RIVO-Noord Zorgviewer Implementation Guide
1.12.0 - sprint54 Netherlands flag

RIVO-Noord Zorgviewer Implementation Guide - Local Development build (v1.12.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: ToestemmingConsent - Detailed Descriptions

Active as of 2025-03-18

Definitions for the ToestemmingConsent resource profile.

Guidance on how to interpret the contents of this table can be found here

0. Consent
Definitie

A record of a healthcare consumer’s policy 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.

KortA healthcare consumer's policy choices to permits or denies recipients or roles to perform actions for specific purposes and periods of time
Opmerkingen

Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.

Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
ppc-1: Either a Policy or PolicyRule (policy.exists() or policyRule.exists())
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
ppc-1: Either a Policy or PolicyRule (policy.exists() or policyRule.exists())
2. Consent.implicitRules
Definitie

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

KortA set of rules under which this content was created
Opmerkingen

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Control0..1
Typeuri
Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Samenvattingtrue
4. Consent.modifierExtension
Definitie

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

KortExtensions that cannot be ignored
Opmerkingen

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
Alternatieve namenextensions, user content
6. Consent.status
Definitie

Indicates the current state of this consent.

Kortdraft | proposed | active | rejected | inactive | entered-in-error
Opmerkingen

This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.

Control1..1
BindingDe codes MOETEN komen uit ConsentStatehttp://hl7.org/fhir/ValueSet/consent-state-codes
(required to http://hl7.org/fhir/ValueSet/consent-state-codes)

Indicates the state of the consent

Typecode
Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Moet ondersteunentrue
Samenvattingtrue
Requirements

The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.

8. Consent.category
Definitie

A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

KortClassification of the consent statement - for indexing/retrieval
Control0..*
BindingVoor voorbeeldcodes, zie Consent Category Codeshttp://hl7.org/fhir/ValueSet/consent-category
(example to http://hl7.org/fhir/ValueSet/consent-category)

A classification of the type of consents found in a consent statement

TypeCodeableConcept
Samenvattingtrue
10. Consent.category.coding
Definitie

A reference to a code defined by a terminology system.

KortCode defined by a terminology system
Opmerkingen

Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

Control0..*
TypeCoding
Samenvattingtrue
Requirements

Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

12. Consent.category.coding.code
Definitie

A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

KortSymbol in syntax defined by the system
Control0..1
Typecode
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Moet ondersteunentrue
Samenvattingtrue
Requirements

Need to refer to a particular code in the system.

Vast waardeDoss. delen?
14. Consent.patient
Definitie

The patient/healthcare consumer to whom this consent applies.

KortWho the consent applies to
Opmerkingen

Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.

Control1..1
TypeReference(Patient, Patient)
Moet ondersteunentrue
Samenvattingtrue
16. Consent.period
Definitie

Relevant time or time-period when this Consent is applicable.

KortPeriod that this consent applies
Opmerkingen

This can be a subset of the period of the original statement.

Control0..1
TypePeriod
Moet ondersteunentrue
Samenvattingtrue
Betekenis als ontbreektall date ranges included
18. Consent.organization
Definitie

The organization that manages the consent, and the framework within which it is executed.

KortCustodian of the consent
Control0..*
TypeReference(Organization, Organization)
Moet ondersteunentrue
Samenvattingtrue
Alternatieve namencustodian
20. Consent.policy
Definitie

The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

KortPolicies covered by this consent
Control0..*
TypeBackboneElement
Moet ondersteunentrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
ele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
22. Consent.policy.modifierExtension
Definitie

May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

KortExtensions that cannot be ignored
Opmerkingen

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
Samenvattingtrue
Alternatieve namenextensions, user content, modifiers
24. Consent.policy.uri
Definitie

The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

KortSpecific policy covered by this consent
Opmerkingen

This element is for discoverability / documentation, and does not modify or qualify the policy rules.

