Release 5 Preview #2

StructureDefinition: ehrsrle-provenance - XML

Electronic Health Records Work Group Maturity Level: 1Trial UseUse Context: Any

ehrsrle-provenance

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="ehrsrle-provenance"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div> 
  </text> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="ehr"/> 
  </extension> 
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use"/> 
  </extension> 
  <url value="http://hl7.org/fhir/StructureDefinition/ehrsrle-provenance"/> 
  <version value="4.4.0"/> 
  <name value="EHRS FM Record Lifecycle Event - Provenance"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2014-01-31"/> 
  <publisher value="Health Level Seven International (Electronic Health Record)"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://hl7.org/special/committees/ehr.html"/> 
    </telecom> 
  </contact> 
  <description value="Defines the elements to be supported within the Provenance resource in order to conform
   with the Electronic Health Record System Functional Model Record Lifecycle Event standard"/> 
  <fhirVersion value="4.4.0"/> 
  <mapping> 
    <identity value="workflow"/> 
    <uri value="http://hl7.org/fhir/workflow"/> 
    <name value="Workflow Pattern"/> 
  </mapping> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w3c.prov"/> 
    <uri value="http://www.w3.org/ns/prov"/> 
    <name value="W3C PROV"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/fivews"/> 
    <name value="FiveWs Pattern Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="fhirauditevent"/> 
    <uri value="http://hl7.org/fhir/auditevent"/> 
    <name value="FHIR AuditEvent Mapping"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="Provenance"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Provenance"/> 
  <derivation value="constraint"/> 
  <snapshot> 
    <element id="Provenance">
      <path value="Provenance"/> 
      <short value="Who, What, When for a set of resources"/> 
      <definition value="Provenance of a resource is a record that describes entities and processes involved in
       producing and delivering or otherwise influencing that resource. Provenance provides a
       critical foundation for assessing authenticity, enabling trust, and allowing reproducibility.
       Provenance assertions are a form of contextual metadata and can themselves become important
       records with their own provenance. Provenance statement indicates clinical significance
       in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and
       stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated),
       all of which may impact security, privacy, and trust policies."/> 
      <comment value="Some parties may be duplicated between the target resource and its provenance.  For instance,
       the prescriber is usually (but not always) the author of the prescription resource. This
       resource is defined with close consideration for W3C Provenance."/> 
      <alias value="History"/> 
      <alias value="Event"/> 
      <alias value="Activity"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere
         in the resource or SHALL refer to the containing resource"/> 
        <expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonica
        l) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(refer
        ence = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(c
        anonical) = '#').exists()).not()).trace('unmatched', id).empty()"/> 
        <xpath value="not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:refere
        nce/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-5"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> 
        <expression value="contained.meta.security.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:security))"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice">
          <valueBoolean value="true"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation">
          <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can display
           the resource to a human safely. Including a human readable representation in the resource
           makes for a much more robust eco-system and cheaper handling of resources by intermediary
           systems. Some ecosystems restrict distribution of resources to only those systems that
           do fully understand the resources, and as a consequence implementers may believe that
           the narrative is superfluous. However experience shows that such eco-systems often open
           up to new participants over time."/> 
        </extension> 
        <key value="dom-6"/> 
        <severity value="warning"/> 
        <human value="A resource should have narrative for robust management"/> 
        <expression value="text.`div`.exists()"/> 
        <xpath value="exists(f:text/h:div)"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN]"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity"/> 
      </mapping> 
    </element> 
    <element id="Provenance.id">
      <path value="Provenance.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="The only time that a resource does not have an id is when it is being submitted to the
       server using a create operation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUri value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Provenance.meta">
      <path value="Provenance.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure.
       Changes to the content might not always be associated with version changes to the resource."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Provenance.implicitRules">
      <path value="Provenance.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content. Often, this is a reference to an
       implementation guide that defines the special rules along with other profiles etc."/> 
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of
       trading partners. This inherently limits the usefulness of the data in the long term.
