{ "description": "This profile represents information about the patients consent.\\n\\nThe type of consent is conveyed in type. Consents in the header have been finalized and should be on file. This specification does not address how 'Privacy Consent' is represented, but does not preclude the inclusion of Privacy Consent.\\n\\nThe authorization consent is used for referring to consents that are documented elsewhere in the EHR or medical record for a health condition and/or treatment that is described in the document.", "_filename": "StructureDefinition-CCDA-on-FHIR-Consent.json", "package_name": "hl7.fhir.us.ccda", "date": "2016-12-08T06:39:19+11:00", "derivation": "constraint", "publisher": "Lantana Consulting Group", "name": "C-CDA on FHIR Consent", "mapping": [ { "uri": "http://hl7.org/v3", "name": "RIM Mapping", "identity": "rim" }, { "uri": "http://hl7.org/fhir/w5", "name": "W5 Mapping", "identity": "w5" } ], "abstract": false, "type": "Contract", "experimental": null, "resourceType": "StructureDefinition", "title": null, "package_version": "1.8.0", "snapshot": { "element": [ { "constraint": [ { "key": "dom-2", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "xpath": "not(parent::f:contained and f:contained)", "source": "DomainResource", "severity": "error", "expression": "contained.contained.empty()" }, { "key": "dom-1", "human": "If the resource is contained in another resource, it SHALL NOT contain any narrative", "xpath": "not(parent::f:contained and f:text)", "source": "DomainResource", "severity": "error", "expression": "contained.text.empty()" }, { "key": "dom-4", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "DomainResource", "severity": "error", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()" }, { "key": "dom-3", "human": "If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource", "xpath": "not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat('#', $id))]))", "source": "DomainResource", "severity": "error", "expression": "contained.where(('#'+id in %resource.descendants().reference).not()).empty()" } ], "path": "Contract", "min": 0, "definition": "A formal agreement between parties regarding the conduct of business, exchange of information or other matters.", "short": "Contract", "mapping": [ { "map": "Entity. Role, or Act", "identity": "rim" }, { "map": "FinancialContract", "identity": "rim" }, { "map": "financial.other", "identity": "w5" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent", "base": { "max": "*", "min": 0, "path": "Contract" } }, { "path": "Contract.id", "min": 0, "definition": "The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.", "short": "Logical id of this artifact", "comments": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "type": [ { "code": "id" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.id", "base": { "max": "1", "min": 0, "path": "Resource.id" }, "isSummary": true }, { "path": "Contract.meta", "min": 0, "definition": "The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.", "short": "Metadata about the resource", "type": [ { "code": "Meta" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.meta", "base": { "max": "1", "min": 0, "path": "Resource.meta" }, "isSummary": true }, { "path": "Contract.implicitRules", "min": 0, "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.", "isModifier": true, "short": "A set of rules under which this content was created", "comments": "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 as much as possible.", "type": [ { "code": "uri" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.implicitRules", "base": { "max": "1", "min": 0, "path": "Resource.implicitRules" }, "isSummary": true }, { "path": "Contract.language", "min": 0, "definition": "The base language in which the resource is written.", "short": "Language of the resource content", "comments": "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).", "type": [ { "code": "code" } ], "binding": { "strength": "extensible", "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueReference": { "reference": "http://hl7.org/fhir/ValueSet/all-languages" } } ], "description": "A human language.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/languages" } }, "max": "1", "id": "Contract:c-cdaonfhirconsent.language", "base": { "max": "1", "min": 0, "path": "Resource.language" } }, { "path": "Contract.text", "min": 0, "definition": "A human-readable narrative that contains a summary of the resource, and may 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.", "short": "Text summary of the resource, for human interpretation", "comments": "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.", "mapping": [ { "map": "Act.text?", "identity": "rim" } ], "type": [ { "code": "Narrative" } ], "alias": [ "narrative", "html", "xhtml", "display" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.text", "condition": [ "dom-1" ], "base": { "max": "1", "min": 0, "path": "DomainResource.text" } }, { "path": "Contract.contained", "min": 0, "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.", "short": "Contained, inline Resources", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Resource" } ], "alias": [ "inline resources", "anonymous resources", "contained resources" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.contained", "base": { "max": "*", "min": 0, "path": "DomainResource.contained" } }, { "path": "Contract.