Control0..1
Dit element wordt geraakt door de volgende invariants: ppc-1
Typeuri
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Moet ondersteunentrue
Vast waardehttps://rivo-noord.nl/zorgviewer/toestemming

Guidance on how to interpret the contents of this table can be found here

0. Consent
2. Consent.status
Moet ondersteunentrue
4. Consent.category
6. Consent.category.coding
8. Consent.category.coding.code
Moet ondersteunentrue
Vast waardeDoss. delen?
10. Consent.patient
TypeReference(Patient)
Moet ondersteunentrue
12. Consent.period
Moet ondersteunentrue
14. Consent.organization
TypeReference(Organization)
Moet ondersteunentrue
16. Consent.policy
Moet ondersteunentrue
18. Consent.policy.uri
Moet ondersteunentrue
Vast waardehttps://rivo-noord.nl/zorgviewer/toestemming

Guidance on how to interpret the contents of this table can be found here

0. Consent
Definitie

A record of a healthcare consumer’s policy 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.

KortA healthcare consumer's policy choices to permits or denies recipients or roles to perform actions for specific purposes and periods of time
Opmerkingen

Broadly, there are 3 key areas of consent for patients: Consent around sharing information (aka Privacy Consent Directive - Authorization to Collect, Use, or Disclose information), consent for specific treatment, or kinds of treatment, and general advance care directives.

Control0..*
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-1: If the resource is contained in another resource, it SHALL NOT contain any narrative (contained.text.empty())
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated (contained.meta.versionId.empty() and contained.meta.lastUpdated.empty())
dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource (contained.where(('#'+id in %resource.descendants().reference).not()).empty())
ppc-1: Either a Policy or PolicyRule (policy.exists() or policyRule.exists())
2. Consent.id
Definitie

The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

KortLogical id of this artifact
Opmerkingen

The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

Control0..1
Typeid
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Samenvattingtrue
4. Consent.meta
Definitie

The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource.

KortMetadata about the resource
Control0..1
TypeMeta
Samenvattingtrue
6. Consent.implicitRules
Definitie

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content.

KortA set of rules under which this content was created
Opmerkingen

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element.

This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation.

Control0..1
Typeuri
Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Samenvattingtrue
8. Consent.language
Definitie

The base language in which the resource is written.

KortLanguage of the resource content
Opmerkingen

Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

Control0..1
BindingTenzij dat niet past, MOETEN deze codes worden gehaald uit Common Languages
(extensible to http://hl7.org/fhir/ValueSet/languages)

A human language.

Additionele bindingsDoel
All LanguagesMax binding
Typecode
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
10. Consent.text
Definitie

A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

KortText summary of the resource, for human interpretation
Opmerkingen

Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded in formation is added later.

Control0..1
Dit element wordt geraakt door de volgende invariants: dom-1
TypeNarrative
Alternatieve namennarrative, html, xhtml, display
12. Consent.contained
Definitie

These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

KortContained, inline Resources
Opmerkingen

This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again.

Control0..*
TypeResource
Alternatieve nameninline resources, anonymous resources, contained resources
14. Consent.extension
Definitie

May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

KortAdditional Content defined by implementations
Opmerkingen

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Alternatieve namenextensions, user content
16. Consent.modifierExtension
Definitie

May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

KortExtensions that cannot be ignored
Opmerkingen

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
Alternatieve namenextensions, user content
18. Consent.identifier
Definitie

Unique identifier for this copy of the Consent Statement.

KortIdentifier for this record (external references)
Opmerkingen

This identifier is identifies this copy of the consent. Where this identifier is also used elsewhere as the identifier for a consent record (e.g. a CDA consent document) then the consent details are expected to be the same.

NotitieDit is een business-identifier, geen resource-identifier (zie discussie)
Control0..1
TypeIdentifier
Samenvattingtrue
Voorbeeld<br/><b>General</b>:{ "system" : "urn:ietf:rfc:3986", "value" : "Local eCMS identifier" }
20. Consent.status
Definitie

Indicates the current state of this consent.

Kortdraft | proposed | active | rejected | inactive | entered-in-error
Opmerkingen

This element is labeled as a modifier because the status contains the codes rejected and entered-in-error that mark the Consent as not currently valid.

