{"abstract":false,"baseDefinition":"http://hl7.org/fhir/StructureDefinition/DomainResource","contact":[{"telecom":[{"system":"url","value":"http://hl7.org/fhir"}]},{"telecom":[{"system":"url","value":"http://www.hl7.org/Special/committees/secure/index.cfm"}]}],"date":"2023-03-26T15:21:02+11:00","derivation":"specialization","description":"Permission resource holds access rules for a given data and context.","differential":{"element":[{"definition":"Permission resource holds access rules for a given data and context.","id":"Permission","isModifier":false,"mapping":[{"identity":"w5","map":"infrastructure.information"}],"max":"*","min":0,"mustSupport":false,"path":"Permission","short":"Access Rules"},{"binding":{"description":"Codes identifying the lifecycle stage of a product.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PermissionStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/permission-status|5.0.0"},"definition":"Status.","id":"Permission.status","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.status"}],"max":"1","min":1,"mustSupport":false,"path":"Permission.status","short":"active | entered-in-error | draft | rejected","type":[{"code":"code"}]},{"definition":"The person or entity that asserts the permission.","id":"Permission.asserter","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.grantor, Consent.grantee, Consent.manager, Consent.controller"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.asserter","short":"The person or entity that asserts the permission","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/HealthcareService"]}]},{"alias":["class"],"definition":"The date that permission was asserted.","id":"Permission.date","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.dateTime"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.date","short":"The date that permission was asserted","type":[{"code":"dateTime"}]},{"alias":["type"],"definition":"The period in which the permission is active.","id":"Permission.validity","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.period"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.validity","short":"The period in which the permission is active","type":[{"code":"Period"}]},{"definition":"The asserted justification for using the data.","id":"Permission.justification","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"Permission.justification","short":"The asserted justification for using the data","type":[{"code":"BackboneElement"}]},{"binding":{"description":"Regulatory policy examples","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentRegulatoryBasis"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/consent-policy"},"definition":"This would be a codeableconcept, or a coding, which can be constrained to , for example, the 6 grounds for processing in GDPR.","id":"Permission.justification.basis","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.regulatoryBasis"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.justification.basis","short":"The regulatory grounds upon which this Permission builds","type":[{"code":"CodeableConcept"}]},{"comment":"While any resource may be used, DocumentReference, Consent, PlanDefinition, and Contract would be most frequent","definition":"Justifing rational.","id":"Permission.justification.evidence","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.policyBasis.reference"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.justification.evidence","short":"Justifing rational","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]},{"binding":{"description":"How the rules are to be combined.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PermissionCombining"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/permission-rule-combining|5.0.0"},"comment":"see [XACML Combining Rules](http://docs.oasis-open.org/xacml/3.0/xacml-3.0-core-spec-cos01-en.html#_Toc325047267)","definition":"Defines a procedure for arriving at an access decision given the set of rules.","id":"Permission.combining","isModifier":true,"isModifierReason":"Defines how the rules are to be combined.","isSummary":true,"max":"1","min":1,"mustSupport":false,"path":"Permission.combining","short":"deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny","type":[{"code":"code"}]},{"definition":"A set of rules.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Rule"}],"id":"Permission.rule","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"orderMeaning":"The order of the rules processing is defined in rule-combining","path":"Permission.rule","short":"Constraints to the Permission","type":[{"code":"BackboneElement"}]},{"binding":{"description":"How a rule statement is applied.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PermissionProvisionType"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/consent-provision-type|5.0.0"},"definition":"deny | permit.","id":"Permission.rule.type","isModifier":true,"isModifierReason":"Sets the context for the meaning of the rules.","isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.type"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.rule.type","short":"deny | permit","type":[{"code":"code"}]},{"definition":"A description or definition of which activities are allowed to be done on the data.","id":"Permission.rule.data","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.data","short":"The selection criteria to identify data that is within scope of this provision","type":[{"code":"BackboneElement"}]},{"definition":"Explicit FHIR Resource references.","id":"Permission.rule.data.resource","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.data"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.data.resource","short":"Explicit FHIR Resource references","type":[{"code":"BackboneElement"}]},{"binding":{"description":"How a resource reference is interpreted when testing consent restrictions.