Scope and usage

This profile is used as the Provenance in a CareCommunication message. This profile inherits from MedComMessagingProvenance and must be used as Provenance instance in the CareCommuncation message. The Provenance resource tracks information about the activity what was created, while referencing the current message and previous messages if such exist. Further, does the profile include the identifier of the message segment (also referred to as payload).

Entities

The element Provenance.entity is sliced. One slice is called payload, and contains the identifier for the payloads added in the current CareCommunication. The second slice is called previousMessage is used when the message is a reply or forwarding. In these cases, the Provenance.entity must refer to the previous message.

Please refer to the tab "Snapshot Table" below for the definition of the required content of a MedComCareCommunicationMessageHeader.

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

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Provenance		0..*	MedComMessagingProvenance	Who, What, When for a set of resources
id	SOΣ	0..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	SOΣ	1..1	Reference(MedComCareCommunicationMessageHeader)	Targets the MedComMessagingMessageHeader from the current message.
Slices for occurred[x]	S	1..1	dateTime	When the activity occurred Slice: Unordered, Closed by type:$this
occurred[x]:occurredDateTime	SO	1..1	dateTime	A human readable date and time for when the message is sent. Shall include a date, a time and timezone.
recorded	SΣ	1..1	instant	A system readable date and time for when the message is sent.
activity	S	1..1	CodeableConcept	If the previous message is an EDIFACT or OIOXML message, the activity code must be reply-message Binding: MedComCareCommunicationMessageActivities (1.8.1) (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SOΣ	1..1	code	Symbol in syntax defined by the system
agent	S	1..*	BackboneElement	The actors involved in the activity taking place
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
who	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	A reference to the actor of the activity, which shall be a MedComMessagingOrganization. If more actors has been involved, the element must be sliced.
Slices for entity	S	1..*	BackboneElement	An entity used in this activity Slice: Unordered, Closed by value:role
entity:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SOΣ	1..1	code	derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
what	SΣ	1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message, the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message, formatted as MessageHeader/[id].
identifier	SOΣ	0..1	Identifier	If previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
entity:preceedingMessage	S	0..1	BackboneElement	Shall be included when the current message is a response to a previous FHIR message.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SOΣ	1..1	code	When a message is a response or a forwarding message the role shall be 'revision'. Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: revision
what	SΣ	1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message , the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must contain the MessageHeader.id from previous message.
identifier	SOΣ	0..1	Identifier	If the previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
entity:payload	S	1..*	BackboneElement	An identifier for the payload included during this revision. If more payloads are added, each payload must be represented with an individual entity.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SOΣ	1..1	code	The role shall be 'source' or 'revision'. Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: source
what	SΣ	1..1	Reference(Resource)	A reference to the payload included in this message.
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message, formatted as MessageHeader/[id].
identifier	SOΣ	1..1	Identifier	The identifier of the newly included Communication.payload.extension.valueIdentifier must be included here.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Provenance.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
Provenance.activity	required	MedComCareCommunicationMessageActivities http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-messagingActivities|1.8.1
Provenance.entity.role	required	ProvenanceEntityRole http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity:preceedingMessage.role	required	Pattern Value: revision http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity:payload.role	required	Pattern Value: source http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
txt-1	error	Provenance.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Provenance.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from MedComMessagingProvenance

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Provenance		0..*	MedComMessagingProvenance	Who, What, When for a set of resources
target		1..1	Reference(MedComCareCommunicationMessageHeader)	Targets the MedComMessagingMessageHeader from the current message.
activity		1..1	CodeableConcept	If the previous message is an EDIFACT or OIOXML message, the activity code must be reply-message Binding: MedComCareCommunicationMessageActivities (1.8.1) (required)
Slices for entity		1..*	BackboneElement	An entity used in this activity Slice: Unordered, Closed by value:role
entity:preceedingMessage	S	0..1	BackboneElement	Shall be included when the current message is a response to a previous FHIR message.
role		1..1	code	When a message is a response or a forwarding message the role shall be 'revision'. Required Pattern: revision
what		1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message , the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
reference		0..1	string	If the previous message is a FHIR message, this element must contain the MessageHeader.id from previous message.
identifier		0..1	Identifier	If the previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
entity:payload	S	1..*	BackboneElement	An identifier for the payload included during this revision. If more payloads are added, each payload must be represented with an individual entity.
role		1..1	code	The role shall be 'source' or 'revision'. Required Pattern: source
what		1..1	Reference(Resource)	A reference to the payload included in this message.
identifier		1..1	Identifier	The identifier of the newly included Communication.payload.extension.valueIdentifier must be included here.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Provenance.activity	required	MedComCareCommunicationMessageActivities http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-messagingActivities|1.8.1