Control1..1
BindingDe codes MOETEN komen uit ConsentState
(required to http://hl7.org/fhir/ValueSet/consent-state-codes)

Indicates the state of the consent

Typecode
Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Moet ondersteunentrue
Samenvattingtrue
Requirements

The Consent Directive that is pointed to might be in various lifecycle states, e.g., a revoked Consent Directive.

22. Consent.category
Definitie

A classification of the type of consents found in the statement. This element supports indexing and retrieval of consent statements.

KortClassification of the consent statement - for indexing/retrieval
Control0..*
BindingVoor voorbeeldcodes, zie Consent Category Codes
(example to http://hl7.org/fhir/ValueSet/consent-category)

A classification of the type of consents found in a consent statement

TypeCodeableConcept
Samenvattingtrue
24. Consent.category.id
Definitie

unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

Kortxml:id (or equivalent in JSON)
Control0..1
Typestring
Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
26. Consent.category.extension
Definitie

May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

KortAdditional Content defined by implementations
Opmerkingen

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Alternatieve namenextensions, user content
SlicingDit element introduceert een set slices op Consent.category.extensionDe slices zijnOngeordend en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
  • value @ url
  • 28. Consent.category.coding
    Definitie

    A reference to a code defined by a terminology system.

    KortCode defined by a terminology system
    Opmerkingen

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Control0..*
    TypeCoding
    Samenvattingtrue
    Requirements

    Allows for translations and alternate encodings within a code system. Also supports communication of the same instance to systems requiring different encodings.

    30. Consent.category.coding.id
    Definitie

    unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

    Kortxml:id (or equivalent in JSON)
    Control0..1
    Typestring
    Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
    Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
    32. Consent.category.coding.extension
    Definitie

    May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

    KortAdditional Content defined by implementations
    Opmerkingen

    There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

    Control0..*
    TypeExtension
    Alternatieve namenextensions, user content
    SlicingDit element introduceert een set slices op Consent.category.coding.extensionDe slices zijnOngeordend en Open, en kunnen worden gedifferentieerd met de volgende discriminators:
    • value @ url
    • 34. Consent.category.coding.system
      Definitie

      The identification of the code system that defines the meaning of the symbol in the code.

      KortIdentity of the terminology system
      Opmerkingen

      The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should de-reference to some definition that establish the system clearly and unambiguously.

      Control0..1
      Typeuri
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      Requirements

      Need to be unambiguous about the source of the definition of the symbol.

      36. Consent.category.coding.version
      Definitie

      The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured. and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.

      KortVersion of the system - if relevant
      Opmerkingen

      Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.

      NotitieDit is een business-versieidentifier, geen resource-versieidentifier (zie discussie)
      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      38. Consent.category.coding.code
      Definitie

      A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).

      KortSymbol in syntax defined by the system
      Control0..1
      Typecode
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Moet ondersteunentrue
      Samenvattingtrue
      Requirements

      Need to refer to a particular code in the system.

      Vast waardeDoss. delen?
      40. Consent.category.coding.display
      Definitie

      A representation of the meaning of the code in the system, following the rules of the system.

      KortRepresentation defined by the system
      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      Requirements

      Need to be able to carry a human-readable meaning of the code for readers that do not know the system.

      42. Consent.category.coding.userSelected
      Definitie

      Indicates that this coding was chosen by a user directly - i.e. off a pick list of available items (codes or displays).

      KortIf this coding was chosen directly by the user
      Opmerkingen

      Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.

      Control0..1
      Typeboolean
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      Requirements

      This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.

      44. Consent.category.text
      Definitie

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

      KortPlain text representation of the concept
      Opmerkingen

      Very often the text is the same as a displayName of one of the codings.

      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      Requirements

      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

      46. Consent.patient
      Definitie

      The patient/healthcare consumer to whom this consent applies.

      KortWho the consent applies to
      Opmerkingen

      Commonly, the patient the consent pertains to is the author, but for young and old people, it may be some other person.

      Control1..1
      TypeReference(Patient)
      Moet ondersteunentrue
      Samenvattingtrue
      48. Consent.period
      Definitie

      Relevant time or time-period when this Consent is applicable.

