eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 8.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions
| Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-access-provenance | Version: 8.0.0 | |||
| Active as of 2026-01-14 | Computable Name: ehealth-access-provenance | |||
Access Provenance of a resource is a record that describes the event of patient user login.
In scope of the eHealth Infrastructure, Access Provenance resources are used for registering the event of patient login to the FUT platform. See ehealth-access-consent for details about "assisted login".
The following elements must be set on an Access Provenance resource for the event to be properly recorded:
Provenance.activity - "user-authentication" (system "http://ehealth.sundhed.dk/cs/access-provenance-activity)Provenance.target - the patient performing loginProvenance.agent.who - the patient performing loginProvenance.agent.who.role - "assisted-login" or "mitid-login" (system "http://ehealth.sundhed.dk/cs/access-provenance-agent-role)Access Provenance creation is internal to the eHealth infrastructure and not exposed to clients. Creation is performed when a patient logs into the FUT platform with MitID or with assistance from a practitioner who has given an Access Consent to the patient.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Path | Status | Usage | ValueSet | Version | Source |
| Provenance.activity | Base | extensible | AccessProvenance Activity | 📦8.0.0 | This IG |
| Provenance.agent.role | Base | extensible | AccessProvenance Agent Role | 📦8.0.0 | This IG |
| 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: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Provenance | Who, What, When for a set of resources | |
![]() ![]() |
1..* | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Target Reference(s) (usually version specific) | |
![]() ![]() |
1..1 | CodeableConcept | Activity that occurred Binding: AccessProvenance Activity (extensible) | |
![]() ![]() |
||||
![]() ![]() ![]() |
0..* | CodeableConcept | What the agents role was Binding: AccessProvenance Agent Role (extensible) | |
![]() ![]() ![]() |
1..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated | |
![]() ![]() ![]() |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Provenance.activity | Base | extensible | AccessProvenance Activity | 📦8.0.0 | This IG |
| Provenance.agent.role | Base | extensible | AccessProvenance Agent Role | 📦8.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | Provenance | Who, What, When for a set of resources | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 1..* | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Target Reference(s) (usually version specific) | ||||
![]() ![]() |
0..1 | When the activity occurred | ||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() |
Σ | 1..1 | instant | When the activity was recorded / updated | ||||
![]() ![]() |
0..* | uri | Policy or plan the activity was defined by | |||||
![]() ![]() |
0..1 | Reference(Location) | Where the activity occurred, if relevant | |||||
![]() ![]() |
0..* | CodeableConcept | Reason the activity is occurring Binding: PurposeOfUse (extensible): The reason the activity took place. | |||||
![]() ![]() |
1..1 | CodeableConcept | Activity that occurred Binding: AccessProvenance Activity (extensible) | |||||
![]() ![]() |
1..* | BackboneElement | Actor involved | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | What the agents role was Binding: AccessProvenance Agent Role (extensible) | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated | ||||
![]() ![]() ![]() |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing | |||||
![]() ![]() |
0..* | BackboneElement | An entity used in this activity | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
Σ | 1..1 | code | derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity. | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Resource) | Identity of entity | ||||
![]() ![]() ![]() |
0..* | See agent (Provenance) | Entity is attributed to this agent | |||||
![]() ![]() |
0..* | Signature | Signature on target | |||||
Documentation for this format | ||||||||
| 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 v7.0 |
| Provenance.activity | Base | extensible | AccessProvenance Activity | 📦8.0.0 | This IG |
| Provenance.agent.type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std. |
| Provenance.agent.role | Base | extensible | AccessProvenance Agent Role | 📦8.0.0 | This IG |
| Provenance.entity.role | Base | required | ProvenanceEntityRole | 📍4.0.1 | FHIR Std. |
| 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: 1 element
Structures
This structure refers to these other structures:
Key Elements View
| Path | Status | Usage | ValueSet | Version | Source |
| Provenance.activity | Base | extensible | AccessProvenance Activity | 📦8.0.0 | This IG |
| Provenance.agent.role | Base | extensible | AccessProvenance Agent Role | 📦8.0.0 | This IG |
| 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: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | Provenance | Who, What, When for a set of resources | |
![]() ![]() |
1..* | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Target Reference(s) (usually version specific) | |
![]() ![]() |
1..1 | CodeableConcept | Activity that occurred Binding: AccessProvenance Activity (extensible) | |
![]() ![]() |
||||
![]() ![]() ![]() |
0..* | CodeableConcept | What the agents role was Binding: AccessProvenance Agent Role (extensible) | |
![]() ![]() ![]() |
1..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated | |
![]() ![]() ![]() |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| Provenance.activity | Base | extensible | AccessProvenance Activity | 📦8.0.0 | This IG |
| Provenance.agent.role | Base | extensible | AccessProvenance Agent Role | 📦8.0.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | Provenance | Who, What, When for a set of resources | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
Σ | 1..* | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Target Reference(s) (usually version specific) | ||||
![]() ![]() |
0..1 | When the activity occurred | ||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() |
Σ | 1..1 | instant | When the activity was recorded / updated | ||||
![]() ![]() |
0..* | uri | Policy or plan the activity was defined by | |||||
![]() ![]() |
0..1 | Reference(Location) | Where the activity occurred, if relevant | |||||
![]() ![]() |
0..* | CodeableConcept | Reason the activity is occurring Binding: PurposeOfUse (extensible): The reason the activity took place. | |||||
![]() ![]() |
1..1 | CodeableConcept | Activity that occurred Binding: AccessProvenance Activity (extensible) | |||||
![]() ![]() |
1..* | BackboneElement | Actor involved | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
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. | ||||
![]() ![]() ![]() |
0..* | CodeableConcept | What the agents role was Binding: AccessProvenance Agent Role (extensible) | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated | ||||
![]() ![]() ![]() |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing | |||||
![]() ![]() |
0..* | BackboneElement | An entity used in this activity | |||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
Σ | 1..1 | code | derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity. | ||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Resource) | Identity of entity | ||||
![]() ![]() ![]() |
0..* | See agent (Provenance) | Entity is attributed to this agent | |||||
![]() ![]() |
0..* | Signature | Signature on target | |||||
Documentation for this format | ||||||||
| 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 v7.0 |
| Provenance.activity | Base | extensible | AccessProvenance Activity | 📦8.0.0 | This IG |
| Provenance.agent.type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std. |
| Provenance.agent.role | Base | extensible | AccessProvenance Agent Role | 📦8.0.0 | This IG |
| Provenance.entity.role | Base | required | ProvenanceEntityRole | 📍4.0.1 | FHIR Std. |
| 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: 1 element
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron