## Profile Comparison between http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps vs http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps

Left: | Consent (Advance Directives EPS) (http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps)
Right: | Consent: Advance Directives (EPS) (http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps)

### Messages

Error | StructureDefinition.version | Values for version differ: '1.0.0-alpha' vs '1.0.0-ballot'
Information | StructureDefinition.title | Values for title differ: 'Consent (Advance Directives EPS)' vs 'Consent: Advance Directives (EPS)'
Information | StructureDefinition.date | Values for date differ: '2026-02-24T12:25:03+01:00' vs '2026-06-06T08:56:20+02:00'
Information | StructureDefinition.copyright | Values for copyright differ: 'Used by permission of HL7 Europe, all rights reserved Creative Commons License' vs 'Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0).'

### Metadata

Name | Value | Comments
--- | --- | ---
abstract | false |
baseDefinition | http://hl7.org/fhir/StructureDefinition/Consent |
copyright | Used by permission of HL7 Europe, all rights reserved Creative Commons License | Copyright HL7 Europe. Licensed under creative commons public domain (CC0 1.0). | Values Differ
date | 2026-02-24T12:25:03+01:00 | 2026-06-06T08:56:20+02:00 | Values Differ
description | This profile constrains the Consent resource for the purpose representing Advance Directives for the scope of this guide. | This profile constrains the Consent resource for the purpose representing Advance Directives in the scope of the European Patient Summary. | Values Differ
experimental |  |
fhirVersion | 4.0.1 |
jurisdiction |  |
jurisdiction[0] | http://unstats.un.org/unsd/methods/m49/m49.htm#150 |
kind | resource |
name | ConsentEuEps |
publisher | HL7 Europe |
purpose |  |
status | draft |
title | Consent (Advance Directives EPS) | Consent: Advance Directives (EPS) | Values Differ
type | Consent |
url | http://hl7.eu/fhir/eps/StructureDefinition/consent-eu-eps |
version | 1.0.0-alpha | 1.0.0-ballot | Values Differ