       However, the existing health eco-system is highly fractured, and not yet ready to define,
       collect, and exchange data in a generally computable sense. Wherever possible, implementers
       and/or specification writers should avoid using this element. Often, when used, the URL
       is a reference to an implementation guide that defines these special rules as part of
       it's narrative along with other profiles, value sets, etc."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Provenance.language">
      <path value="Provenance.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="Language is provided to support indexing and accessibility (typically, services such as
       text to speech use the language tag). The html language tag in the narrative applies 
       to the narrative. The language tag on the resource may be used to specify the language
       of other presentations generated from the data in the resource. Not all the content has
       to be in the base language. The Resource.language should not be assumed to apply to the
       narrative automatically. If a language is specified, it should it also be specified on
       the div element in the html (see rules in HTML5 for information about the relationship
       between xml:lang and the html lang attribute)."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="preferred"/> 
        <description value="A human language."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="Provenance.text">
      <path value="Provenance.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource and can be used to
       represent the content of the resource to a human. The narrative need not encode all the
       structured data, but is required to contain sufficient detail to make it &quot;clinically
       safe&quot; for a human to just read the narrative. Resource definitions may define what
       content should be represented in the narrative to ensure clinical safety."/> 
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have
       a narrative. In some cases, a resource may only have text with little or no additional
       discrete data (as long as all minOccurs=1 elements are satisfied).  This may be necessary
       for data from legacy systems where information is captured as a &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="Provenance.contained">
      <path value="Provenance.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="These resources do not have an independent existence apart from the resource that contains
       them - they cannot be identified independently, and nor can they have their own independent
       transaction scope."/> 
      <comment value="This should never be done when the content can be identified properly, as once identification
       is lost, it is extremely difficult (and context dependent) to restore it again. Contained
       resources may have profiles and tags In their meta elements, but SHALL NOT have security
       labels."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.extension">
      <path value="Provenance.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. To make the use of extensions safe and manageable, there is a strict
       set of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.modifierExtension">
      <path value="Provenance.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource and that modifies the understanding of the element that contains it and/or
       the understanding of the containing element's descendants. Usually modifier elements provide
       negation or qualification. To make the use of extensions safe and manageable, there is
       a strict set of governance applied to the definition and use of extensions. Though any
       implementer is allowed to define an extension, there is a set of requirements that SHALL
       be met as part of the definition of the extension. Applications processing a resource
       are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/f
      hir/extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.target">
      <path value="Provenance.target"/> 
      <short value="Target Reference(s) (usually version specific)"/> 
      <definition value="The Reference(s) that were generated or updated by  the activity described in this resource.
       A provenance can point to more than one target if multiple resources were created/updated
       by the same activity."/> 
      <comment value="Target references are usually version specific, but might not be, if a version has not
       been assigned or if the provenance information is part of the set of resources being maintained
       (i.e. a document). When using the RESTful API, the identity of the resource might not
       be known (especially not the version specific one); the client may either submit the resource
       first, and then the provenance, or it may submit both using a single transaction. See
       the notes on transaction for further discussion."/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.target"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target  OR  ./participation[isNo
        rmalParticipation() and typeCode=SBJ]/role  OR  ./participation[isNormalParticipation()
         and typeCode=SBJ]/role[isNormalRole()]/player"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.entity.reference"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Entity Created/Updated"/> 
      </mapping> 
    </element> 
    <element id="Provenance.occurred[x]">
      <path value="Provenance.occurred[x]"/> 
      <short value="When the activity occurred"/> 
      <definition value="The period during which the activity occurred."/> 
      <comment value="The period can be a little arbitrary; where possible, the time should correspond to human
       assessment of the activity time."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.occurred[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.occurred[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./effectiveTime[type=IVL_TS]"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.startTime &amp; Activity.endTime"/> 
      </mapping> 
    </element> 
    <element id="Provenance.recorded">
      <path value="Provenance.recorded"/> 
      <short value="When the activity was recorded / updated"/> 
      <definition value="The instant of time at which the activity was recorded."/> 
      <comment value="This can be a little different from the time stamp on the resource if there is a delay
       between recording the event and updating the provenance and target resource."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.recorded"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="instant"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS])"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.when"/> 
      </mapping> 
    </element> 
    <element id="Provenance.policy">
      <path value="Provenance.policy"/> 
      <short value="Policy or plan the activity was defined by"/> 
      <definition value="Policy or plan the activity was defined by. Typically, a single activity may have multiple
       applicable policy documents, such as patient consent, guarantor funding, etc."/> 
      <comment value="For example: Where an OAuth token authorizes, the unique identifier from the OAuth token
       is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic,
       the unique policy identifier is placed into the policy element."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.policy"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./inboundRelationship[isNormalActRelationship() and typeCode=&quot;SUBJ&quot;]/source[isNormalAct
