Specification of the RARecord-Consent-1 resource. This resource records the consent to record and use Reasonable Adjustments information using the FHIR® Reasonable Adjustments API.

The Consent resource, profiled as RARecord-Consent-1, records consent by a patient to record Reasonable Adjustment Impairment and Adjustment information.
This information will be available to healthcare professionals and organisations providing direct care to the patient, and to screening services, to ensure that key Adjustment information (such as communication requirements) is shared consistently across the NHS.

<?xml version="1.0" encoding="utf-8"?>
<!-- RARecord-Consent-1 example using a Legal Proxy -->
<Consent xmlns="http://hl7.org/fhir">
    <id value="f1dc0ac6-45ff-4d2b-bf91-793971e3e286"/>
    <meta>
        <versionId value="2c8cab29-db54-4ae7-8135-5de94807f2d9"/>
        <lastUpdated value="2016-03-01T10:04:33+00:00"/>
        <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Consent-1"/>
    </meta>
    <contained>
            <Provenance>
                <id value="e0531fd1-212d-4a97-a7a9-d17cec9a6af2"/>
                <meta>
                    <profile value="https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"/>
                </meta>
                <target>
                    <reference value="Consent/f1dc0ac6-45ff-4d2b-bf91-793971e3e286"/>
                </target>
                <recorded value="2016-03-01T10:05:33+00:00"/>
                <agent>
                    <role>
                        <coding>
                            <system value="https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1"/>
                            <code value="R0260"/>
                            <display value="General Medical Practitioner"/>
                        </coding>
                    </role>
                    <whoReference>
                        <reference value="https://sds.spineservices.nhs.uk/STU3/Practitioner/2ee4tr6a9"/>
                        <display value="Dr.D"/>
                    </whoReference>
                    <onBehalfOfReference>
                        <reference value="https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7"/>
                        <display value="Some GP Clinic"/>
                    </onBehalfOfReference>
                </agent>
            </Provenance>
        </contained>
    <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-ProxyRole-1">
        <valueCodeableConcept>
            <coding>
                <system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ProxyRole-1"/>
                <code value="lpa"/>
                <display value="Lasting power of attorney personal welfare"/>
            </coding>
        </valueCodeableConcept>
    </extension>
    <extension url="https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1">
        <extension url="created">
            <valueReference>
                <reference value="#e0531fd1-212d-4a97-a7a9-d17cec9a6af2"/>
            </valueReference>
        </extension>
    </extension>
    <status value="active"/>
    <category>
        <coding>
            <system value="https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-FlagCategory-1"/>
            <code value="reasonable adjustments flag"/>
            <display value="Reasonable Adjustments Flag"/>
        </coding>
    </category>
    <patient>
        <identifier>
            <reference value="demographics.spineservices.nhs.uk/STU3/Patient/999999998"/>
        </identifier>
    </patient>
    <!-- these are directly lifted from National Data Opt Out. Will need either a general set or specific values for Reasonable Adjustments -->
    <policy>
        <authority value="https://www.gov.uk/"/>
        <uri value="https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/535024/data-security-review.pdf"/>
    </policy>
    <purpose>
        <system value="https://snomed.info/sct"/>
        <code value="370856009"/>
        <display value="Limiting access to confidential patient information"/>
    </purpose>
</Consent>

{
  "resourceType": "Consent",
  "id": "f1dc0ac6-45ff-4d2b-bf91-793971e3e286",
  "fhir_comments": [
    " RARecord-Consent-1 example using a Legal Proxy "
  ],
  "meta": {
    "versionId": "2c8cab29-db54-4ae7-8135-5de94807f2d9",
    "lastUpdated": "2016-03-01T10:04:33+00:00",
    "profile": [
      "https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Consent-1"
    ]
  },
  "contained": [
    {
      "resourceType": "Provenance",
      "id": "e0531fd1-212d-4a97-a7a9-d17cec9a6af2",
      "meta": {
        "profile": [
          "https://fhir.nhs.uk/STU3/StructureDefinition/RARecord-Provenance-1"
        ]
      },
      "target": [
        {
          "reference": "Consent/f1dc0ac6-45ff-4d2b-bf91-793971e3e286"
        }
      ],
      "recorded": "2016-03-01T10:05:33+00:00",
      "agent": [
        {
          "role": [
            {
              "coding": [
                {
                  "system": "https://fhir.nhs.uk/STU3/CodeSystem/CareConnect-SDSJobRoleName-1",
                  "code": "R0260",
                  "display": "General Medical Practitioner"
                }
              ]
            }
          ],
          "whoReference": {
            "reference": "https://sds.spineservices.nhs.uk/STU3/Practitioner/2ee4tr6a9",
            "display": "Dr.D"
          },
          "onBehalfOfReference": {
            "reference": "https://directory.spineservices.nhs.uk/STU3/Organization/a3e5i7",
            "display": "Some GP Clinic"
          }
        }
      ]
    }
  ],
  "extension": [
    {
      "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-ProxyRole-1",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-ProxyRole-1",
            "code": "lpa",
            "display": "Lasting power of attorney personal welfare"
          }
        ]
      }
    },
    {
      "url": "https://fhir.nhs.uk/STU3/StructureDefinition/Extension-RARecord-Provenance-1",
      "extension": [
        {
          "url": "created",
          "valueReference": {
            "reference": "#e0531fd1-212d-4a97-a7a9-d17cec9a6af2"
          }
        }
      ]
    }
  ],
  "status": "active",
  "category": [
    {
      "coding": [
        {
          "system": "https://fhir.nhs.uk/STU3/CodeSystem/CodeSystem-RARecord-FlagCategory-1",
          "code": "reasonable adjustments flag",
          "display": "Reasonable Adjustments Flag"
        }
      ]
    }
  ],
  "policy": [
    {
      "fhir_comments": [
        " these are directly lifted from National Data Opt Out. Will need either a general set or specific values for Reasonable Adjustments "
      ],
      "authority": "https://www.gov.uk/",
      "uri": "https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/535024/data-security-review.pdf"
    }
  ],
  "purpose": [
    {
      "system": "https://snomed.info/sct",
      "code": "370856009",
      "display": "Limiting access to confidential patient information"
    }
  ]
}