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the resource. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.extension", "base": { "max": "*", "min": 0, "path": "DomainResource.extension" } }, { "path": "Contract.modifierExtension", "min": 0, "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. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.modifierExtension", "base": { "max": "*", "min": 0, "path": "DomainResource.modifierExtension" } }, { "path": "Contract.identifier", "min": 0, "definition": "MAY contain zero or one [0..1] identifier (CONF:2219-2007).", "short": "identifier", "mapping": [ { "map": "FinancialContract id", "identity": "rim" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.identifier", "base": { "max": "1", "min": 0, "path": "Contract.identifier" }, "isSummary": true }, { "path": "Contract.status", "min": 0, "definition": "The status of the resource instance.", "isModifier": true, "short": "active | cancelled | draft | entered-in-error", "type": [ { "code": "code" } ], "binding": { "strength": "required", "description": "A code specifying the state of the resource instance.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/fm-status" } }, "max": "1", "id": "Contract:c-cdaonfhirconsent.status", "base": { "max": "1", "min": 0, "path": "Contract.status" }, "isSummary": true }, { "path": "Contract.issued", "min": 0, "definition": "When this Contract was issued.", "short": "When this Contract was issued", "mapping": [ { "map": "FinancialContract effectiveTime", "identity": "rim" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.issued", "base": { "max": "1", "min": 0, "path": "Contract.issued" }, "isSummary": true }, { "path": "Contract.applies", "min": 0, "definition": "Relevant time or time-period when this Contract is applicable.", "short": "Effective time", "mapping": [ { "map": "FinancialContract activityTime", "identity": "rim" } ], "type": [ { "code": "Period" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.applies", "base": { "max": "1", "min": 0, "path": "Contract.applies" }, "isSummary": true }, { "path": "Contract.subject", "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.", "min": 0, "definition": "The target entity impacted by or of interest to parties to the agreement.", "short": "Contract Target Entity", "comments": "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.", "mapping": [ { "map": "Role", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "alias": [ "Patient" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.subject", "base": { "max": "*", "min": 0, "path": "Contract.subject" }, "isSummary": true }, { "path": "Contract.topic", "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. Given 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. The 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. One way to determine the Contract.topic is to answer the question: “What is the object of negotiation?” Answer: 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) Contract.topic is “the what” that a grantor is exchanging with a grantee in return for some benefit. Contract.topic is “the what” to which any Contract.action is being applied for any stipulated Contract.action.reason. AContract.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, "definition": "The matter of concern in the context of this agreement.", "short": "Context of the Contract", "comments": "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. The 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. However, 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. If 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.", "mapping": [ { "map": "Role", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.topic", "base": { "max": "*", "min": 0, "path": "Contract.topic" }, "isSummary": true }, { "path": "Contract.authority", "min": 0, "definition": "A formally or informally recognized grouping of people, principals, organizations, or jurisdictions formed for the purpose of achieving some form of collective action such as the promulgation, administration and enforcement of contracts and policies.", "short": "Authority under which this Contract has standing", "mapping": [ { "map": "Role Scoper", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Organization" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.authority", "base": { "max": "*", "min": 0, "path": "Contract.authority" } }, { "path": "Contract.domain", "min": 0, "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 resources.", "short": "Domain in which this Contract applies", "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Location" } ], "alias": [ "scope of governance jurisdiction" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.domain", "base": { "max": "*", "min": 0, "path": "Contract.domain" } }, { "path": "Contract.type", "min": 1, "definition": "SHALL contain exactly one [1..1] type=\"CONS\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:2219-2008).", "short": "Consent", "mapping": [ { "map": "CNTRCT", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "List of overall contract codes.