      KortPeriod that this consent applies
      Opmerkingen

      This can be a subset of the period of the original statement.

      Control0..1
      TypePeriod
      Moet ondersteunentrue
      Samenvattingtrue
      Betekenis als ontbreektall date ranges included
      50. Consent.dateTime
      Definitie

      When this Consent was issued / created / indexed.

      KortWhen this Consent was created or indexed
      Opmerkingen

      This is not the time of the original consent, but the time that this statement was made or derived.

      Control0..1
      TypedateTime
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      52. Consent.consentingParty
      Definitie

      Either the Grantor, which is the entity responsible for granting the rights listed in a Consent Directive or the Grantee, which is the entity responsible for complying with the Consent Directive, including any obligations or limitations on authorizations and enforcement of prohibitions.

      KortWho is agreeing to the policy and exceptions
      Opmerkingen

      Commonly, the patient the consent pertains to is the consentor, but particularly for young and old people, it may be some other person - e.g. a legal guardian.

      Control0..*
      TypeReference(Organization, Patient, Practitioner, RelatedPerson)
      Samenvattingtrue
      Alternatieve namenconsentor
      54. Consent.actor
      Definitie

      Who or what is controlled by this consent. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').

      KortWho|what controlled by this consent (or group, by role)
      Control0..*
      TypeBackboneElement
      Samenvattingtrue
      Betekenis als ontbreektThere is no specific actor associated with the consent
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      56. Consent.actor.id
      Definitie

      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      Kortxml:id (or equivalent in JSON)
      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
      58. Consent.actor.extension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      KortAdditional Content defined by implementations
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternatieve namenextensions, user content
      60. Consent.actor.modifierExtension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      KortExtensions that cannot be ignored
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
      Samenvattingtrue
      Alternatieve namenextensions, user content, modifiers
      62. Consent.actor.role
      Definitie

      How the individual is involved in the resources content that is described in the consent.

      KortHow the actor is involved
      Control1..1
      BindingTenzij dat niet past, MOETEN deze codes worden gehaald uit SecurityRoleType
      (extensible to http://hl7.org/fhir/ValueSet/security-role-type)

      How an actor is involved in the consent considerations

      TypeCodeableConcept
      64. Consent.actor.reference
      Definitie

      The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').

      KortResource for the actor (or group, by role)
      Control1..1
      TypeReference(Device, Group, CareTeam, Organization, Patient, Practitioner, RelatedPerson)
      66. Consent.action
      Definitie

      Actions controlled by this consent.

      KortActions controlled by this consent
      Opmerkingen

      Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.

      Control0..*
      BindingVoor voorbeeldcodes, zie Consent Action Codes
      (example to http://hl7.org/fhir/ValueSet/consent-action)

      Detailed codes for the consent action.

      TypeCodeableConcept
      Samenvattingtrue
      Betekenis als ontbreektall actions
      68. Consent.organization
      Definitie

      The organization that manages the consent, and the framework within which it is executed.

      KortCustodian of the consent
      Control0..*
      TypeReference(Organization)
      Moet ondersteunentrue
      Samenvattingtrue
      Alternatieve namencustodian
      70. Consent.source[x]
      Definitie

      The source on which this consent statement is based. The source might be a scanned original paper form, or a reference to a consent that links back to such a source, a reference to a document repository (e.g. XDS) that stores the original consent document.

      KortSource from which this consent is taken
      Opmerkingen

      The source can be contained inline (Attachment), referenced directly (Consent), referenced in a consent repository (DocumentReference), or simply by an identifier (Identifier), e.g. a CDA document id.

