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Source1

{
  "resourceType": "StructureDefinition",
  "id": "England-Consent-National-Proxy",
  "url": "https://fhir.nhs.uk/England/StructureDefinition/England-Consent-National-Proxy",
  "version": "0.6.1",
  "name": "EnglandConsentNationalProxy",
  "title": "England Consent National Proxy",
  "status": "draft",
  "date": "2026-01-07",
  "publisher": "NHS England",
  "contact": [
    {
      "name": "NHS England",
      "telecom": [
        {
          "system": "email",
          "value": "interoperabilityteam@nhs.net",
          "use": "work"
        }
      ]
    }
  ],
  "description": "FHIR Consent profile for the NHS England National Proxy use case. Supports proxy access to patient records, capturing proxy identity, legal basis, lifecycle status, and recording relevant actors.",
  "purpose": "Defines how Consent is used for NHS England National Proxy.",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "Consent",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Consent",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "Consent.extension",
        "path": "Consent.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0,
        "max": "*"
      },
      {
        "id": "Consent.extension:statusReason",
        "path": "Consent.extension",
        "sliceName": "statusReason",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://fhir.nhs.uk/England/StructureDefinition/Extension-England-Consent-Status-Reason"
            ]
          }
        ]
      },
      {
        "id": "Consent.extension:grantor",
        "path": "Consent.extension",
        "sliceName": "grantor",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/valueset-reference"
            ]
          }
        ]
      },
      {
        "id": "Consent.extension:grantee",
        "path": "Consent.extension",
        "sliceName": "grantee",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/valueset-reference"
            ]
          }
        ]
      },
      {
        "id": "Consent.extension:regulatoryBasis",
        "path": "Consent.extension",
        "sliceName": "regulatoryBasis",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://hl7.org/fhir/StructureDefinition/valueset-reference"
            ]
          }
        ]
      },
      {
        "id": "Consent.status",
        "path": "Consent.status",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Consent.scope",
        "path": "Consent.scope",
        "min": 1,
        "max": "1"
      },
      {
        "id": "Consent.category",
        "path": "Consent.category",
        "min": 1,
        "max": "*"
      },
      {
        "id": "Consent.patient",
        "path": "Consent.patient",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient"
            ]
          }
        ]
      },
      {
        "id": "Consent.dateTime",
        "path": "Consent.dateTime",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Consent.performer",
        "path": "Consent.performer",
        "min": 0,
        "max": "*",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson"
            ]
          }
        ]
      },
      {
        "id": "Consent.policy",
        "path": "Consent.policy",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Consent.provision",
        "path": "Consent.provision",
        "min": 0,
        "max": "1"
      },
      {
        "id": "Consent.provision.actor",
        "path": "Consent.provision.actor",
        "min": 0,
        "max": "*"
      },
      {
        "id": "Consent.provision.actor.role",
        "path": "Consent.provision.actor.role",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "binding": {
          "strength": "required",
          "valueSet": "https://fhir.nhs.uk/England/ValueSet/England-NHSProxyLegalBasis"
        }
      },
      {
        "id": "Consent.provision.actor.reference",
        "path": "Consent.provision.actor.reference",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-Patient",
              "https://fhir.hl7.org.uk/StructureDefinition/UKCore-RelatedPerson"
            ]
          }
        ]
      }
    ]
  }
}