Manifest-based Access to DICOM Objects (MADO)
0.1.0 - trial-use

Manifest-based Access to DICOM Objects (MADO), published by IHE Radiology Technical Committee. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/IHE/RAD.MADO/ and changes regularly. See the Directory of published versions

## Resource Profile: MADO Provenance

Official URL: https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoProvenance | Version: 0.1.0
Standards status: Draft | Maturity Level: 1 | Computable Name: MadoProvenance

The purpose of this resource is to indicate information about the system that created the manifest. Additionally, it can be used to sign the content of the Bundle.

In DICOM KOS this information (and the referred MadoCreator) corresponds to the Institution Name, Institution Id, Manufacturer Name in the General Equipment module.

Usages:

- Use this Profile: MADO Imaging Study Manifest FHIR Bundle

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | Provenance | Who, What, When for a set of resources
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
target | S Σ | 1..* | Reference(Resource) | SHALL contain a list with all resources in the Bundle.
recorded | Σ | 1..1 | instant | When the bundle/provenance was created.
Slices for agent |  | 1..* | BackboneElement | Actor involved Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
who | Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who participated
agent:mado-creator | S | 1..1 | BackboneElement | Actor involved
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..1 | CodeableConcept | How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assembler
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
who | Σ | 1..1 | Reference(MADO Creator) | Who participated
onBehalfOf | S | 1..1 | Reference(MADO Creator Organization) | The owner of the MadoCreator device.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Provenance.agent:mado-creator.​type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Provenance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Provenance | 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 | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Provenance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Provenance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Provenance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Provenance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  |  | Provenance |
target | S | 1..* | Reference(Resource) | SHALL contain a list with all resources in the Bundle.
recorded |  | 1..1 | instant | When the bundle/provenance was created.
Slices for agent |  | 1..* | BackboneElement | Actor involved Slice: Unordered, Open by value:type
agent:mado-creator | S | 1..1 | BackboneElement | Actor involved
type |  | 1..1 | CodeableConcept | How the agent participated Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assembler
who |  | 1..1 | Reference(MADO Creator) | Who participated
onBehalfOf | S | 1..1 | Reference(MADO Creator Organization) | The owner of the MadoCreator device.
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | Provenance | Who, What, When for a set of resources
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | 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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
target | S Σ | 1..* | Reference(Resource) | SHALL contain a list with all resources in the Bundle.
occurred[x] |  | 0..1 |  | When the activity occurred
occurredPeriod |  |  | Period |
occurredDateTime |  |  | dateTime |
recorded | Σ | 1..1 | instant | When the bundle/provenance was created.
policy |  | 0..* | uri | Policy or plan the activity was defined by
location |  | 0..1 | Reference(Location) | Where the activity occurred, if relevant
reason |  | 0..* | CodeableConcept | Reason the activity is occurring Binding: PurposeOfUse (extensible): The reason the activity took place.
activity |  | 0..1 | CodeableConcept | Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place.
Slices for agent |  | 1..* | BackboneElement | Actor involved Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..1 | CodeableConcept | How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
role |  | 0..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
who | Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who participated
onBehalfOf |  | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who the agent is representing
agent:mado-creator | S | 1..1 | BackboneElement | Actor involved
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..1 | CodeableConcept | How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assembler
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role |  | 0..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
who | Σ | 1..1 | Reference(MADO Creator) | Who participated
onBehalfOf | S | 1..1 | Reference(MADO Creator Organization) | The owner of the MadoCreator device.
entity |  | 0..* | BackboneElement | An entity used in this activity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role | Σ | 1..1 | code | derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
what | Σ | 1..1 | Reference(Resource) | Identity of entity
agent |  | 0..* | See agent (Provenance) | Entity is attributed to this agent
signature |  | 0..* | Signature | Signature on target
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Provenance.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Provenance.reason | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.1
Provenance.activity | Base | extensible | Provenance activity type | 📍4.0.1 | FHIR Std.
Provenance.agent.type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.
Provenance.agent.role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:mado-creator.​type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.
Provenance.agent:mado-creator.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.entity.role | Base | required | ProvenanceEntityRole | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Provenance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Provenance | 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 | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Provenance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Provenance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Provenance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Provenance

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- MADO Creator (https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoCreator)
- MADO Creator Organization (https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoCreatorOrganization)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Provenance.agent