         and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.policy"/> 
      </mapping> 
    </element> 
    <element id="Provenance.location">
      <path value="Provenance.location"/> 
      <short value="Where the activity occurred, if relevant"/> 
      <definition value="Where the activity occurred, if relevant."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.location"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.location"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.where[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and
         subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode=&quot;LOC&quot; and determinerCode=&
        quot;INST&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.location"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.location"/> 
      </mapping> 
    </element> 
    <element id="Provenance.reason">
      <path value="Provenance.reason"/> 
      <short value="Reason the activity is occurring"/> 
      <definition value="The reason that the activity was taking place."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.reason"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceReason"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The reason the activity took place."/> 
        <valueSet value="http://terminology.hl7.org/ValueSet/v3-PurposeOfUse"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.reasonCode"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="unique(./reasonCode)"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.purposeOfEvent"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.Activity"/> 
      </mapping> 
    </element> 
    <element id="Provenance.activity">
      <path value="Provenance.activity"/> 
      <short value="Activity that occurred"/> 
      <definition value="An activity is something that occurs over a period of time and acts upon or with entities;
       it may include consuming, processing, transforming, modifying, relocating, using, or generating
       entities."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.activity"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceActivity"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The activity that took place."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/provenance-activity-type"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.code"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.Activity"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent">
      <path value="Provenance.agent"/> 
      <short value="Actor involved"/> 
      <definition value="An actor taking a role in an activity  for which it can be assigned some degree of responsibility
       for the activity taking place."/> 
      <comment value="Several agents may be associated (i.e. has some responsibility for an activity) with an
       activity and vice-versa."/> 
      <requirements value="An agent can be a person, an organization, software, device, or other entities that may
       be ascribed responsibility."/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.agent"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./participation[isNormalParticipation()]  OR  ./outboundRelationship[isNormalActRelationship()
         and typeCode='DRIV']"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Agent"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.id">
      <path value="Provenance.agent.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUri value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.extension">
      <path value="Provenance.agent.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.modifierExtension">
      <path value="Provenance.agent.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/f
      hir/extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.type">
      <path value="Provenance.agent.type"/> 
      <short value="How the agent participated"/> 
      <definition value="The primary act of participation of the agent with respect to the activity."/> 
      <comment value="For example: assembler, author, doctor, nurse, clerk, etc."/> 
      <requirements value="Note: The .type of author could be .role of primary author. Note there are overlapping
       codes to be used in specific circumstances. See ISO 21298:2018 - Health Informatics -
       Functional and structural roles."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.type"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceAgentType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The type of participation that a provenance agent played with respect to the activity."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/participation-role-type"/> 
      </binding> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.function"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".role"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.type"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Agent.Attribution"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.role">
      <path value="Provenance.agent.role"/> 
      <short value="What the agents role was"/> 
      <definition value="The functional or structural roles of the agent indicating the agent's competency. The
       security role enabling the agent with respect to the activity."/> 
      <comment value="For example: PRIMAUTH, REVIEWER, VERF, etc."/> 
      <requirements value="Note: The .type of author could be .role of primary author. Note there are overlapping
       codes to be used in specific circumstances. See ISO 21298:2018 - Health Informatics -
       Functional and structural roles."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.agent.role"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceAgentRole"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The role that a provenance agent played with respect to the activity."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/security-role-type"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".typecode"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.role"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.who">
      <path value="Provenance.agent.who"/> 
      <short value="Who participated"/> 
      <definition value="The individual, device or organization that participated in the event."/> 
      <comment value="whoIdentity should be used when the agent is not a Resource type."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.who"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="workflow"/> 
        <map value="Event.performer.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.onBehalfOf">
      <path value="Provenance.agent.onBehalfOf"/> 
      <short value="Who the agent is representing"/> 
      <definition value="The individual, device, or organization for whom the change was made."/> 
      <comment value="onBehalfOfIdentity should be used when the agent is not a Resource type."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.onBehalfOf"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship;
         role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity">
      <path value="Provenance.entity"/> 
      <short value="An entity used in this activity"/> 
      <definition value="An entity used in this activity."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.entity"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./subjectOf"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.entity"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Entity"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.id">
