description: This profile is used to represent a delegation of rights consent for healthcare related decision-making. The Perm Consent enables the patient to delegate the typical powers of a durable medical power of attorney to one or more healthcare agents which may be in a prioritized order (primary, secondary, tertiary) or simply may be designated as healthcare agents to act as an authorized personal representative for the patient in circumstances where the patient is not able to communicate.\nThe ADI Healthcare Agent Consent Deny Profile may be used in conjunction to constrain the powers granted through the permit. \nThe authorized personal representative appointed as healthcare agents are referenced from the Consent Resource via the actor.reference where the actor.code indicates the healthcare agent role
package_name: hl7.fhir.us.pacio-adi
derivation: constraint
name: ADIHealthcareAgentConsent
abstract: true
type: Consent
elements:
  text: {mustSupport: true, index: 0}
  status:
    mustSupport: true
    pattern: {type: code, value: active}
    type: code
    index: 1
  scope:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: 81377-4, system: 'http://loinc.org', display: 'Goals, preferences, and priorities regarding the appointment of healthcare agents Narrative - Reported'}
    type: CodeableConcept
    index: 2
  category:
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: acd, system: 'http://terminology.hl7.org/CodeSystem/consentcategorycodes', version: 1.0.0}
    type: CodeableConcept
    index: 3
  patient:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 4
  dateTime: {mustSupport: true, index: 5}
  policy: {mustSupport: true, index: 6}
  provision:
    mustSupport: true
    index: 7
    extensions:
      ClauseExtension: {url: 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension', min: 0, type: Extension, index: 9}
    elements:
      extension:
        index: 8
        slicing:
          rules: open
          ordered: false
          discriminator:
          - {path: url, type: value}
          min: null
          slices:
            ClauseExtension:
              match: {url: null}
              schema: {type: Extension, url: 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension', index: 9}
              min: 0
      type: {mustSupport: true, index: 10}
      actor:
        mustSupport: true
        index: 11
        extensions:
          ClauseExtension: {url: 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension', min: 0, type: Extension, index: 13}
        elements:
          extension:
            index: 12
            slicing:
              rules: open
              ordered: false
              discriminator:
              - {path: url, type: value}
              min: null
              slices:
                ClauseExtension:
                  match: {url: null}
                  schema: {type: Extension, url: 'http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-clause-extension', index: 13}
                  min: 0
          role:
            binding: {strength: required, valueSet: 'http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1046.35'}
            index: 14
          reference:
            type: Reference
            refers: ['http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentParticipant']
            index: 15
      action:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/us/pacio-adi/ValueSet/ADIHCADecisionsVS'}
        index: 16
      purpose:
        binding: {strength: required, valueSet: 'http://terminology.hl7.org/ValueSet/v3-ActReason'}
        index: 17
    required: [actor, type]
package_version: 2.0.0-ballot
class: profile
kind: resource
url: http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-HealthcareAgentConsent
base: http://hl7.org/fhir/StructureDefinition/Consent
version: 2.0.0-ballot
required: [patient, provision, text]