Nexus EMR Item Consent Profile Core Profile

Canonical	../StructureDefinition/nexus-emr-core-item-consent
Status	draft · 1.26.0
Base	Consent (constraint)
Source	FSH · JSON

Patient-level consent for one catalogue item — whether the clinic may email the patient, text the patient, or use an AI scribe during their visit. Recorded manually by clinic staff from what the patient tells them, not captured through a patient-facing flow.

Examples

AI Scribe DECLINED With Evidence · Email PROVIDED · SMS DECLINED

Email PROVIDED

Item consent with status active (Provided) for the Email item, recorded by Dr. Navarro, carrying the deterministic {patient-id}:{item-code} identifier

Consent/nexus-emr-item-consent-email-provided — claims conformance to Nexus EMR Item Consent Profile Core

{
  "resourceType": "Consent",
  "id": "nexus-emr-item-consent-email-provided",
  "meta": {
    "profile": [
      "../StructureDefinition/nexus-emr-core-item-consent"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Item Consent - Email - PROVIDED</b></p><p>Patient: <strong>Avery Linwood</strong> has <strong>PROVIDED</strong> consent for the <strong>Email</strong> item — the clinic may email her, including her own health information and routine reminders.</p><p>Recorded by: <strong>Dr. Emil Navarro</strong> on April 8, 2025 at 10:35 AM</p><p>Status: active (Provided). One Consent per patient and item, updated in place; earlier answers are in this resource's version history.</p><p><strong>The decision is <code>provision.type = permit</code>, not <code>status</code>.</strong> Status is <code>active</code> because the record is operative. Every Consent profile in this guide now states its decision in this same element, so a consumer reads one element whatever family it holds.</p></div>"
  },
  "status": "active",
  "scope": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/consentscope",
        "code": "patient-privacy",
        "display": "Privacy Consent"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "../CodeSystem/nexus-consent-item",
          "code": "email",
          "display": "Email"
        }
      ]
    },
    {
      "coding": [
        {
          "system": "../CodeSystem/nexus-consent-family",
          "code": "item",
          "display": "Item consent"
        }
      ]
    }
  ],
  "patient": {
    "reference": "Patient/avery-linwood",
    "display": "Avery Linwood"
  },
  "dateTime": "2025-04-08T10:35:00-06:00",
  "performer": [
    {
      "reference": "Practitioner/dr-emil-navarro",
      "display": "Dr. Emil Navarro"
    }
  ],
  "policy": [
    {
      "uri": "../policy/nexus-privacy-policy"
    }
  ],
  "provision": {
    "type": "permit"
  }
}