MediRecords FHIR Implementation Guide
1.4.2 - release


Resource Profile: MR Consent

Defining URL:https://fhir.medirecords.com/StructureDefinition/mr-consent
Version:1.4.2
Name:MRConsent
Title:MR Consent
Status:Active as of 2025-04-04 01:10:23+0000
Definition:

MediRecords Consent profile to record patient consent for data sharing and use

Source Resource:XML / JSON / Turtle

The official URL for this profile is: 

https://fhir.medirecords.com/StructureDefinition/mr-consent

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from Consent

This structure is derived from Consent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... meta S 0..1 MRMeta Metadata about a resource
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... comments S 0..1 (Complex) Consent Comments
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueString 1..1 string Value of extension
Max Length:500
.... sourceReference S 0..* Reference(MR DocumentReference Consent) Consent Source Reference
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.sourceReference profiled by https://fhir.medirecords.com/StructureDefinition/mr-consent-source-reference
... status S 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
... category S 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
... patient S 1..1 Reference(Patient) Who the consent applies to
... performer S 0..1 Reference(MR Patient) Who is agreeing to the policy and rules
... policyRule S 0..1 CodeableConcept Regulation that this consents to
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OPTIN
... provision S 0..1 BackboneElement Constraints to the base Consent.policyRule
.... type S 1..1 code deny | permit
.... period
..... start S 1..1 dateTime Starting time with inclusive boundary
..... end S 0..1 dateTime End time with inclusive boundary, if not ongoing

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
ppc-1: Either a Policy or PolicyRule
ppc-2: IF Scope=privacy, there must be a patient
ppc-3: IF Scope=research, there must be a patient
ppc-4: IF Scope=adr, there must be a patient
ppc-5: IF Scope=treatment, there must be a patient
... id Σ 0..1 id Logical id of this artifact
... meta S 0..1 MRMeta Metadata about a resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... comments S 0..1 (Complex) Consent Comments
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext"
..... Slices for value[x] 1..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString 1..1 string Value of extension
Max Length:500
.... sourceReference S 0..* Reference(MR DocumentReference Consent) Consent Source Reference
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.sourceReference profiled by https://fhir.medirecords.com/StructureDefinition/mr-consent-source-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
... status ?!SΣ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

... scope ?!SΣ 1..1 CodeableConcept Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.

... category SΣ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient SΣ 1..1 Reference(Patient) Who the consent applies to
... dateTime Σ 0..1 dateTime When this Consent was created or indexed
... performer SΣ 0..1 Reference(MR Patient) Who is agreeing to the policy and rules
... organization Σ 0..* Reference(Organization) Custodian of the consent
... source[x] Σ 0..1 Source from which this consent is taken
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... policy 0..* BackboneElement Policies covered by this consent
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... authority C 0..1 uri Enforcement source for policy
.... uri C 0..1 uri Specific policy covered by this consent
... policyRule SΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OPTIN
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... verification Σ 0..* BackboneElement Consent Verified by patient or family
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... verified Σ 1..1 boolean Has been verified
.... verifiedWith 0..1 Reference(Patient | RelatedPerson) Person who verified
.... verificationDate 0..1 dateTime When consent verified
... provision SΣ 0..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 1..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period Σ 0..1 Period Timeframe for this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 1..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... actor 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

..... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
.... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.


.... securityLabel Σ 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... purpose Σ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


.... class Σ 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.


.... code Σ 0..* CodeableConcept e.g. LOINC or SNOMED CT code, etc. in the content
Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.


.... dataPeriod Σ 0..1 Period Timeframe for data controlled by this rule
.... data Σ 0..* BackboneElement Data controlled by this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

..... reference Σ 1..1 Reference(Resource) The actual data reference
.... provision 0..* See provision (Consent) Nested Exception Rules

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... meta 0..1 MRMeta Metadata about a resource
... Slices for extension Content/Rules for all slices
.... comments 0..1 string Consent Comments
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
.... sourceReference 0..* Reference(MR DocumentReference Consent) Consent Source Reference
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.sourceReference profiled by https://fhir.medirecords.com/StructureDefinition/mr-consent-source-reference
... status ?!Σ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

