description: The PDex Provider Access Consent Profile enables a member to express their preference for the sharing of their healthcare information to providers through the Provider Access API. A member has to actively choose to opt-out of sharing their data. The opt-out may be exercised by the patient or by the patient's legally recognized personal representative (e.g., parent, guardian, or healthcare proxy), consistent with CMS-0057-F and HIPAA.
package_name: hl7.fhir.us.davinci-pdex
derivation: constraint
name: PDexProviderSharingConsent
type: Consent
elements:
  status:
    pattern: {type: Code, value: active}
    mustSupport: true
    index: 0
  scope:
    short: Information-disclosure scope (fixed to patient-privacy)
    mustSupport: true
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: patient-privacy, system: 'http://terminology.hl7.org/CodeSystem/consentscope'}
    index: 1
  category:
    array: true
    min: 2
    index: 2
    slicing:
      rules: open
      discriminator:
      - {path: $this, type: pattern}
      min: 2
      slices:
        disclosure:
          match:
            coding:
            - {code: IDSCL, system: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'}
          schema:
            mustSupport: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: IDSCL, system: 'http://terminology.hl7.org/CodeSystem/v3-ActCode'}
            _required: true
            index: 3
          min: 1
          max: 1
        apiPurpose:
          match:
            coding:
            - {code: provider-access, system: 'http://hl7.org/fhir/us/davinci-pdex/CodeSystem/pdex-consent-api-purpose'}
          schema:
            short: Identifies this Consent as applying to the Provider Access API
            mustSupport: true
            _required: true
            pattern:
              type: CodeableConcept
              value:
                coding:
                - {code: provider-access, system: 'http://hl7.org/fhir/us/davinci-pdex/CodeSystem/pdex-consent-api-purpose'}
            index: 4
          min: 1
          max: 1
  patient:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0']
    index: 5
  performer:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient|7.0.0', 'http://hl7.org/fhir/us/core/StructureDefinition/us-core-relatedperson|7.0.0']
    index: 6
  organization:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization|1.2.0']
    index: 7
  policyRule:
    pattern:
      type: CodeableConcept
      value:
        coding:
        - {code: cric, system: 'http://terminology.hl7.org/CodeSystem/consentpolicycodes', display: Common Rule Informed Consent}
    index: 8
  provision:
    mustSupport: true
    index: 9
    elements:
      type: {mustSupport: true, index: 10}
      period:
        mustSupport: true
        index: 11
        elements:
          start: {mustSupport: true, index: 12}
        required: [start]
      actor:
        index: 13
        slicing:
          rules: open
          discriminator:
          - {path: role, type: pattern}
          min: 1
          slices:
            source:
              match:
                role:
                  coding:
                  - {code: performer, system: 'http://terminology.hl7.org/CodeSystem/provenance-participant-type'}
              schema:
                short: Authorized or Not to disclose
                mustSupport: true
                array: true
                min: 1
                _required: true
                index: 14
                elements:
                  role:
                    mustSupport: true
                    pattern:
                      type: CodeableConcept
                      value:
                        coding:
                        - {code: performer, system: 'http://terminology.hl7.org/CodeSystem/provenance-participant-type'}
                    index: 15
                  reference:
                    type: Reference
                    mustSupport: true
                    refers: ['http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-organization|1.2.0']
                    index: 16
      action:
        short: Action permitted or denied - use 'disclose' with provision.type='deny' for Provider Access opt-out
        binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/consent-action'}
        mustSupport: true
        index: 17
        extensions:
          providerAccessUseCase: {url: 'http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-access-use-case', min: 0, max: 1, type: Extension, short: Indicates this action applies to Provider Access API, mustSupport: true, index: 18}
        elements:
          extension:
            type: Extension
            short: Indicates this action applies to Provider Access API
            mustSupport: true
            url: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-access-use-case
            index: 18
            slicing:
              slices:
                providerAccessUseCase:
                  match: {}
                  schema: {type: Extension, short: Indicates this action applies to Provider Access API, mustSupport: true, url: 'http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-access-use-case', index: 18}
                  min: 0
                  max: 1
    required: [action, type, period, actor]
package_version: 2.2.0
class: profile
kind: resource
url: http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provider-consent
base: http://hl7.org/fhir/StructureDefinition/Consent
version: 2.2.0
required: [patient, provision, organization, performer]