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentDataMeaning"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/consent-data-meaning|5.0.0"},"definition":"How the resource reference is interpreted when testing consent restrictions.","id":"Permission.rule.data.resource.meaning","isModifier":false,"isSummary":true,"max":"1","min":1,"mustSupport":false,"path":"Permission.rule.data.resource.meaning","short":"instance | related | dependents | authoredby","type":[{"code":"code"}]},{"definition":"A reference to a specific resource that defines which resources are covered by this consent.","id":"Permission.rule.data.resource.reference","isModifier":false,"isSummary":true,"max":"1","min":1,"mustSupport":false,"path":"Permission.rule.data.resource.reference","short":"The actual data reference","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]},{"comment":"Note the ConfidentialityCode vocabulary indicates the highest value, thus 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. When the purpose of use tag is on the data, access request purpose of use shall not conflict.","definition":"The data in scope are those with the given codes present in that data .meta.security element.","id":"Permission.rule.data.security","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.securityLabel"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.data.security","short":"Security tag code on .meta.security","type":[{"code":"Coding"}]},{"comment":"This has a different sense to the .validity.","definition":"Clinical or Operational Relevant period of time that bounds the data controlled by this rule.","id":"Permission.rule.data.period","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.dataPeriod"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.data.period","short":"Timeframe encompasing data create/update","type":[{"code":"Period"}]},{"definition":"Used when other data selection elements are insufficient.","id":"Permission.rule.data.expression","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.class, Consent.provision.code, Consent.provision.expression"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.rule.data.expression","short":"Expression identifying the data","type":[{"code":"Expression"}]},{"definition":"A description or definition of which activities are allowed to be done on the data.","id":"Permission.rule.activity","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.activity","short":"A description or definition of which activities are allowed to be done on the data","type":[{"code":"BackboneElement"}]},{"definition":"The actor(s) authorized for the defined activity.","id":"Permission.rule.activity.actor","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.actor"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.activity.actor","short":"Authorized actor(s)","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/PractitionerRole"]}]},{"binding":{"description":"Detailed codes for the action.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcessingActivityAction"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/consent-action"},"comment":"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'.","definition":"Actions controlled by this Rule.","id":"Permission.rule.activity.action","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.action"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.activity.action","short":"Actions controlled by this rule","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PurposeOfUse"}],"strength":"preferred","valueSet":"http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"},"definition":"The purpose for which the permission is given.","id":"Permission.rule.activity.purpose","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.purpose"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.activity.purpose","short":"The purpose for which the permission is given","type":[{"code":"CodeableConcept"}]},{"binding":{"description":"Obligations and Refrains","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PermissionUsageLimits"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/security-label-event-examples"},"definition":"What limits apply to the use of the data.","id":"Permission.rule.limit","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.limit","short":"What limits apply to the use of the data","type":[{"code":"CodeableConcept"}]}]},"experimental":true,"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-category","valueString":"Foundation.Security"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status","valueCode":"trial-use"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm","valueInteger":0},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category","valueCode":"not-classified"},{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-wg","valueCode":"sec"}],"fhirVersion":"5.0.0","id":"Permission","jurisdiction":[{"coding":[{"code":"001","display":"World","system":"http://unstats.un.org/unsd/methods/m49/m49.htm"}]}],"kind":"resource","mapping":[{"identity":"w5","name":"FiveWs Pattern Mapping","uri":"http://hl7.org/fhir/fivews"},{"identity":"fhirconsent","name":"FHIR Consent Mapping","uri":"http://hl7.org/fhir/consent"},{"identity":"rim","name":"RIM Mapping","uri":"http://hl7.org/v3"}],"meta":{"lastUpdated":"2023-03-26T15:21:02.749+11:00"},"name":"Permission","publisher":"Health Level Seven International (Security)","resourceType":"StructureDefinition","snapshot":{"element":[{"base":{"max":"*","min":0,"path":"Permission"},"constraint":[{"expression":"contained.contained.empty()","human":"If the resource is contained in another resource, it SHALL NOT contain nested Resources","key":"dom-2","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmatched', id).empty()","human":"If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource","key":"dom-3","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated","key":"dom-4","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"contained.meta.security.empty()","human":"If a resource is contained in another resource, it SHALL NOT have a security label","key":"dom-5","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"},{"expression":"text.`div`.exists()","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice","valueBoolean":true},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation","valueMarkdown":"When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time."}],"human":"A resource should have narrative for robust management","key":"dom-6","severity":"warning","source":"http://hl7.org/fhir/StructureDefinition/DomainResource"}],"definition":"Permission resource holds access rules for a given data and context.","id":"Permission","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Entity, Role, or Act"},{"identity":"w5","map":"infrastructure.information"}],"max":"*","min":0,"mustSupport":false,"path":"Permission","short":"Access Rules"},{"base":{"max":"1","min":0,"path":"Resource.id"},"comment":"Within the context of the FHIR RESTful interactions, the resource has an id except for cases like the create and conditional update. Otherwise, the use of the resouce id depends on the given use case.","definition":"The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.","id":"Permission.id","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"Permission.id","short":"Logical id of this artifact","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"id"}]}]},{"base":{"max":"1","min":0,"path":"Resource.meta"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.","id":"Permission.meta","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"Permission.meta","short":"Metadata about the resource","type":[{"code":"Meta"}]},{"base":{"max":"1","min":0,"path":"Resource.implicitRules"},"comment":"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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of its narrative along with other profiles, value sets, etc.