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-type" } }, "max": "1", "label": "Consent", "id": "Contract:c-cdaonfhirconsent.type", "patternCodeableConcept": { "coding": [ { "code": "CONS", "system": "urn:oid:2.16.840.1.113883.5.6" } ] }, "base": { "max": "1", "min": 0, "path": "Contract.type" }, "isSummary": true }, { "path": "Contract.subType", "min": 0, "definition": "MAY contain zero or one [0..1] subType (CONF:2219-2009).", "short": "Type of consent", "mapping": [ { "map": "e.g. RECOV", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes within the above.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-subtype" } }, "max": "1", "label": "Type of consent", "id": "Contract:c-cdaonfhirconsent.subType", "base": { "max": "*", "min": 0, "path": "Contract.subType" }, "isSummary": true }, { "path": "Contract.action", "min": 0, "definition": "Action stipulated by this Contract.", "short": "Contract Action", "mapping": [ { "map": "e.g. JURISPOL", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes for the contract action.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-action" } }, "max": "*", "id": "Contract:c-cdaonfhirconsent.action", "base": { "max": "*", "min": 0, "path": "Contract.action" } }, { "path": "Contract.actionReason", "min": 0, "definition": "Reason for action stipulated by this Contract.", "short": "Contract Action Reason", "mapping": [ { "map": "e.g. QUALIMP", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes for the contract action reason.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/v3-PurposeOfUse" } }, "max": "*", "id": "Contract:c-cdaonfhirconsent.actionReason", "base": { "max": "*", "min": 0, "path": "Contract.actionReason" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.agent", "requirements": "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.", "min": 0, "definition": "An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.", "short": "Contract Agent", "comments": "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa. For 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.", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Agent" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.agent", "base": { "max": "*", "min": 0, "path": "Contract.agent" } }, { "path": "Contract.agent.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.agent.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.agent.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.agent.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.agent.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.agent.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "id": "Contract:c-cdaonfhirconsent.agent.actor", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Contract.agent.actor" }, "path": "Contract.agent.actor", "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" } ], "short": "Contract Agent Type", "definition": "Who or what parties are assigned roles in this Contract." }, { "path": "Contract.agent.role", "min": 0, "definition": "Role type of agent assigned roles in this Contract.", "short": "Contract Agent Role", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes for the contract actor role.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-actorrole" } }, "max": "*", "id": "Contract:c-cdaonfhirconsent.agent.role", "base": { "max": "*", "min": 0, "path": "Contract.agent.role" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.signer", "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, "definition": "Parties with legal standing in the Contract, including the principal parties, the grantor(s) and grantee(s), which are any person or organization bound by the contract, and any ancillary parties, which facilitate the execution of the contract such as a notary or witness.", "short": "Contract Signer", "comments": "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. For 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.", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Signatory" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.signer", "base": { "max": "*", "min": 0, "path": "Contract.signer" } }, { "path": "Contract.signer.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.signer.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.signer.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.signer.