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | Provenance | Who, What, When for a set of resources
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
target | S Σ | 1..* | Reference(Resource) | SHALL contain a list with all resources in the Bundle.
recorded | Σ | 1..1 | instant | When the bundle/provenance was created.
Slices for agent |  | 1..* | BackboneElement | Actor involved Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
who | Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who participated
agent:mado-creator | S | 1..1 | BackboneElement | Actor involved
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..1 | CodeableConcept | How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assembler
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
who | Σ | 1..1 | Reference(MADO Creator) | Who participated
onBehalfOf | S | 1..1 | Reference(MADO Creator Organization) | The owner of the MadoCreator device.
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Provenance.agent:mado-creator.​type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Provenance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Provenance | 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 | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Provenance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Provenance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Provenance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

Differential View

This structure is derived from Provenance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  |  | Provenance |
target | S | 1..* | Reference(Resource) | SHALL contain a list with all resources in the Bundle.
recorded |  | 1..1 | instant | When the bundle/provenance was created.
Slices for agent |  | 1..* | BackboneElement | Actor involved Slice: Unordered, Open by value:type
agent:mado-creator | S | 1..1 | BackboneElement | Actor involved
type |  | 1..1 | CodeableConcept | How the agent participated Required Pattern: At least the following
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assembler
who |  | 1..1 | Reference(MADO Creator) | Who participated
onBehalfOf | S | 1..1 | Reference(MADO Creator Organization) | The owner of the MadoCreator device.
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | Provenance | Who, What, When for a set of resources
id | Σ | 0..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | 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
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
target | S Σ | 1..* | Reference(Resource) | SHALL contain a list with all resources in the Bundle.
occurred[x] |  | 0..1 |  | When the activity occurred
occurredPeriod |  |  | Period |
occurredDateTime |  |  | dateTime |
recorded | Σ | 1..1 | instant | When the bundle/provenance was created.
policy |  | 0..* | uri | Policy or plan the activity was defined by
location |  | 0..1 | Reference(Location) | Where the activity occurred, if relevant
reason |  | 0..* | CodeableConcept | Reason the activity is occurring Binding: PurposeOfUse (extensible): The reason the activity took place.
activity |  | 0..1 | CodeableConcept | Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place.
Slices for agent |  | 1..* | BackboneElement | Actor involved Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 0..1 | CodeableConcept | How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
role |  | 0..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
who | Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who participated
onBehalfOf |  | 0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who the agent is representing
agent:mado-creator | S | 1..1 | BackboneElement | Actor involved
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..1 | CodeableConcept | How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
coding |  | 1..* | Coding | Code defined by a terminology system Fixed Value: (Complex)
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
system |  | 1..1 | uri | Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: assembler
display |  | 0..1 | string | Representation defined by the system
userSelected |  | 0..1 | boolean | If this coding was chosen directly by the user
text |  | 0..1 | string | Plain text representation of the concept
role |  | 0..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
who | Σ | 1..1 | Reference(MADO Creator) | Who participated
onBehalfOf | S | 1..1 | Reference(MADO Creator Organization) | The owner of the MadoCreator device.
entity |  | 0..* | BackboneElement | An entity used in this activity
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
role | Σ | 1..1 | code | derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
what | Σ | 1..1 | Reference(Resource) | Identity of entity
agent |  | 0..* | See agent (Provenance) | Entity is attributed to this agent
signature |  | 0..* | Signature | Signature on target
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Provenance.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std.
Provenance.reason | Base | extensible | PurposeOfUse | 📦3.1.0 | THO v7.1
Provenance.activity | Base | extensible | Provenance activity type | 📍4.0.1 | FHIR Std.
Provenance.agent.type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.
Provenance.agent.role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:mado-creator.​type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.
Provenance.agent:mado-creator.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.entity.role | Base | required | ProvenanceEntityRole | 📍4.0.1 | FHIR Std.

#### Constraints

Id | Grade | Path(s) | Description | Expression
dom-2 | error | Provenance | If the resource is contained in another resource, it SHALL NOT contain nested Resources | `contained.contained.empty()`
dom-3 | error | Provenance | 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 | `contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()`
dom-4 | error | Provenance | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated | `contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()`
dom-5 | error | Provenance | If a resource is contained in another resource, it SHALL NOT have a security label | `contained.meta.security.empty()`
dom-6 | best practice | Provenance | A resource should have narrative for robust management | `text.`div`.exists()`
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children | `hasValue() or (children().count() > id.count())`
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both | `extension.exists() != value.exists()`

This structure is derived from Provenance

Summary

Mandatory: 3 elements
Must-Support: 3 elements

Structures

This structure refers to these other structures:

- MADO Creator (https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoCreator)
- MADO Creator Organization (https://profiles.ihe.net/RAD/MADO/StructureDefinition/MadoCreatorOrganization)

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Provenance.agent

Maturity: 1

Other representations of profile: CSV, Excel, Schematron