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Source1

{
  "resourceType": "Basic",
  "id": "implementation-notes-client-consent-server",
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
      "valueCode": "cbcc"
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
      "valueInteger": 1,
      "_valueInteger": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/consent-management/ImplementationGuide/hl7.fhir.us.consent-management"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
      "valueCode": "trial-use",
      "_valueCode": {
        "extension": [
          {
            "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-conformance-derivedFrom",
            "valueCanonical": "http://hl7.org/fhir/us/consent-management/ImplementationGuide/hl7.fhir.us.consent-management"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.url",
      "valueUri": "http://hl7.org/fhir/us/consent-management/Requirements/implementation-notes-client-consent-server"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.version",
      "valueString": "1.0.0-preview"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.name",
      "valueString": "ImplementationNotesClientConsentServer"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.title",
      "valueString": "Implementation Notes Client Consent Server"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.status",
      "valueCode": "active"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.experimental",
      "valueBoolean": false
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.date",
      "valueDateTime": "2026-09-02T22:40:54-04:00"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.publisher",
      "valueString": "HL7 International / Community Based Collaborative Care"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.contact",
      "valueContactDetail": {
        "name": "HL7 International / Community Based Collaborative Care",
        "telecom": [
          {
            "system": "url",
            "value": "http://www.hl7.org/Special/committees/homehealth"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.description",
      "valueMarkdown": "Implementation Notes Requirements for Client Consent Server"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.jurisdiction",
      "valueCodeableConcept": {
        "coding": [
          {
            "system": "urn:iso:std:iso:3166",
            "code": "US",
            "display": "United States of America"
          }
        ]
      }
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.actor",
      "valueCanonical": "http://hl7.org/fhir/us/consent-management/ActorDefinition/client"
    },
    {
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.actor",
      "valueCanonical": "http://hl7.org/fhir/us/consent-management/ActorDefinition/consent-server"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key",
          "valueId": "1185"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.label",
          "valueString": "requirement-1185"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance",
          "valueCode": "SHOULD"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement",
          "valueMarkdown": "A consent administration service receiving a POST Subscription request SHOULD verify that the subscribing system is authorized to access the consents it is requesting to be notified about<br/><br/>Can test by combining Consent and Security tests."
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.derivedFrom",
          "valueString": "HL7 FAST Consent IG"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference",
          "valueUrl": "https://build.fhir.org/ig/HL7/fhir-consent-management/en/implementation_notes.html#:~:text=a%20consent%20administration%20service%20receiving%20a%20post%20subscription%20request%20should%20verify%20that%20the%20subscribing%20system%20is%20authorized%20to%20access%20the%20consents%20it%20is%20requesting%20to%20be%20notified%20about"
        }
      ],
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key",
          "valueId": "1186"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.label",
          "valueString": "requirement-1186"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance",
          "valueCode": "SHALL"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement",
          "valueMarkdown": "Access should be limited to consents where the requesting system is a named participant: for example, consents where the system's organization is identified as a controller, manager, or actor within a consent's provision"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.derivedFrom",
          "valueString": "HL7 FAST Consent IG"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference",
          "valueUrl": "https://build.fhir.org/ig/HL7/fhir-consent-management/en/implementation_notes.html#:~:text=access%20should%20be%20limited%20to%20consents%20where%20the%20requesting%20system%20is%20a%20named%20participant%3A%20for%20example%2C%20consents%20where%20the%20system%27s%20organization%20is%20identified%20as%20a%20controller%2C%20manager%2C%20or%20actor%20within%20a%20consent%27s%20provision"
        }
      ],
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key",
          "valueId": "1187"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.label",
          "valueString": "requirement-1187"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance",
          "valueCode": "SHALL"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement",
          "valueMarkdown": "Implementers of consent administration services should apply appropriate access control filters when processing search queries"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.derivedFrom",
          "valueString": "HL7 FAST Consent IG"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference",
          "valueUrl": "https://build.fhir.org/ig/HL7/fhir-consent-management/en/implementation_notes.html#:~:text=implementers%20of%20consent%20administration%20services%20should%20apply%20appropriate%20access%20control%20filters%20when%20processing%20search%20queries"
        }
      ],
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key",
          "valueId": "1184"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.label",
          "valueString": "requirement-1184"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance",
          "valueCode": "SHOULD"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement",
          "valueMarkdown": "A system that cannot maintain a subscription to the consent management source SHOULD fetch a fresh copy of the consent at the time of each authorization decision rather than rely on a cached copy"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.derivedFrom",
          "valueString": "HL7 FAST Consent IG"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference",
          "valueUrl": "https://build.fhir.org/ig/HL7/fhir-consent-management/en/implementation_notes.html#:~:text=a%20system%20that%20cannot%20maintain%20a%20subscription%20to%20the%20consent%20management%20source%20should%20fetch%20a%20fresh%20copy%20of%20the%20consent%20at%20the%20time%20of%20each%20authorization%20decision%20rather%20than%20rely%20on%20a%20cached%20copy"
        }
      ],
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key",
          "valueId": "1183"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.label",
          "valueString": "requirement-1183"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance",
          "valueCode": "SHALL"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement",
          "valueMarkdown": "When a copy of consent travels to a different system, before making decisions based on the consent, the enforcing system needs to ensure it is up to date<br/><br/>No conformance verb, but this is the key guidance that can drive both black box tests (e.g. A shares with B, B uses access, A revokes, B rejected) as well as tests for specific mechanisms and fallbacks, conditional on systems' support for each technique."
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.derivedFrom",
          "valueString": "HL7 FAST Consent IG"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference",
          "valueUrl": "https://build.fhir.org/ig/HL7/fhir-consent-management/en/implementation_notes.html#:~:text=when%20a%20copy%20of%20consent%20travels%20to%20a%20different%20system%2C%20before%20making%20decisions%20based%20on%20the%20consent%2C%20the%20enforcing%20system%20needs%20to%20ensure%20it%20is%20up%20to%20date"
        }
      ],
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key",
          "valueId": "1181"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.label",
          "valueString": "requirement-1181"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance",
          "valueCode": "SHALL"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement",
          "valueMarkdown": "When the Consent record is created on System A, System A's system identifier SHALL be recorded in the manager extension of the Consent instance"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.derivedFrom",
          "valueString": "HL7 FAST Consent IG"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference",
          "valueUrl": "https://build.fhir.org/ig/HL7/fhir-consent-management/en/implementation_notes.html#:~:text=when%20the%20consent%20record%20is%20created%20on%20system%20a%2C%20system%20a%27s%20system%20identifier%20shall%20be%20recorded%20in%20the%20manager%20extension%20of%20the%20consent%20instance"
        }
      ],
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"
    },
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.key",
          "valueId": "1182"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.label",
          "valueString": "requirement-1182"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.conformance",
          "valueCode": "SHALL"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.requirement",
          "valueMarkdown": "Systems that ingest a Consent from another system SHALL preserve the manager extension value unchanged"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.derivedFrom",
          "valueString": "HL7 FAST Consent IG"
        },
        {
          "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement.reference",
          "valueUrl": "https://build.fhir.org/ig/HL7/fhir-consent-management/en/implementation_notes.html#:~:text=systems%20that%20ingest%20a%20consent%20from%20another%20system%20shall%20preserve%20the%20manager%20extension%20value%20unchanged"
        }
      ],
      "url": "http://hl7.org/fhir/5.0/StructureDefinition/extension-Requirements.statement"
    }
  ],
  "code": {
    "coding": [
      {
        "system": "http://hl7.org/fhir/fhir-types",
        "code": "Requirements"
      }
    ]
  }
}