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.signer.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.signer.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "path": "Contract.signer.type", "min": 1, "definition": "Role of this Contract signer, e.g. notary, grantee.", "short": "Contract Signer Type", "type": [ { "code": "Coding" } ], "binding": { "strength": "preferred", "description": "List of parties who may be signing.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-signer-type" } }, "max": "1", "id": "Contract:c-cdaonfhirconsent.signer.type", "base": { "max": "1", "min": 1, "path": "Contract.signer.type" } }, { "id": "Contract:c-cdaonfhirconsent.signer.party", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Contract.signer.party" }, "path": "Contract.signer.party", "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" } ], "short": "Contract Signatory Party", "definition": "Party which is a signator to this Contract." }, { "id": "Contract:c-cdaonfhirconsent.signer.signature", "max": "*", "min": 1, "base": { "max": "*", "min": 1, "path": "Contract.signer.signature" }, "path": "Contract.signer.signature", "type": [ { "code": "Signature" } ], "short": "Contract Documentation Signature", "definition": "Legally binding Contract DSIG signature contents in Base64." }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.valuedItem", "min": 0, "definition": "Contract Valued Item List.", "short": "Contract Valued Item", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem classCode INVE", "identity": "rim" } ], "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "ValuedItem" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.valuedItem", "base": { "max": "*", "min": 0, "path": "Contract.valuedItem" } }, { "path": "Contract.valuedItem.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.valuedItem.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.valuedItem.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.valuedItem.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.valuedItem.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "path": "Contract.valuedItem.entity[x]", "min": 0, "definition": "Specific type of Contract Valued Item that may be priced.", "short": "Contract Valued Item Type", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem code", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.entity[x]", "base": { "max": "1", "min": 0, "path": "Contract.valuedItem.entity[x]" } }, { "path": "Contract.valuedItem.identifier", "min": 0, "definition": "Identifies a Contract Valued Item instance.", "short": "Contract Valued Item Identifier", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem id", "identity": "rim" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.identifier", "base": { "max": "1", "min": 0, "path": "Contract.valuedItem.identifier" } }, { "path": "Contract.valuedItem.effectiveTime", "min": 0, "definition": "Indicates the time during which this Contract ValuedItem information is effective.", "short": "Contract Valued Item Effective Tiem", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem effectiveTime", "identity": "rim" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.effectiveTime", "base": { "max": "1", "min": 0, "path": "Contract.valuedItem.effectiveTime" } }, { "path": "Contract.valuedItem.quantity", "min": 0, "definition": "Specifies the units by which the Contract Valued Item is measured or counted, and quantifies the countable or measurable Contract Valued Item instances.", "short": "Count of Contract Valued Items", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem unitQuantity", "identity": "rim" } ], "type": [ { "code": "Quantity", "profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.quantity", "base": { "max": "1", "min": 0, "path": "Contract.valuedItem.quantity" } }, { "path": "Contract.valuedItem.unitPrice", "min": 0, "definition": "A Contract Valued Item unit valuation measure.", "short": "Contract Valued Item fee, charge, or cost", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem unitPriceAmt", "identity": "rim" } ], "type": [ { "code": "Money" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.unitPrice", "base": { "max": "1", "min": 0, "path": "Contract.valuedItem.unitPrice" } }, { "path": "Contract.valuedItem.factor", "min": 0, "definition": "A real number that represents a multiplier used in determining the overall value of the Contract Valued Item delivered. The concept of a Factor allows for a discount or surcharge multiplier to be applied to a monetary amount.", "short": "Contract Valued Item Price Scaling Factor", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem factorNumber", "identity": "rim" } ], "type": [ { "code": "decimal" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.factor", "base": { "max": "1", "min": 0, "path": "Contract.valuedItem.factor" } }, { "path": "Contract.valuedItem.points", "min": 0, "definition": "An amount that expresses the weighting (based on difficulty, cost and/or resource intensiveness) associated with the Contract Valued Item delivered. The concept of Points allows for assignment of point values for a Contract Valued Item, such that a monetary amount can be assigned to each point.", "short": "Contract Valued Item Difficulty Scaling Factor", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem pointNumber", "identity": "rim" } ], "type": [ { "code": "decimal" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.points", "base": { "max": "1", "min": 0, "path": "Contract.valuedItem.points" } }, { "path": "Contract.valuedItem.net", "min": 0, "definition": "Expresses the product of the Contract 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.", "short": "Total Contract Valued Item Value", "mapping": [ { "map": "COCT_RM440000UV09 ValuedItem netAmt", "identity": "rim" } ], "type": [ { "code": "Money" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.valuedItem.net", "base": { "max": "1", "min": 0, "path": "Contract.valuedItem.net" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.term", "min": 0, "definition": "One or more Contract Provisions, which may be related and conveyed as a group, and may contain nested groups.", "short": "Contract Term List", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "Term" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term", "base": { "max": "*", "min": 0, "path": "Contract.term" } }, { "path": "Contract.term.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.term.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.term.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "path": "Contract.term.identifier", "min": 0, "definition": "Unique identifier for this particular Contract Provision.", "short": "Contract Term identifier", "type": [ { "code": "Identifier" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.identifier", "base": { "max": "1", "min": 0, "path": "Contract.term.identifier" }, "isSummary": true }, { "path": "Contract.term.issued", "min": 0, "definition": "When this Contract Provision was issued.", "short": "Contract Term Issue Date Time", "type": [ { "code": "dateTime" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.issued", "base": { "max": "1", "min": 0, "path": "Contract.term.issued" }, "isSummary": true }, { "path": "Contract.term.applies", "min": 0, "definition": "Relevant time or time-period when this Contract Provision is applicable.", "short": "Contract Term Effective Time", "type": [ { "code": "Period" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.applies", "base": { "max": "1", "min": 0, "path": "Contract.term.applies" }, "isSummary": true }, { "path": "Contract.term.type", "min": 0, "definition": "Type of Contract Provision such as specific requirements, purposes for actions, obligations, prohibitions, e.g. life time maximum benefit.", "short": "Contract Term Type", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes for the types of contract provisions.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-term-type" } }, "max": "1", "id": "Contract:c-cdaonfhirconsent.term.type", "base": { "max": "1", "min": 0, "path": "Contract.term.type" } }, { "path": "Contract.term.subType", "min": 0, "definition": "Subtype of this Contract Provision, e.g. life time maximum payment for a contract term for specific valued item, e.g. disability payment.", "short": "Contract Term Subtype", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes for the subtypes of contract provisions.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-term-subtype" } }, "max": "1", "id": "Contract:c-cdaonfhirconsent.term.subType", "base": { "max": "1", "min": 0, "path": "Contract.term.subType" } }, { "path": "Contract.term.topic", "requirements": "A contract term topic is typically about a portion of the contract topic which has additional or specialized rights, privileges, obligations, restrictions, and prohibitions that are binding on any grantor and grantee parties upon the execution of the contract. Contract.term.topic may be described in more detail in the [0..*] Contract.term.valuedItem @[0..1] Contract.term.valuedItem [x] Definition: Specific type of Contract Provision Valued Item that may be priced. CodeableConcept|Reference(Any) [See Contract.topic Requirements for further elaboration on this requirement.].", "min": 0, "definition": "The matter of concern in the context of this provision of the agrement.", "short": "Context of the Contract term", "comments": "The Contract.term.topic, as a Contract Resource subpart, is handled in the same manner as the Contract Resource as discussed above.", "mapping": [ { "map": "Role", "identity": "rim" } ], "type": [ { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.topic", "base": { "max": "*", "min": 0, "path": "Contract.term.topic" }, "isSummary": true }, { "path": "Contract.term.action", "min": 0, "definition": "Action stipulated by this Contract Provision.", "short": "Contract Term Action", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes for the contract action.