      Control0..1
      TypeKeuze uit: Attachment, Identifier, Reference(Consent, DocumentReference, Contract, QuestionnaireResponse)
      [x] NoteZieKeuze uit datatypenvoor verdere informatie over how [x] te gebruiken
      Samenvattingtrue
      72. Consent.policy
      Definitie

      The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

      KortPolicies covered by this consent
      Control0..*
      TypeBackboneElement
      Moet ondersteunentrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      74. Consent.policy.id
      Definitie

      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      Kortxml:id (or equivalent in JSON)
      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
      76. Consent.policy.extension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      KortAdditional Content defined by implementations
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternatieve namenextensions, user content
      78. Consent.policy.modifierExtension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      KortExtensions that cannot be ignored
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
      Samenvattingtrue
      Alternatieve namenextensions, user content, modifiers
      80. Consent.policy.authority
      Definitie

      Entity or Organization having regulatory jurisdiction or accountability for  enforcing policies pertaining to Consent Directives.

      KortEnforcement source for policy
      Control0..1
      Dit element wordt geraakt door de volgende invariants: ppc-1
      Typeuri
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      82. Consent.policy.uri
      Definitie

      The references to the policies that are included in this consent scope. Policies may be organizational, but are often defined jurisdictionally, or in law.

      KortSpecific policy covered by this consent
      Opmerkingen

      This element is for discoverability / documentation, and does not modify or qualify the policy rules.

      Control0..1
      Dit element wordt geraakt door de volgende invariants: ppc-1
      Typeuri
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Moet ondersteunentrue
      Vast waardehttps://rivo-noord.nl/zorgviewer/toestemming
      84. Consent.policyRule
      Definitie

      A referece to the specific computable policy.

      KortPolicy that this consents to
      Opmerkingen

      If the policy reference is not known, the resource cannot be processed. Where the reference is absent, there is no particular policy other than what is expressed directly in the consent resource.

      Control0..1
      Dit element wordt geraakt door de volgende invariants: ppc-1
      Typeuri
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      Requirements

      Might be a unique identifier of a policy set in XACML, or other rules engine.

      86. Consent.securityLabel
      Definitie

      A set of security labels that define which resources are controlled by this consent. If more than one label is specified, all resources must have all the specified labels.

      KortSecurity Labels that define affected resources
      Opmerkingen

      If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).

      Control0..*
      BindingTenzij dat niet past, MOETEN deze codes worden gehaald uit All Security Labels
      (extensible to http://hl7.org/fhir/ValueSet/security-labels)

      Security Labels from the Healthcare Privacy and Security Classification System.

      TypeCoding
      Samenvattingtrue
      88. Consent.purpose
      Definitie

      The context of the activities a user is taking - why the user is accessing the data - that are controlled by this consent.

      KortContext of activities for which the agreement is made
      Opmerkingen

      This element is for discoverability / documentation, and does not modify or qualify the policy (e.g. the policy itself describes the purposes for which it applies).

      Control0..*
      BindingTenzij dat niet past, MOETEN deze codes worden gehaald uit PurposeOfUse
      (extensible to http://hl7.org/fhir/ValueSet/v3-PurposeOfUse)

      What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels

      TypeCoding
      Samenvattingtrue
      90. Consent.dataPeriod
      Definitie

      Clinical or Operational Relevant period of time that bounds the data controlled by this consent.

      KortTimeframe for data controlled by this consent
      Opmerkingen

      This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.

      Control0..1
      TypePeriod
      Samenvattingtrue
      92. Consent.data
      Definitie

      The resources controlled by this consent, if specific resources are referenced.

      KortData controlled by this consent
      Control0..*
      TypeBackboneElement
      Samenvattingtrue
      Betekenis als ontbreektall data
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      94. Consent.data.id
      Definitie

      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      Kortxml:id (or equivalent in JSON)
      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
      96. Consent.data.extension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      KortAdditional Content defined by implementations
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternatieve namenextensions, user content
      98. Consent.data.modifierExtension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      KortExtensions that cannot be ignored
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
      Samenvattingtrue
      Alternatieve namenextensions, user content, modifiers
      100. Consent.data.meaning
      Definitie

      How the resource reference is interpreted when testing consent restrictions.

      Kortinstance | related | dependents | authoredby
      Control1..1
      BindingDe codes MOETEN komen uit ConsentDataMeaning
      (required to http://hl7.org/fhir/ValueSet/consent-data-meaning)

      How a resource reference is interpreted when testing consent restrictions

      Typecode
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      102. Consent.data.reference
      Definitie

      A reference to a specific resource that defines which resources are covered by this consent.