### Structure

Name | L Flags | L Card. | L Type | L Description & Constraints | R Flags | R Card. | R Type | R Description & Constraints | Comments
--- | --- | --- | --- | --- | --- | --- | --- | --- | ---
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 | 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 |
id | Σ | 0..1 | id | Logical id of this artifact | Σ | 0..1 | id | Logical id of this artifact |
meta | Σ | 0..1 | Meta | Metadata about the resource | Σ | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
language |  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
|  | 0..1 | code | Language of the resource content Binding: ?? (preferred): A human language.
Additional Bindings | Purpose
?? | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements |
contained |  | 0..* | Resource | Contained, inline Resources |  | 0..* | Resource | Contained, inline Resources |
Slices for extension |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |  | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ?! | 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"} | Σ | 0..* | Identifier | Identifier for this record (external references) Example General: {"system":"http://acme.org/identifier/local/eCMS","value":"Local eCMS identifier"} |
status | ?!Σ | 1..1 | code | The current state of this will. Binding: ?? (required): Indicates the state of the consent. | ?!Σ | 1..1 | code | The current state of this will. Binding: ?? (required): Indicates the state of the consent. |
scope | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ?? (extensible): The four anticipated uses for the Consent Resource. Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/consentscope","code":"adr"}]} | ?!Σ | 1..1 | CodeableConcept | Which of the four areas this resource covers (extensible) Binding: ?? (extensible): The four anticipated uses for the Consent Resource. Required Pattern: {"coding":[{"system":"http://terminology.hl7.org/CodeSystem/consentscope","code":"adr"}]} |
category | Σ | 1..* | CodeableConcept | Living will type Binding: ?? (extensible): A classification of the type of consents found in a consent statement. | Σ | 1..* | CodeableConcept | Living will type Binding: ?? (extensible): A classification of the type of consents found in a consent statement. |
patient | Σ | 0..1 | Reference(Patient) | Who the consent applies to | Σ | 0..1 | Reference(Patient) | Who the consent applies to |
dateTime | Σ | 0..1 | dateTime | When this Living will was created or indexed | Σ | 0..1 | dateTime | When this Living will was created or indexed |
performer | Σ | 0..* | Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Who is agreeing to this policy and rules | Σ | 0..* | Reference(Organization | Patient | Practitioner | RelatedPerson | PractitionerRole) | Who is agreeing to this policy and rules |
organization | Σ | 0..* | Reference(Organization) | Custodian of the consent | Σ | 0..* | Reference(Organization) | Custodian of the consent |
source[x] | Σ | 0..1 | Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) | Living will document | Σ | 0..1 | Attachment, Reference(Consent | DocumentReference | Contract | QuestionnaireResponse) | Living will document |
policy |  | 0..* | BackboneElement | Policies covered by this consent |  | 0..* | BackboneElement | Policies covered by this consent |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
authority | C | 0..1 | uri | Enforcement source for policy | C | 0..1 | uri | Enforcement source for policy |
uri | C | 0..1 | uri | Specific policy covered by this consent | C | 0..1 | uri | Specific policy covered by this consent |
policyRule | Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ?? (extensible): Regulatory policy examples. | Σ C | 0..1 | CodeableConcept | Regulation that this consents to Binding: ?? (extensible): Regulatory policy examples. |
verification | Σ | 0..* | BackboneElement | Consent Verified by patient or family | Σ | 0..* | BackboneElement | Consent Verified by patient or family |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
verified | Σ | 1..1 | boolean | Has been verified | Σ | 1..1 | boolean | Has been verified |
verifiedWith |  | 0..1 | Reference(Patient | RelatedPerson) | Person who verified |  | 0..1 | Reference(Patient | RelatedPerson) | Person who verified |
verificationDate |  | 0..1 | dateTime | When consent verified |  | 0..1 | dateTime | When consent verified |
provision | Σ | 0..1 | BackboneElement | Constraints to the base Consent.policyRule | Σ | 0..1 | BackboneElement | Constraints to the base Consent.policyRule |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
type | Σ | 0..1 | code | deny | permit Binding: ?? (required): How a rule statement is applied, such as adding additional consent or removing consent. | Σ | 0..1 | code | deny | permit Binding: ?? (required): How a rule statement is applied, such as adding additional consent or removing consent. |
period | Σ | 0..1 | Period | Timeframe for this rule | Σ | 0..1 | Period | Timeframe for this rule |
actor |  | 0..* | BackboneElement | Who|what controlled by this rule (or group, by role) |  | 0..* | BackboneElement | Who|what controlled by this rule (or group, by role) |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
role |  | 1..1 | CodeableConcept | How the actor is involved Binding: ?? (extensible): How an actor is involved in the consent considerations. |  | 1..1 | CodeableConcept | How the actor is involved Binding: ?? (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) |  | 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: ?? (example): Detailed codes for the consent action. | Σ | 0..* | CodeableConcept | Actions controlled by this rule Binding: ?? (example): Detailed codes for the consent action. |
securityLabel | Σ | 0..* | Coding | Security Labels that define affected resources Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. | Σ | 0..* | Coding | Security Labels that define affected resources Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System. |
purpose | Σ | 0..* | Coding | Context of activities covered by this rule Binding: ?? (extensible): What purposes of use are controlled by this exception. If more than one label is specified, operations must have all the specified labels. | Σ | 0..* | Coding | Context of activities covered by this rule Binding: ?? (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: ?? (extensible): The class (type) of information a consent rule covers. | Σ | 0..* | Coding | e.g. Resource Type, Profile, CDA, etc. Binding: ?? (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: ?? (example): If this code is found in an instance, then the exception applies. | Σ | 0..* | CodeableConcept | e.g. LOINC or SNOMED CT code, etc. in the content Binding: ?? (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 | Σ | 0..1 | Period | Timeframe for data controlled by this rule |
data | Σ | 0..* | BackboneElement | Data controlled by this rule | Σ | 0..* | BackboneElement | Data controlled by this rule |
id |  | 0..1 | string | Unique id for inter-element referencing |  | 0..1 | string | Unique id for inter-element referencing |
extension |  | 0..* | Extension | Additional content defined by implementations |  | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
meaning | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ?? (required): How a resource reference is interpreted when testing consent restrictions. | Σ | 1..1 | code | instance | related | dependents | authoredby Binding: ?? (required): How a resource reference is interpreted when testing consent restrictions. |
reference | Σ | 1..1 | Reference(Resource) | The actual data reference | Σ | 1..1 | Reference(Resource) | The actual data reference |
provision |  | 0..* | See provision (Consent) | Nested Exception Rules |  | 0..* | See provision (Consent) | Nested Exception Rules |
Documentation for this format