Versions Compared

Version Old Version 8 New Version 9
Changes made by

Rodolfo Melia

Rodolfo Melia

Saved on

Key

  • This line was added.
  • This line was removed.
  • Formatting was changed.

 

 

FHIR resource link

https://www.hl7.org/fhir/consent.html

https://build.fhir.org/consent.html SIGNIFICANT CHANGES

FHIR definition

A record of a healthcare consumer’s choices, which permits or denies identified recipient(s) or recipient role(s) to perform one or more actions within a given policy context, for specific purposes and periods of time.

PSI use case

Consumer’s acceptance to T&C or other documentation

Required properties

(see details below)

  • tags

  • status [fhir]

  • scope [fhir]

  • category [fhir]

  • patient

  • performer

  • dateTime

  • organization

  • language

  • source

  • policy || policyRule

  • provision/dataPeriod

Extensions

Sept 2022 - enforcement of required properties for PSI under consideration

Sample payload

Code Block
{
  "resourceType": "Consent",
  "status": "active", //active | inactive
  "scope": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope",
        "code": "patient-privacy"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "59284-0"
        }
      ]
    }
  ],
  "patient": {
    "reference": "Patient/f001",
  },
  "performer":{
    "reference": "Patient/f001",
  },
  "dateTime": "2016-05-11",
  "organization": {
      "reference": "Organization/f001"
    },
  "language": "en",
  "sourceReference":{
	  // TODO
  },
  // Either a Policy or PolicyRule	policy.exists() or policyRule.exists()
  "policyRule": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
        "code": "OPTIN"
      }
    ]
  }, 
  "provision": {
    "period": {
      "start": "1964-01-01",
      "end": "2016-01-01" //when person opt-outs
    }
  }
}

Resource Dependencies

Patient
Organization
DocumentReference

...

Property

Set

Notes

tags

Status
colourGreen
titleREQUIRED
[psi]

countryISO & projectID

status

Status
colourGreen
titleREQUIRED
[fhir]

draft | proposed | active | rejected | inactive | entered-in-error
For PSI:

  • active/rejected: set on consumer’s choice

  • inactive: set when superseded (in conjunction with period end date)

scope

Status
colourGreen
titleREQUIRED
[fhir 4.3] - not in 5.0

For PSI’s use case, we will normally set scope to:
patient-privacy (Privacy Consent): Agreement to collect, access, use or disclose (share) information

category

Status
colourGreen
titleREQUIRED
[fhir]

“59284-0” based on http://loinc.org Patient Consent

patient

Status
colourGreen
titleREQUIRED
for patients [psi]

WILL CHANGE for 5.0

If the consent relates to a patient [psi] the related record must be passed.

performer

Status
colourGreen
titleREQUIRED
[psi]

patient id , practitioner id- if collected directly from the consumer - e.g. on a bot

practitioner id - if collected by a health worker

dateTime

Status
colourGreen
titleREQUIRED
[psi]

date time that the patient agreed to the consent -

DateTime should be recorded with associated TimeZone

09:30:10Z - UTC

09:30:10-06:00 -6h from UTC

09:30:10+06:00 +6h from UTC

DateTime should be UTC - Frontend apps and Analytics will need to convert to local timezone.

organization

Status
colourGreen
titleREQUIRED
[psi]

reference to Organization ID - who issued the consent document

language

Status
colourGreen
titleREQUIRED
[psi]

bpc-47 - en/es/fr/

source

Status
colourGreen
titleREQUIRED
[psi]

/source reference = document reference ID

DocumentReference - FHIR

policy OR policyRule

Status
colourGreen
titleREQUIRED
[fhir]

code: OPTIN (see code example)

provision/dataPeriod

Status
colourGreen
titleREQUIRED
[psi]

the time period for which the consent applies, normally just start date. The end date is set if the patients opt-out or the consent is superseded by another consent.

...