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.","id":"Permission.implicitRules","isModifier":true,"isModifierReason":"This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies its meaning or interpretation","isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"Permission.implicitRules","short":"A set of rules under which this content was created","type":[{"code":"uri"}]},{"base":{"max":"1","min":0,"path":"Resource.language"},"binding":{"additional":[{"purpose":"starter","valueSet":"http://hl7.org/fhir/ValueSet/languages"}],"description":"IETF language tag for a human language","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"Language"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/all-languages|5.0.0"},"comment":"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).","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The base language in which the resource is written.","id":"Permission.language","isModifier":false,"isSummary":false,"max":"1","min":0,"mustSupport":false,"path":"Permission.language","short":"Language of the resource content","type":[{"code":"code"}]},{"alias":["narrative","html","xhtml","display"],"base":{"max":"1","min":0,"path":"DomainResource.text"},"comment":"Contained resources do not have a 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 information is added later.","condition":["dom-6"],"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A human-readable narrative that contains a summary of the resource and can 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.","id":"Permission.text","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"Act.text?"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.text","short":"Text summary of the resource, for human interpretation","type":[{"code":"Narrative"}]},{"alias":["inline resources","anonymous resources","contained resources"],"base":{"max":"*","min":0,"path":"DomainResource.contained"},"comment":"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. Contained resources may have profiles and tags in their meta elements, but SHALL NOT have security labels.","condition":["dom-2","dom-4","dom-3","dom-5"],"definition":"These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, nor can they have their own independent transaction scope. This is allowed to be a Parameters resource if and only if it is referenced by a resource that provides context/meaning.","id":"Permission.contained","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.contained","short":"Contained, inline Resources","type":[{"code":"Resource"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"Permission.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"DomainResource.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"Permission.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored","type":[{"code":"Extension"}]},{"base":{"max":"1","min":1,"path":"Permission.status"},"binding":{"description":"Codes identifying the lifecycle stage of a product.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PermissionStatus"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/permission-status|5.0.0"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Status.","id":"Permission.status","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.status"}],"max":"1","min":1,"mustSupport":false,"path":"Permission.status","short":"active | entered-in-error | draft | rejected","type":[{"code":"code"}]},{"base":{"max":"1","min":0,"path":"Permission.asserter"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The person or entity that asserts the permission.","id":"Permission.asserter","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.grantor, Consent.grantee, Consent.manager, Consent.controller"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.asserter","short":"The person or entity that asserts the permission","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/PractitionerRole","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/HealthcareService"]}]},{"alias":["class"],"base":{"max":"*","min":0,"path":"Permission.date"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The date that permission was asserted.","id":"Permission.date","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.dateTime"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.date","short":"The date that permission was asserted","type":[{"code":"dateTime"}]},{"alias":["type"],"base":{"max":"1","min":0,"path":"Permission.validity"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The period in which the permission is active.","id":"Permission.validity","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.period"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.validity","short":"The period in which the permission is active","type":[{"code":"Period"}]},{"base":{"max":"1","min":0,"path":"Permission.justification"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The asserted justification for using the data.","id":"Permission.justification","isModifier":false,"isSummary":true,"max":"1","min":0,"mustSupport":false,"path":"Permission.justification","short":"The asserted justification for using the data","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"Permission.justification.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"Permission.justification.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"Permission.justification.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"Permission.justification.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"Permission.justification.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"Permission.justification.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"*","min":0,"path":"Permission.justification.basis"},"binding":{"description":"Regulatory policy examples","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentRegulatoryBasis"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/consent-policy"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"This would be a codeableconcept, or a coding, which can be constrained to , for example, the 6 grounds for processing in GDPR.","id":"Permission.justification.basis","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.regulatoryBasis"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.justification.basis","short":"The regulatory grounds upon which this Permission builds","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"Permission.justification.evidence"},"comment":"While any resource may be used, DocumentReference, Consent, PlanDefinition, and Contract would be most frequent","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Justifing rational.","id":"Permission.justification.evidence","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.policyBasis.reference"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.justification.evidence","short":"Justifing rational","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]},{"base":{"max":"1","min":1,"path":"Permission.combining"},"binding":{"description":"How the rules are to be combined.