... category Σ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient Σ 1..1 Reference(Patient) Who the consent applies to
... performer Σ 0..1 Reference(MR Patient) Who is agreeing to the policy and rules
... policyRule ΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OPTIN
... provision Σ 0..1 BackboneElement Constraints to the base Consent.policyRule
.... type Σ 1..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period Σ 0..1 Period Timeframe for this rule
..... start ΣC 1..1 dateTime Starting time with inclusive boundary
..... end ΣC 0..1 dateTime End time with inclusive boundary, if not ongoing

doco Documentation for this format

This structure is derived from Consent

Differential View

This structure is derived from Consent

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
... meta S 0..1 MRMeta Metadata about a resource
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... comments S 0..1 (Complex) Consent Comments
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
..... Slices for value[x] Content/Rules for all slices
...... value[x]:valueString 1..1 string Value of extension
Max Length:500
.... sourceReference S 0..* Reference(MR DocumentReference Consent) Consent Source Reference
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.sourceReference profiled by https://fhir.medirecords.com/StructureDefinition/mr-consent-source-reference
... status S 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
... category S 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
... patient S 1..1 Reference(Patient) Who the consent applies to
... performer S 0..1 Reference(MR Patient) Who is agreeing to the policy and rules
... policyRule S 0..1 CodeableConcept Regulation that this consents to
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OPTIN
... provision S 0..1 BackboneElement Constraints to the base Consent.policyRule
.... type S 1..1 code deny | permit
.... period
..... start S 1..1 dateTime Starting time with inclusive boundary
..... end S 0..1 dateTime End time with inclusive boundary, if not ongoing

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Consent C 0..* Consent A healthcare consumer's choices to permit or deny recipients or roles to perform actions for specific purposes and periods of time
ppc-1: Either a Policy or PolicyRule
ppc-2: IF Scope=privacy, there must be a patient
ppc-3: IF Scope=research, there must be a patient
ppc-4: IF Scope=adr, there must be a patient
ppc-5: IF Scope=treatment, there must be a patient
... id Σ 0..1 id Logical id of this artifact
... meta S 0..1 MRMeta Metadata about a resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... comments S 0..1 (Complex) Consent Comments
URL: https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..0
..... url 1..1 uri "https://fhir.medirecords.com/StructureDefinition/mr-comment-note-ext"
..... Slices for value[x] 1..1 string Value of extension
Slice: Unordered, Closed by type:$this
...... value[x]:valueString 1..1 string Value of extension
Max Length:500
.... sourceReference S 0..* Reference(MR DocumentReference Consent) Consent Source Reference
URL: http://hl7.org/fhir/5.0/StructureDefinition/extension-Consent.sourceReference profiled by https://fhir.medirecords.com/StructureDefinition/mr-consent-source-reference
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier Σ 0..* Identifier Identifier for this record (external references)

Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"}
... status ?!SΣ 1..1 code draft | proposed | active | rejected | inactive | entered-in-error
Binding: ConsentState (required): Indicates the state of the consent.

... scope ?!SΣ 1..1 CodeableConcept Which of the four areas this resource covers (extensible)
Binding: ConsentScopeCodes (extensible): The four anticipated uses for the Consent Resource.

... category SΣ 1..1 CodeableConcept Classification of the consent statement - for indexing/retrieval
Binding: ConsentCategoryCodes (extensible): A classification of the type of consents found in a consent statement.


... patient SΣ 1..1 Reference(Patient) Who the consent applies to
... dateTime Σ 0..1 dateTime When this Consent was created or indexed
... performer SΣ 0..1 Reference(MR Patient) Who is agreeing to the policy and rules
... organization Σ 0..* Reference(Organization) Custodian of the consent
... source[x] Σ 0..1 Source from which this consent is taken
.... sourceAttachment Attachment
.... sourceReference Reference(Consent | DocumentReference | Contract | QuestionnaireResponse)
... policy 0..* BackboneElement Policies covered by this consent
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... authority C 0..1 uri Enforcement source for policy
.... uri C 0..1 uri Specific policy covered by this consent
... policyRule SΣC 0..1 CodeableConcept Regulation that this consents to
Binding: ConsentPolicyRuleCodes (extensible): Regulatory policy examples.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActCode
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: OPTIN
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... verification Σ 0..* BackboneElement Consent Verified by patient or family
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... verified Σ 1..1 boolean Has been verified
.... verifiedWith 0..1 Reference(Patient | RelatedPerson) Person who verified
.... verificationDate 0..1 dateTime When consent verified
... provision SΣ 0..1 BackboneElement Constraints to the base Consent.policyRule
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type SΣ 1..1 code deny | permit
Binding: ConsentProvisionType (required): How a rule statement is applied, such as adding additional consent or removing consent.