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-action" } }, "max": "*", "id": "Contract:c-cdaonfhirconsent.term.action", "base": { "max": "*", "min": 0, "path": "Contract.term.action" } }, { "path": "Contract.term.actionReason", "min": 0, "definition": "Reason or purpose for the action stipulated by this Contract Provision.", "short": "Contract Term Action Reason", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes for the contract action reason.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/v3-PurposeOfUse" } }, "max": "*", "id": "Contract:c-cdaonfhirconsent.term.actionReason", "base": { "max": "*", "min": 0, "path": "Contract.term.actionReason" } }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.term.agent", "requirements": "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.", "min": 0, "definition": "An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.", "short": "Contract Term Agent List", "comments": "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa. For 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.", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "TermAgent" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.agent", "base": { "max": "*", "min": 0, "path": "Contract.term.agent" } }, { "path": "Contract.term.agent.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.agent.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.term.agent.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.agent.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.term.agent.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.agent.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "id": "Contract:c-cdaonfhirconsent.term.agent.actor", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Contract.term.agent.actor" }, "path": "Contract.term.agent.actor", "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" } ], "short": "Contract Term Agent List", "definition": "The agent assigned a role in this Contract Provision." }, { "path": "Contract.term.agent.role", "min": 0, "definition": "Role played by the agent assigned this role in the execution of this Contract Provision.", "short": "Contract Term Agent Role", "type": [ { "code": "CodeableConcept" } ], "binding": { "strength": "example", "description": "Detailed codes for the contract actor role.", "valueSetReference": { "reference": "http://hl7.org/fhir/ValueSet/contract-actorrole" } }, "max": "*", "id": "Contract:c-cdaonfhirconsent.term.agent.role", "base": { "max": "*", "min": 0, "path": "Contract.term.agent.role" } }, { "id": "Contract:c-cdaonfhirconsent.term.text", "max": "1", "min": 0, "base": { "max": "1", "min": 0, "path": "Contract.term.text" }, "path": "Contract.term.text", "type": [ { "code": "string" } ], "short": "Human readable Contract term text", "definition": "Human readable form of this Contract Provision." }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.term.valuedItem", "min": 0, "definition": "Contract Provision Valued Item List.", "short": "Contract Term Valued Item", "mapping": [ { "map": "COCT_RM440000UV09 ValuedUnitItem classCode INVE", "identity": "rim" } ], "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "TermValuedItem" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.valuedItem", "base": { "max": "*", "min": 0, "path": "Contract.term.valuedItem" } }, { "path": "Contract.term.valuedItem.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.term.valuedItem.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.term.valuedItem.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "path": "Contract.term.valuedItem.entity[x]", "min": 0, "definition": "Specific type of Contract Provision Valued Item that may be priced.", "short": "Contract Term Valued Item Type", "mapping": [ { "map": "COCT_RM440000UV09 ValuedUnitItem code", "identity": "rim" } ], "type": [ { "code": "CodeableConcept" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.entity[x]", "base": { "max": "1", "min": 0, "path": "Contract.term.valuedItem.entity[x]" } }, { "path": "Contract.term.valuedItem.identifier", "min": 0, "definition": "Identifies a Contract Provision Valued Item instance.", "short": "Contract Term Valued Item Identifier", "mapping": [ { "map": "COCT_RM440000UV09 ValuedUnitItem id", "identity": "rim" } ], "type": [ { "code": "Identifier" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.identifier", "base": { "max": "1", "min": 0, "path": "Contract.term.valuedItem.identifier" } }, { "path": "Contract.term.valuedItem.effectiveTime", "min": 0, "definition": "Indicates the time during which this Contract Term ValuedItem information is effective.", "short": "Contract Term Valued Item Effective Tiem", "mapping": [ { "map": "COCT_RM440000UV09 ValuedUnitItem effectiveTime", "identity": "rim" } ], "type": [ { "code": "dateTime" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.effectiveTime", "base": { "max": "1", "min": 0, "path": "Contract.term.valuedItem.effectiveTime" } }, { "path": "Contract.term.valuedItem.quantity", "min": 0, "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.", "short": "Contract Term Valued Item Count", "mapping": [ { "map": "COCT_RM440000UV09 ValuedUnitItem unitQuantity", "identity": "rim" } ], "type": [ { "code": "Quantity", "profile": "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.quantity", "base": { "max": "1", "min": 0, "path": "Contract.term.valuedItem.quantity" } }, { "path": "Contract.term.valuedItem.unitPrice", "min": 0, "definition": "A Contract Provision Valued Item unit valuation measure.", "short": "Contract Term Valued Item fee, charge, or cost", "mapping": [ { "map": "COCT_RM440000UV09 ValuedUnitItem unitPriceAmt", "identity": "rim" } ], "type": [ { "code": "Money" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.unitPrice", "base": { "max": "1", "min": 0, "path": "Contract.term.valuedItem.unitPrice" } }, { "path": "Contract.term.valuedItem.factor", "min": 0, "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.", "short": "Contract Term Valued Item Price Scaling Factor", "mapping": [ { "map": "COCT_RM440000UV09 ValuedUnitItem factorNumber", "identity": "rim" } ], "type": [ { "code": "decimal" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.factor", "base": { "max": "1", "min": 0, "path": "Contract.term.valuedItem.factor" } }, { "path": "Contract.term.valuedItem.points", "min": 0, "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 ProvisionValued Item, such that a monetary amount can be assigned to each point.", "short": "Contract Term Valued Item Difficulty Scaling Factor", "mapping": [ { "map": "COCT_RM440000UV09 ValuedUnitItem pointNumber", "identity": "rim" } ], "type": [ { "code": "decimal" } ], "max": "1", "id": "Contract:c-cdaonfhirconsent.term.valuedItem.points", "base": { "max": "1", "min": 0, "path": "Contract.term.valuedItem.points" } }, { "id": "Contract:c-cdaonfhirconsent.term.valuedItem.net", "max": "1", "min": 0, "base": { "max": "1", "min": 0, "path": "Contract.term.valuedItem.net" }, "path": "Contract.term.valuedItem.net", "type": [ { "code": "Money" } ], "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." }, { "id": "Contract:c-cdaonfhirconsent.term.group", "max": "*", "min": 0, "base": { "max": "*", "min": 0, "path": "Contract.term.group" }, "path": "Contract.term.group", "short": "Nested Contract Term Group", "definition": "Nested group of Contract Provisions.", "contentReference": "#Contract:c-cdaonfhirconsent.term" }, { "id": "Contract:c-cdaonfhirconsent.binding[x]", "max": "1", "min": 0, "base": { "max": "1", "min": 0, "path": "Contract.binding[x]" }, "path": "Contract.binding[x]", "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" } ], "short": "Binding Contract", "definition": "Legally binding Contract: This is the signed and legally recognized representation of the Contract, which is considered the \"source of truth\" and which would be the basis for legal action related to enforcement of this Contract." }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.friendly", "min": 0, "definition": "The \"patient friendly language\" versionof the Contract in whole or in parts. \"Patient friendly language\" means the representation of the Contract and Contract 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 Contract understand the roles, actions, obligations, responsibilities, and implication of the agreement.", "short": "Contract Friendly Language", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "FriendlyLanguage" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.friendly", "base": { "max": "*", "min": 0, "path": "Contract.friendly" } }, { "path": "Contract.friendly.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.friendly.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.friendly.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.friendly.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.friendly.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.friendly.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "id": "Contract:c-cdaonfhirconsent.friendly.content[x]", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Contract.friendly.content[x]" }, "path": "Contract.friendly.content[x]", "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" } ], "short": "Easily comprehended representation of this Contract", "definition": "Human readable rendering of this Contract in a format and representation intended to enhance comprehension and ensure understandability." }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.legal", "min": 0, "definition": "List of Legal expressions or representations of this Contract.", "short": "Contract Legal Language", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "LegalLanguage" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.legal", "base": { "max": "*", "min": 0, "path": "Contract.legal" } }, { "path": "Contract.legal.