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PermissionCombining"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/permission-rule-combining|5.0.0"},"comment":"see [XACML Combining Rules](http://docs.oasis-open.org/xacml/3.0/xacml-3.0-core-spec-cos01-en.html#_Toc325047267)","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Defines a procedure for arriving at an access decision given the set of rules.","id":"Permission.combining","isModifier":true,"isModifierReason":"Defines how the rules are to be combined.","isSummary":true,"max":"1","min":1,"mustSupport":false,"path":"Permission.combining","short":"deny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny","type":[{"code":"code"}]},{"base":{"max":"*","min":0,"path":"Permission.rule"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A set of rules.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-explicit-type-name","valueString":"Rule"}],"id":"Permission.rule","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"orderMeaning":"The order of the rules processing is defined in rule-combining","path":"Permission.rule","short":"Constraints to the Permission","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"Permission.rule.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"Permission.rule.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"Permission.rule.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"Permission.rule.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"Permission.rule.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"Permission.rule.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":0,"path":"Permission.rule.type"},"binding":{"description":"How a rule statement is applied.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PermissionProvisionType"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/consent-provision-type|5.0.0"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"deny | permit.","id":"Permission.rule.type","isModifier":true,"isModifierReason":"Sets the context for the meaning of the rules.","isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.type"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.rule.type","short":"deny | permit","type":[{"code":"code"}]},{"base":{"max":"*","min":0,"path":"Permission.rule.data"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A description or definition of which activities are allowed to be done on the data.","id":"Permission.rule.data","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.data","short":"The selection criteria to identify data that is within scope of this provision","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"Permission.rule.data.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"Permission.rule.data.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"Permission.rule.data.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"Permission.rule.data.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"Permission.rule.data.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"Permission.rule.data.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"*","min":0,"path":"Permission.rule.data.resource"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Explicit FHIR Resource references.","id":"Permission.rule.data.resource","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.data"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.data.resource","short":"Explicit FHIR Resource references","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"Permission.rule.data.resource.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"Permission.rule.data.resource.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"Permission.rule.data.resource.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"Permission.rule.data.resource.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"Permission.rule.data.resource.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"Permission.rule.data.resource.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"1","min":1,"path":"Permission.rule.data.resource.meaning"},"binding":{"description":"How a resource reference is interpreted when testing consent restrictions.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ConsentDataMeaning"}],"strength":"required","valueSet":"http://hl7.org/fhir/ValueSet/consent-data-meaning|5.0.0"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"How the resource reference is interpreted when testing consent restrictions.","id":"Permission.rule.data.resource.meaning","isModifier":false,"isSummary":true,"max":"1","min":1,"mustSupport":false,"path":"Permission.rule.data.resource.meaning","short":"instance | related | dependents | authoredby","type":[{"code":"code"}]},{"base":{"max":"1","min":1,"path":"Permission.rule.data.resource.reference"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A reference to a specific resource that defines which resources are covered by this consent.","id":"Permission.rule.data.resource.reference","isModifier":false,"isSummary":true,"max":"1","min":1,"mustSupport":false,"path":"Permission.rule.data.resource.reference","short":"The actual data reference","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Resource"]}]},{"base":{"max":"*","min":0,"path":"Permission.rule.data.security"},"comment":"Note the ConfidentialityCode vocabulary indicates the highest value, thus 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. When the purpose of use tag is on the data, access request purpose of use shall not conflict.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The data in scope are those with the given codes present in that data .meta.security element.","id":"Permission.rule.data.security","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.securityLabel"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.data.security","short":"Security tag code on .meta.security","type":[{"code":"Coding"}]},{"base":{"max":"*","min":0,"path":"Permission.rule.data.period"},"comment":"This has a different sense to the .validity.