Proxy role state machine

State machine

The valid transitions of a proxy role are strictly governed by the Validated Relationships Service (VRS) in accordance with the below state machine.

The state transitions in the diagram above are described in more detail below:

State	Sub-state	Description
Active	With end date	A role is active and has been marked as having an end date e.g. when a proxy role should be suspended for an age-based milestone. After the end date, the role will move to be inactive. VRS will notify patient and proxy ahead of time that access is going to end, and when it has ended.
Active	Without end date	A role is active with no prescribed end date.
Rejected	Without end date	A role is rejected.
Inactive	With end date	When a proxy role is suspended / ended it moves into an inactive state along with a coded statusReason to describe why it is in the current state e.g. safeguarding concern.

Status reasons

One of the roles of the National Proxy Service is to ensure proxy role context is shared. For example, not just what status a proxy role is in, but why. This is crucial to support informed cross-organisation decision making. Supplementing the core status' described above, are codified status reasons. The value set and mapping of status -> status reasons can be found in the Consent FHIR resource specification.