.... period Σ 0..1 Period Timeframe for this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... start SΣC 1..1 dateTime Starting time with inclusive boundary
..... end SΣC 0..1 dateTime End time with inclusive boundary, if not ongoing
.... actor 0..* BackboneElement Who|what controlled by this rule (or group, by role)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role 1..1 CodeableConcept How the actor is involved
Binding: SecurityRoleType (extensible): How an actor is involved in the consent considerations.

..... reference 1..1 Reference(Device | Group | CareTeam | Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) Resource for the actor (or group, by role)
.... action Σ 0..* CodeableConcept Actions controlled by this rule
Binding: ConsentActionCodes (example): Detailed codes for the consent action.


.... securityLabel Σ 0..* Coding Security Labels that define affected resources
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.


.... purpose Σ 0..* Coding Context of activities covered by this rule
Binding: PurposeOfUse (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels.


.... class Σ 0..* Coding e.g. Resource Type, Profile, CDA, etc.
Binding: ConsentContentClass (extensible): The class (type) of information a consent rule covers.


.... code Σ 0..* CodeableConcept e.g. LOINC or SNOMED CT code, etc. in the content
Binding: ConsentContentCodes (example): If this code is found in an instance, then the exception applies.


.... dataPeriod Σ 0..1 Period Timeframe for data controlled by this rule
.... data Σ 0..* BackboneElement Data controlled by this rule
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... meaning Σ 1..1 code instance | related | dependents | authoredby
Binding: ConsentDataMeaning (required): How a resource reference is interpreted when testing consent restrictions.

..... reference Σ 1..1 Reference(Resource) The actual data reference
.... provision 0..* See provision (Consent) Nested Exception Rules

doco Documentation for this format

 

Other representations of profile: CSV, Excel, Schematron

Terminology Bindings

PathConformanceValueSet / CodeURI
Consent.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Consent.statusrequiredConsentState
http://hl7.org/fhir/ValueSet/consent-state-codes|4.0.1
from the FHIR Standard
Consent.scopeextensibleConsentScopeCodes
http://hl7.org/fhir/ValueSet/consent-scope
from the FHIR Standard
Consent.categoryextensibleConsentCategoryCodes
http://hl7.org/fhir/ValueSet/consent-category
from the FHIR Standard
Consent.policyRuleextensiblePattern: OPTIN
http://hl7.org/fhir/ValueSet/consent-policy
from the FHIR Standard
Consent.provision.typerequiredConsentProvisionType
http://hl7.org/fhir/ValueSet/consent-provision-type|4.0.1
from the FHIR Standard
Consent.provision.actor.roleextensibleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Consent.provision.actionexampleConsentActionCodes
http://hl7.org/fhir/ValueSet/consent-action
from the FHIR Standard
Consent.provision.securityLabelextensibleAll Security Labels
http://hl7.org/fhir/ValueSet/security-labels
from the FHIR Standard
Consent.provision.purposeextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Consent.provision.classextensibleConsentContentClass
http://hl7.org/fhir/ValueSet/consent-content-class
from the FHIR Standard
Consent.provision.codeexampleConsentContentCodes (a valid code from LOINC)
http://hl7.org/fhir/ValueSet/consent-content-code
from the FHIR Standard
Consent.provision.data.meaningrequiredConsentDataMeaning
http://hl7.org/fhir/ValueSet/consent-data-meaning|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorConsentIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorConsentIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorConsentIf 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-5errorConsentIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceConsentA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ppc-1errorConsentEither a Policy or PolicyRule
: policy.exists() or policyRule.exists()
ppc-2errorConsentIF Scope=privacy, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='patient-privacy').exists().not()
ppc-3errorConsentIF Scope=research, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='research').exists().not()
ppc-4errorConsentIF Scope=adr, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='adr').exists().not()
ppc-5errorConsentIF Scope=treatment, there must be a patient
: patient.exists() or scope.coding.where(system='something' and code='treatment').exists().not()