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.legal.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.legal.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.legal.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.legal.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.legal.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "id": "Contract:c-cdaonfhirconsent.legal.content[x]", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Contract.legal.content[x]" }, "path": "Contract.legal.content[x]", "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" } ], "short": "Contract Legal Text", "definition": "Contract legal text in human renderable form." }, { "constraint": [ { "key": "ele-1", "human": "All FHIR elements must have a @value or children", "xpath": "@value|f:*|h:div", "source": "Element", "severity": "error", "expression": "children().count() > id.count()" } ], "path": "Contract.rule", "min": 0, "definition": "List of Computable Policy Rule Language Representations of this Contract.", "short": "Computable Contract Language", "type": [ { "code": "BackboneElement" } ], "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name", "valueString": "ComputableLanguage" } ], "max": "*", "id": "Contract:c-cdaonfhirconsent.rule", "base": { "max": "*", "min": 0, "path": "Contract.rule" } }, { "path": "Contract.rule.id", "min": 0, "definition": "unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.", "short": "xml:id (or equivalent in JSON)", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "string" } ], "representation": [ "xmlAttr" ], "max": "1", "id": "Contract:c-cdaonfhirconsent.rule.id", "base": { "max": "1", "min": 0, "path": "Element.id" } }, { "path": "Contract.rule.extension", "min": 0, "definition": "May be used to represent additional information that is not part of the basic definition of the element. In order 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.", "short": "Additional Content defined by implementations", "comments": "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.", "mapping": [ { "map": "n/a", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.rule.extension", "base": { "max": "*", "min": 0, "path": "Element.extension" } }, { "path": "Contract.rule.modifierExtension", "min": 0, "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 that contains it. Usually modifier elements provide negation or qualification. In order 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.", "isModifier": true, "short": "Extensions that cannot be ignored", "comments": "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.", "mapping": [ { "map": "N/A", "identity": "rim" } ], "type": [ { "code": "Extension" } ], "alias": [ "extensions", "user content", "modifiers" ], "max": "*", "id": "Contract:c-cdaonfhirconsent.rule.modifierExtension", "base": { "max": "*", "min": 0, "path": "BackboneElement.modifierExtension" }, "isSummary": true }, { "id": "Contract:c-cdaonfhirconsent.rule.content[x]", "max": "1", "min": 1, "base": { "max": "1", "min": 1, "path": "Contract.rule.content[x]" }, "path": "Contract.rule.content[x]", "type": [ { "code": "Attachment" }, { "code": "Reference", "targetProfile": "http://hl7.org/fhir/StructureDefinition/DocumentReference" } ], "short": "Computable Contract Rules", "definition": "Computable Contract conveyed using a policy rule language (e.g. XACML, DKAL, SecPal)." } ] }, "status": "draft", "id": "1a6451cd-b8bd-429c-8140-fd9d6e9e6e03", "kind": "resource", "url": "http://hl7.org/fhir/ccda/StructureDefinition/CCDA-on-FHIR-Consent", "context": [ "Contract" ], "version": null, "differential": { "element": [ { "id": "Contract:c-cdaonfhirconsent", "path": "Contract" }, { "id": "Contract:c-cdaonfhirconsent.identifier", "max": "1", "min": 0, "path": "Contract.identifier", "short": "identifier", "definition": "MAY contain zero or one [0..1] identifier (CONF:2219-2007)." }, { "path": "Contract.type", "min": 1, "definition": "SHALL contain exactly one [1..1] type=\"CONS\" (CodeSystem: HL7ActClass urn:oid:2.16.840.1.113883.5.6) (CONF:2219-2008).", "short": "Consent", "type": [ { "code": "CodeableConcept" } ], "max": "1", "label": "Consent", "id": "Contract:c-cdaonfhirconsent.type", "patternCodeableConcept": { "coding": [ { "code": "CONS", "system": "urn:oid:2.16.840.1.113883.5.6" } ] } }, { "id": "Contract:c-cdaonfhirconsent.subType", "max": "1", "min": 0, "path": "Contract.subType", "label": "Type of consent", "short": "Type of consent", "definition": "MAY contain zero or one [0..1] subType (CONF:2219-2009)." } ] }, "contact": [ { "name": "Sarah Gaunt", "telecom": [ { "use": "work", "value": "+6 141-029-2506", "system": "phone" }, { "use": "work", "value": "sarah.gaunt@lantanagroup.com", "system": "email" } ] } ], "contextType": "resource", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Contract" }