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Clinical or Operational Relevant period of time that bounds the data controlled by this rule.","id":"Permission.rule.data.period","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.dataPeriod"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.data.period","short":"Timeframe encompasing data create/update","type":[{"code":"Period"}]},{"base":{"max":"1","min":0,"path":"Permission.rule.data.expression"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Used when other data selection elements are insufficient.","id":"Permission.rule.data.expression","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.class, Consent.provision.code, Consent.provision.expression"}],"max":"1","min":0,"mustSupport":false,"path":"Permission.rule.data.expression","short":"Expression identifying the data","type":[{"code":"Expression"}]},{"base":{"max":"*","min":0,"path":"Permission.rule.activity"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"A description or definition of which activities are allowed to be done on the data.","id":"Permission.rule.activity","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.activity","short":"A description or definition of which activities are allowed to be done on the data","type":[{"code":"BackboneElement"}]},{"base":{"max":"1","min":0,"path":"Element.id"},"condition":["ele-1"],"definition":"Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.","id":"Permission.rule.activity.id","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"1","min":0,"path":"Permission.rule.activity.id","representation":["xmlAttr"],"short":"Unique id for inter-element referencing","type":[{"code":"http://hl7.org/fhirpath/System.String","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type","valueUrl":"string"}]}]},{"alias":["extensions","user content"],"base":{"max":"*","min":0,"path":"Element.extension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.","id":"Permission.rule.activity.extension","isModifier":false,"isSummary":false,"mapping":[{"identity":"rim","map":"n/a"}],"max":"*","min":0,"path":"Permission.rule.activity.extension","short":"Additional content defined by implementations","type":[{"code":"Extension"}]},{"alias":["extensions","user content","modifiers"],"base":{"max":"*","min":0,"path":"BackboneElement.modifierExtension"},"comment":"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.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"},{"expression":"extension.exists() != value.exists()","human":"Must have either extensions or value[x], not both","key":"ext-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Extension"}],"definition":"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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and managable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can 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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).","id":"Permission.rule.activity.modifierExtension","isModifier":true,"isModifierReason":"Modifier extensions are expected to modify the meaning or interpretation of the element that contains them","isSummary":true,"mapping":[{"identity":"rim","map":"N/A"}],"max":"*","min":0,"path":"Permission.rule.activity.modifierExtension","requirements":"Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](extensibility.html#modifierExtension).","short":"Extensions that cannot be ignored even if unrecognized","type":[{"code":"Extension"}]},{"base":{"max":"*","min":0,"path":"Permission.rule.activity.actor"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The actor(s) authorized for the defined activity.","id":"Permission.rule.activity.actor","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.actor"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.activity.actor","short":"Authorized actor(s)","type":[{"code":"Reference","targetProfile":["http://hl7.org/fhir/StructureDefinition/Device","http://hl7.org/fhir/StructureDefinition/Group","http://hl7.org/fhir/StructureDefinition/CareTeam","http://hl7.org/fhir/StructureDefinition/Organization","http://hl7.org/fhir/StructureDefinition/Patient","http://hl7.org/fhir/StructureDefinition/Practitioner","http://hl7.org/fhir/StructureDefinition/RelatedPerson","http://hl7.org/fhir/StructureDefinition/PractitionerRole"]}]},{"base":{"max":"*","min":0,"path":"Permission.rule.activity.action"},"binding":{"description":"Detailed codes for the action.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"ProcessingActivityAction"}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/consent-action"},"comment":"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'.","constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"Actions controlled by this Rule.","id":"Permission.rule.activity.action","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.action"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.activity.action","short":"Actions controlled by this rule","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"Permission.rule.activity.purpose"},"binding":{"description":"What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PurposeOfUse"}],"strength":"preferred","valueSet":"http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"The purpose for which the permission is given.","id":"Permission.rule.activity.purpose","isModifier":false,"isSummary":true,"mapping":[{"identity":"fhirconsent","map":"Consent.provision.purpose"}],"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.activity.purpose","short":"The purpose for which the permission is given","type":[{"code":"CodeableConcept"}]},{"base":{"max":"*","min":0,"path":"Permission.rule.limit"},"binding":{"description":"Obligations and Refrains","extension":[{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName","valueString":"PermissionUsageLimits"},{"url":"http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding","valueBoolean":true}],"strength":"example","valueSet":"http://hl7.org/fhir/ValueSet/security-label-event-examples"},"constraint":[{"expression":"hasValue() or (children().count() > id.count())","human":"All FHIR elements must have a @value or children","key":"ele-1","severity":"error","source":"http://hl7.org/fhir/StructureDefinition/Element"}],"definition":"What limits apply to the use of the data.","id":"Permission.rule.limit","isModifier":false,"isSummary":true,"max":"*","min":0,"mustSupport":false,"path":"Permission.rule.limit","short":"What limits apply to the use of the data","type":[{"code":"CodeableConcept"}]}]},"status":"draft","text":{"div":"
\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n
NameFlagsCard.TypeDescription & Constraints\"doco\"
\".\"\".\" Permission TUDomainResourceAccess Rules