      KortThe actual data reference
      Control1..1
      TypeReference(Resource)
      Samenvattingtrue
      104. Consent.except
      Definitie

      An exception to the base policy of this consent. An exception can be an addition or removal of access permissions.

      KortAdditional rule - addition or removal of permissions
      Control0..*
      TypeBackboneElement
      Samenvattingtrue
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      106. Consent.except.id
      Definitie

      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      Kortxml:id (or equivalent in JSON)
      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
      108. Consent.except.extension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      KortAdditional Content defined by implementations
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternatieve namenextensions, user content
      110. Consent.except.modifierExtension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      KortExtensions that cannot be ignored
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
      Samenvattingtrue
      Alternatieve namenextensions, user content, modifiers
      112. Consent.except.type
      Definitie

      Action to take - permit or deny - when the exception conditions are met.

      Kortdeny | permit
      Control1..1
      BindingDe codes MOETEN komen uit ConsentExceptType
      (required to http://hl7.org/fhir/ValueSet/consent-except-type)

      How an exception statement is applied, such as adding additional consent or removing consent

      Typecode
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      114. Consent.except.period
      Definitie

      The timeframe in this exception is valid.

      KortTimeframe for this exception
      Control0..1
      TypePeriod
      Samenvattingtrue
      116. Consent.except.actor
      Definitie

      Who or what is controlled by this Exception. Use group to identify a set of actors by some property they share (e.g. 'admitting officers').

      KortWho|what controlled by this exception (or group, by role)
      Control0..*
      TypeBackboneElement
      Samenvattingtrue
      Betekenis als ontbreektThere is no specific actor associated with the exception
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      118. Consent.except.actor.id
      Definitie

      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      Kortxml:id (or equivalent in JSON)
      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
      120. Consent.except.actor.extension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      KortAdditional Content defined by implementations
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternatieve namenextensions, user content
      122. Consent.except.actor.modifierExtension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      KortExtensions that cannot be ignored
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
      Samenvattingtrue
      Alternatieve namenextensions, user content, modifiers
      124. Consent.except.actor.role
      Definitie

      How the individual is involved in the resources content that is described in the exception.

      KortHow the actor is involved
      Control1..1
      BindingTenzij dat niet past, MOETEN deze codes worden gehaald uit SecurityRoleType
      (extensible to http://hl7.org/fhir/ValueSet/security-role-type)

      How an actor is involved in the consent considerations

      TypeCodeableConcept
      126. Consent.except.actor.reference
      Definitie

      The resource that identifies the actor. To identify a actors by type, use group to identify a set of actors by some property they share (e.g. 'admitting officers').

      KortResource for the actor (or group, by role)
      Control1..1
      TypeReference(Device, Group, CareTeam, Organization, Patient, Practitioner, RelatedPerson)
      128. Consent.except.action
      Definitie

      Actions controlled by this Exception.

      KortActions controlled by this exception
      Opmerkingen

      Note that this is the direct action (not the grounds for the action covered in the purpose element). At present, the only action in the understood and tested scope of this resource is 'read'.

      Control0..*
      BindingVoor voorbeeldcodes, zie Consent Action Codes
      (example to http://hl7.org/fhir/ValueSet/consent-action)

      Detailed codes for the consent action.

      TypeCodeableConcept
      Samenvattingtrue
      Betekenis als ontbreektall actions
      130. Consent.except.securityLabel
      Definitie

      A set of security labels that define which resources are controlled by this exception. If more than one label is specified, all resources must have all the specified labels.

      KortSecurity Labels that define affected resources
      Opmerkingen

      If the consent specifies a security label of "R" then it applies to all resources that are labeled "R" or lower. E.g. for Confidentiality, it's a high water mark. For other kinds of security labels, subsumption logic applies. Not all of the security labels make sense for use in this element (may define a narrower value set?).

      Control0..*
      BindingTenzij dat niet past, MOETEN deze codes worden gehaald uit All Security Labels
      (extensible to http://hl7.org/fhir/ValueSet/security-labels)

      Security Labels from the Healthcare Privacy and Security Classification System.

