description: Base profile for a consent profile to document that a patient has an Electronic Patient Record (EPR) in Switzerland. The actual consent conditions are held within the EPR, this consent is the documentation in an organization that the patient has stated he has an EPR and this needs to be verified at the time of document publishing or reading. In addition a patient can request that specific information will not be published from the organization to the EPR. This can be documented with one or more references to encounters to exclude the consent for these.
package_name: ch.fhir.ig.ch
derivation: constraint
name: CHCoreEPRConsent
type: Consent
elements:
  scope:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: patient-privacy, system: 'http://terminology.hl7.org/CodeSystem/consentscope'}
    index: 0
  category:
    index: 1
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: coding.code, type: value}
      - {path: coding.system, type: value}
      min: null
      slices:
        VSCat:
          match:
            coding: {code: IDSCL, system: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'}
          schema:
            _required: true
            index: 2
            elements:
              coding:
                index: 3
                elements:
                  system:
                    pattern: {type: Uri, value: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'}
                    index: 4
                  code:
                    short: information disclosure
                    pattern: {type: Code, value: IDSCL}
                    index: 5
                required: [system, code]
            required: [coding]
  patient:
    type: Reference
    short: The patient to whom this EPR consent applies
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient']
    index: 6
  performer:
    type: Reference
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization', 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-patient', 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitioner', 'http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-practitionerrole', 'http://hl7.org/fhir/StructureDefinition/RelatedPerson']
    index: 7
  organization:
    type: Reference
    refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-organization']
    index: 8
  policyRule:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: ch-epr, system: 'http://terminology.hl7.org/CodeSystem/consentpolicycodes'}
    index: 9
  provision:
    short: Exceptions to the EPR consent
    index: 10
    elements:
      type:
        short: deny
        pattern: {type: Code, value: deny}
        index: 11
      data:
        elements:
          meaning:
            pattern: {type: Code, value: instance}
            index: 12
          reference:
            type: Reference
            short: Excluded encounter for EPR
            refers: ['http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-encounter']
            index: 13
    required: [type]
package_version: core-4.0.0
class: profile
kind: resource
url: http://fhir.ch/ig/ch-core/StructureDefinition/ch-core-epr-consent
base: http://hl7.org/fhir/StructureDefinition/Consent
version: 4.0.0
required: [patient]