\"+(CONSENT.CONSENT_DIRECTIVE.CONSENT_DIRECTIVE_ID)\"",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.provision.action",
      "max": "1",
      "min": 1,
      "path": "Consent.provision.action",
      "short": "Consent or Refusal",
      "definition": "Consent or Refusal"
    }, {
      "id": "Consent.provision.action.coding",
      "min": 1,
      "path": "Consent.provision.action.coding",
      "slicing": {
        "rules": "open",
        "discriminator": [ {
          "path": "code",
          "type": "value"
        } ]
      }
    }, {
      "id": "Consent.provision.action.coding:sliceConsentInstruction",
      "max": "1",
      "min": 1,
      "path": "Consent.provision.action.coding",
      "sliceName": "sliceConsentInstruction"
    }, {
      "id": "Consent.provision.action.coding:sliceConsentInstruction.system",
      "min": 1,
      "code": [ {
        "system": "http://hl7.org/fhir/sid/icd9"
      } ],
      "path": "Consent.provision.action.coding.system",
      "comment": "See Code"
    }, {
      "id": "Consent.provision.action.coding:sliceConsentInstruction.code",
      "min": 1,
      "path": "Consent.provision.action.coding.code",
      "comment": "G | R.\r\nRefer to IMMS codeset spreadsheet: Consent - Instruction.  See Mappings.",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.CONSENT_VALUE_CODED_CNCPT_ID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.provision.action.coding:sliceConsentInstruction.display",
      "min": 1,
      "path": "Consent.provision.action.coding.display",
      "comment": "Grant | Refuse"
    }, {
      "id": "Consent.provision.action.coding:sliceConsentRefusalReaason",
      "max": "1",
      "min": 1,
      "path": "Consent.provision.action.coding",
      "sliceName": "sliceConsentRefusalReaason"
    }, {
      "id": "Consent.provision.action.coding:sliceConsentRefusalReaason.system",
      "min": 1,
      "code": [ {
        "system": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-consent-refusal-reason"
      } ],
      "path": "Consent.provision.action.coding.system",
      "comment": "See Code"
    }, {
      "id": "Consent.provision.action.coding:sliceConsentRefusalReaason.code",
      "min": 1,
      "path": "Consent.provision.action.coding.code",
      "comment": "Refer to IMMS codeset spreadsheet: Consent - Reason.  See Mappings",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.REFUSAL_REASON_CODE_CNCPT_ID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.provision.action.coding:sliceConsentRefusalReaason.display",
      "min": 1,
      "path": "Consent.provision.action.coding.display",
      "comment": "Refer to IMMS codeset spreadsheet: Consent - Reason"
    }, {
      "id": "Consent.provision.action.text",
      "path": "Consent.provision.action.text",
      "comment": "Mandatory if Reason for Refusal = \"O\"ther.  See Mappings.",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.REFUSAL_REASON_OTHER",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.provision.securityLabel",
      "max": "1",
      "path": "Consent.provision.securityLabel"
    }, {
      "id": "Consent.provision.purpose",
      "max": "1",
      "path": "Consent.provision.purpose"
    }, {
      "id": "Consent.provision.class",
      "max": "1",
      "path": "Consent.provision.class"
    }, {
      "id": "Consent.provision.code",
      "min": 1,
      "path": "Consent.provision.code"
    }, {
      "id": "Consent.provision.code.coding",
      "min": 1,
      "path": "Consent.provision.code.coding"
    }, {
      "id": "Consent.provision.code.coding.system",
      "min": 1,
      "path": "Consent.provision.code.coding.system",
      "comment": "See Mappings",
      "mapping": [ {
        "map": "https://nvc-cnv.canada.ca",
        "identity": "code-NVC"
      }, {
        "map": "http://snomed.info/sct",
        "identity": "code-SNOMED"
      }, {
        "map": "https://fhir.infoway-inforoute.ca/NamingSystem/ca-bc-panorama-code",
        "identity": "code-PIR"
      } ]
    }, {
      "id": "Consent.provision.code.coding.code",
      "min": 1,
      "path": "Consent.provision.code.coding.code",
      "comment": "Enter Vaccine code for both consent and Consent Refussal.  See Mappings.",
      "mapping": [ {
        "map": "CONSENT.CONSENT_DIRECTIVE.DIRECTIVE_ANTIGEN_ID",
        "identity": "source-PIR"
      } ]
    }, {
      "id": "Consent.provision.code.coding.display",
      "min": 1,
      "path": "Consent.provision.code.coding.display",
      "comment": "Enter Vaccine Name for Consent or Consent Refussal"
    }, {
      "id": "Consent.provision.data",
      "max": "1",
      "path": "Consent.provision.data"
    }, {
      "id": "Consent.provision.provision",
      "max": "1",
      "path": "Consent.provision.provision"
    } ]
  },
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Consent"
}