      <path value="Provenance.entity.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      <definition value="Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUri value="id"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.extension">
      <path value="Provenance.entity.extension"/> 
      <short value="Additional content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. To make the use of extensions safe and manageable, there is a strict set
       of governance  applied to the definition and use of extensions. Though any implementer
       can define an extension, there is a set of requirements that SHALL be met as part of the
       definition of the extension."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.modifierExtension">
      <path value="Provenance.entity.modifierExtension"/> 
      <short value="Extensions that cannot be ignored even if unrecognized"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element and that modifies the understanding of the element in which it is contained
       and/or the understanding of the containing element's descendants. Usually modifier elements
       provide negation or qualification. To make the use of extensions safe and manageable,
       there is a strict set of governance applied to the definition and use of extensions. Though
       any implementer can define an extension, there is a set of requirements that SHALL be
       met as part of the definition of the extension. Applications processing a resource are
       required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource
       (including cannot change the meaning of modifierExtension itself)."/> 
      <comment value="There can be no stigma associated with the use of extensions by any application, project,
       or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
        The use of extensions is what allows the FHIR specification to retain a core level of
       simplicity for everyone."/> 
      <requirements value="Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly
       distinguished from the vast majority of extensions which can be safely ignored.  This
       promotes interoperability by eliminating the need for implementers to prohibit the presence
       of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/f
      hir/extensibility.html#modifierExtension)."/> 
      <alias value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <constraint> 
        <key value="ext-1"/> 
        <severity value="error"/> 
        <human value="Must have either extensions or value[x], not both"/> 
        <expression value="extension.exists() != value.exists()"/> 
        <xpath value="exists(f:extension)!=exists(f:*[starts-with(local-name(.), &quot;value&quot;)])"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> 
      </constraint> 
      <isModifier value="true"/> 
      <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.role">
      <path value="Provenance.entity.role"/> 
      <short value="derivation | revision | quotation | source | removal"/> 
      <definition value="How the entity was used during the activity."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.entity.role"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceEntityRole"/> 
        </extension> 
        <strength value="required"/> 
        <description value="How an entity was used in an activity."/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/provenance-entity-role|4.4.0"/> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./typeCode"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.entity.lifecycle"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Entity.role"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.what">
      <path value="Provenance.entity.what"/> 
      <short value="Identity of entity"/> 
      <definition value="Identity of the  Entity used. May be a logical or physical uri and maybe absolute or relative."/> 
      <comment value="whatIdentity should be used for entities that are not a Resource type."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.entity.what"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./text/reference"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.entity.reference"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Entity.Identity"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.agent">
      <path value="Provenance.entity.agent"/> 
      <short value="Entity is attributed to this agent"/> 
      <definition value="The entity is attributed to an agent to express the agent's responsibility for that entity,
       possibly along with other agents. This description can be understood as shorthand for
       saying that the agent was responsible for the activity which generated the entity."/> 
      <comment value="A usecase where one Provenance.entity.agent is used where the Entity that was used in
       the creation/updating of the Target, is not in the context of the same custodianship as
       the Target, and thus the meaning of Provenance.entity.agent is to say that the entity
       referenced is managed elsewhere and that this Agent provided access to it.  This would
       be similar to where the Entity being referenced is managed outside FHIR, such as through
       HL7 v2, v3, or XDS. This might be where the Entity being referenced is managed in another
       FHIR resource server. Thus it explains the Provenance of that Entity's use in the context
       of this Provenance activity."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.entity.agent"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <contentReference value="#Provenance.agent"/> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./author/role"/> 
      </mapping> 
    </element> 
    <element id="Provenance.signature">
      <path value="Provenance.signature"/> 
      <short value="Signature on target"/> 
      <definition value="A digital signature on the target Reference(s). The signer should match a Provenance.agent.
       The purpose of the signature is indicated."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.signature"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Signature"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() or (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <isModifier value="false"/> 
      <isSummary value="false"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./signatureText"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="Provenance">
      <path value="Provenance"/> 
      <min value="0"/> 
      <max value="*"/> 
    </element> 
    <element id="Provenance.target">
      <path value="Provenance.target"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.occurred[x]">
      <path value="Provenance.occurred[x]"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.recorded">
      <path value="Provenance.recorded"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.policy">
      <path value="Provenance.policy"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.location">
      <path value="Provenance.location"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.reason">
      <path value="Provenance.reason"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.activity">
      <path value="Provenance.activity"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.agent">
      <path value="Provenance.agent"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.agent.who">
      <path value="Provenance.agent.who"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.agent.onBehalfOf">
      <path value="Provenance.agent.onBehalfOf"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.signature">
      <path value="Provenance.signature"/> 
      <mustSupport value="true"/> 
    </element> 
  </differential> 
</StructureDefinition>