      TypeCoding
      Samenvattingtrue
      132. Consent.except.purpose
      Definitie

      The context of the activities a user is taking - why the user is accessing the data - that are controlled by this exception.

      KortContext of activities covered by this exception
      Opmerkingen

      E.g. if the purpose is 'research', then the operational context must be research, in order for the consent to apply. Not all of the security labels make sense for use in this element (may define a narrower value set?).

      Control0..*
      BindingTenzij dat niet past, MOETEN deze codes worden gehaald uit PurposeOfUse
      (extensible to http://hl7.org/fhir/ValueSet/v3-PurposeOfUse)

      What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels

      TypeCoding
      Samenvattingtrue
      134. Consent.except.class
      Definitie

      The class of information covered by this exception. The type can be a FHIR resource type, a profile on a type, or a CDA document, or some other type that indicates what sort of information the consent relates to.

      Korte.g. Resource Type, Profile, or CDA etc
      Opmerkingen

      Multiple types are or'ed together. The intention of the contentType element is that the codes refer to profiles or document types defined in a standard or an implementation guide somewhere.

      Control0..*
      BindingTenzij dat niet past, MOETEN deze codes worden gehaald uit Consent Content Class
      (extensible to http://hl7.org/fhir/ValueSet/consent-content-class)

      The class (type) of information a consent rule covers

      TypeCoding
      Samenvattingtrue
      136. Consent.except.code
      Definitie

      If this code is found in an instance, then the exception applies.

      Korte.g. LOINC or SNOMED CT code, etc in the content
      Opmerkingen

      Typical use of this is a Document code with class = CDA.

      Control0..*
      BindingVoor voorbeeldcodes, zie Consent Content Codes
      (example to http://hl7.org/fhir/ValueSet/consent-content-code)

      If this code is found in an instance, then the exception applies

      TypeCoding
      Samenvattingtrue
      138. Consent.except.dataPeriod
      Definitie

      Clinical or Operational Relevant period of time that bounds the data controlled by this exception.

      KortTimeframe for data controlled by this exception
      Opmerkingen

      This has a different sense to the Consent.period - that is when the consent agreement holds. This is the time period of the data that is controlled by the agreement.

      Control0..1
      TypePeriod
      Samenvattingtrue
      140. Consent.except.data
      Definitie

      The resources controlled by this exception, if specific resources are referenced.

      KortData controlled by this exception
      Control0..*
      TypeBackboneElement
      Samenvattingtrue
      Betekenis als ontbreektall data
      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() | (children().count() > id.count()))
      142. Consent.except.data.id
      Definitie

      unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

      Kortxml:id (or equivalent in JSON)
      Control0..1
      Typestring
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Xml-formaatIn xml wordt dit attribuut gerepresenteerd als attribuut.
      144. Consent.except.data.extension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

      KortAdditional Content defined by implementations
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Alternatieve namenextensions, user content
      146. Consent.except.data.modifierExtension
      Definitie

      May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

      KortExtensions that cannot be ignored
      Opmerkingen

      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

      Control0..*
      TypeExtension
      Is modifiertrue omdat No Modifier Reason provideed in previous versions of FHIR
      Samenvattingtrue
      Alternatieve namenextensions, user content, modifiers
      148. Consent.except.data.meaning
      Definitie

      How the resource reference is interpreted when testing consent restrictions.

      Kortinstance | related | dependents | authoredby
      Control1..1
      BindingDe codes MOETEN komen uit ConsentDataMeaning
      (required to http://hl7.org/fhir/ValueSet/consent-data-meaning)

      How a resource reference is interpreted when testing consent restrictions

      Typecode
      Primitieve waardeDit primitieve element kan aanwezig zijn of niet, of worden vervangen door een extensie
      Samenvattingtrue
      150. Consent.except.data.reference
      Definitie

      A reference to a specific resource that defines which resources are covered by this consent.

      KortThe actual data reference
      Control1..1
      TypeReference(Resource)
      Samenvattingtrue