Elements defined in Ancestors: id, meta, implicitRules, language, text, contained, extension, modifierExtension
\".\"\".\"\".\" status Σ1..1codeactive | entered-in-error | draft | rejected
Binding: Permission Status (Required)
\".\"\".\"\".\" asserter Σ0..1Reference(Practitioner | PractitionerRole | Organization | CareTeam | Patient | RelatedPerson | HealthcareService)The person or entity that asserts the permission
\".\"\".\"\".\" date Σ0..*dateTimeThe date that permission was asserted

\".\"\".\"\".\" validity Σ0..1PeriodThe period in which the permission is active
\".\"\".\"\".\" justification Σ0..1BackboneElementThe asserted justification for using the data
\".\"\".\"\".\"\".\" basis Σ0..*CodeableConceptThe regulatory grounds upon which this Permission builds
Binding: Consent PolicyRule Codes (Example)

\".\"\".\"\".\"\".\" evidence Σ0..*Reference(Any)Justifing rational

\".\"\".\"\".\" combining ?!Σ1..1codedeny-overrides | permit-overrides | ordered-deny-overrides | ordered-permit-overrides | deny-unless-permit | permit-unless-deny
Binding: Permission Rule Combining (Required)
\".\"\".\"\".\" rule Σ0..*BackboneElementConstraints to the Permission
This repeating element order: The order of the rules processing is defined in rule-combining
\".\"\".\"\".\"\".\" type ?!Σ0..1codedeny | permit
Binding: Consent Provision Type (Required)
\".\"\".\"\".\"\".\" data Σ0..*BackboneElementThe selection criteria to identify data that is within scope of this provision

\".\"\".\"\".\"\".\"\".\" resource Σ0..*BackboneElementExplicit FHIR Resource references

\".\"\".\"\".\"\".\"\".\"\".\" meaning Σ1..1codeinstance | related | dependents | authoredby
Binding: Consent Data Meaning (Required)
\".\"\".\"\".\"\".\"\".\"\".\" reference Σ1..1Reference(Any)The actual data reference
\".\"\".\"\".\"\".\"\".\" security Σ0..*CodingSecurity tag code on .meta.security

\".\"\".\"\".\"\".\"\".\" period Σ0..*PeriodTimeframe encompasing data create/update

\".\"\".\"\".\"\".\"\".\" expression Σ0..1ExpressionExpression identifying the data
\".\"\".\"\".\"\".\" activity Σ0..*BackboneElementA description or definition of which activities are allowed to be done on the data

\".\"\".\"\".\"\".\"\".\" actor Σ0..*Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole)Authorized actor(s)

\".\"\".\"\".\"\".\"\".\" action Σ0..*CodeableConceptActions controlled by this rule
Binding: Consent Action Codes (Example)

\".\"\".\"\".\"\".\"\".\" purpose Σ0..*CodeableConceptThe purpose for which the permission is given
Binding: PurposeOfUse (Preferred)

\".\"\".\"\".\"\".\" limit Σ0..*CodeableConceptWhat limits apply to the use of the data
Binding: Example set of Event / Bundle used Security Labels (Example)


\"doco\" Documentation for this format
","status":"generated"},"type":"Permission","url":"http://hl7.org/fhir/StructureDefinition/Permission","version":"5.0.0"}