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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)

status: draft | proposed | active | rejected | inactive | entered-in-error
scope
category
performer [psi]: patient or practitioner

Extensions

None

Sample payload

{
  "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
    }
  }
}

Notes for QuestionnaireResponse FHIR resource, per property

Property

Set

Notes

tags

REQUIRED [psi]

countryISO & projectID

status

REQUIRED [fhir]

draft | proposed | active | rejected | inactive | entered-in-error

  • active/rejected: set on consumer’s choice

  • inactive: set when superseded (in conjunction with period end date)

scope

REQUIRED [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

REQUIRED [fhir]

????

patient

REQUIRED[psi ] OPTIONAL

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

If the consent relates to a health provider, WHAT DO WE DO?

performer

REQUIRED [psi]

patient id

dateTime

REQUIRED [psi]

date time that the patient agreed to the consent

organization

REQUIRED [psi]

reference to Organization ID

language

REQUIRED [psi]

source

REQUIRED [psi]

document reference ID ?

DocumentReference - FHIR

policyRule

REQUIRED [psi]

provision

REQUIRED [psi]

the time period for which the consent applies (normally just start date)

*in addition to: countryISO & projectID

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