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Provenance		0..*	MedComMessagingProvenance	Who, What, When for a set of resources
id	SOΣ	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	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	SOΣ	1..1	Reference(MedComCareCommunicationMessageHeader)	Targets the MedComMessagingMessageHeader from the current message.
Slices for occurred[x]	S	1..1	dateTime	When the activity occurred Slice: Unordered, Closed by type:$this
occurred[x]:occurredDateTime	SO	1..1	dateTime	A human readable date and time for when the message is sent. Shall include a date, a time and timezone.
recorded	SΣ	1..1	instant	A system readable date and time for when the message is sent.
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 (3.1.0) (extensible): The reason the activity took place.
activity	S	1..1	CodeableConcept	If the previous message is an EDIFACT or OIOXML message, the activity code must be reply-message Binding: MedComCareCommunicationMessageActivities (1.8.1) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
agent	S	1..*	BackboneElement	The actors involved in the activity taking place
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	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	A reference to the actor of the activity, which shall be a MedComMessagingOrganization. If more actors has been involved, the element must be sliced.
onBehalfOf		0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
Slices for entity	S	1..*	BackboneElement	An entity used in this activity Slice: Unordered, Closed by value:role
entity: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
role	SOΣ	1..1	code	derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
what	SΣ	1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message, the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message, formatted as MessageHeader/[id].
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	0..1	Identifier	If previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
display	Σ	0..1	string	Text alternative for the resource
agent		0..*	See agent (Provenance)	Entity is attributed to this agent
entity:preceedingMessage	S	0..1	BackboneElement	Shall be included when the current message is a response to a previous FHIR message.
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	SOΣ	1..1	code	When a message is a response or a forwarding message the role shall be 'revision'. Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: revision
what	SΣ	1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message , the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must contain the MessageHeader.id from previous message.
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	0..1	Identifier	If the previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
display	Σ	0..1	string	Text alternative for the resource
agent		0..*	See agent (Provenance)	Entity is attributed to this agent
entity:payload	S	1..*	BackboneElement	An identifier for the payload included during this revision. If more payloads are added, each payload must be represented with an individual entity.
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	SOΣ	1..1	code	The role shall be 'source' or 'revision'. Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: source
what	SΣ	1..1	Reference(Resource)	A reference to the payload included in this message.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message, formatted as MessageHeader/[id].
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	1..1	Identifier	The identifier of the newly included Communication.payload.extension.valueIdentifier must be included here.
display	Σ	0..1	string	Text alternative for the resource
agent		0..*	See agent (Provenance)	Entity is attributed to this agent
signature		0..*	Signature	Signature on target
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Provenance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Provenance.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
Provenance.reason	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0
Provenance.activity	required	MedComCareCommunicationMessageActivities http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-messagingActivities|1.8.1
Provenance.agent.type	extensible	ProvenanceParticipantType http://hl7.org/fhir/ValueSet/provenance-agent-type|4.0.1 From the FHIR Standard
Provenance.agent.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type|4.0.1 From the FHIR Standard
Provenance.entity.role	required	ProvenanceEntityRole http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity.what.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
Provenance.entity:preceedingMessage.role	required	Pattern Value: revision http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity:preceedingMessage.what.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
Provenance.entity:payload.role	required	Pattern Value: source http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity:payload.what.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
txt-1	error	Provenance.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Provenance.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Provenance		0..*	MedComMessagingProvenance	Who, What, When for a set of resources
id	SOΣ	0..1	id	Logical id of this artifact
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
text	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	SOΣ	1..1	Reference(MedComCareCommunicationMessageHeader)	Targets the MedComMessagingMessageHeader from the current message.
Slices for occurred[x]	S	1..1	dateTime	When the activity occurred Slice: Unordered, Closed by type:$this
occurred[x]:occurredDateTime	SO	1..1	dateTime	A human readable date and time for when the message is sent. Shall include a date, a time and timezone.
recorded	SΣ	1..1	instant	A system readable date and time for when the message is sent.
activity	S	1..1	CodeableConcept	If the previous message is an EDIFACT or OIOXML message, the activity code must be reply-message Binding: MedComCareCommunicationMessageActivities (1.8.1) (required)
coding	SΣ	1..1	Coding	Code defined by a terminology system
system	SΣ	1..1	uri	Identity of the terminology system
code	SOΣ	1..1	code	Symbol in syntax defined by the system
agent	S	1..*	BackboneElement	The actors involved in the activity taking place
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
who	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	A reference to the actor of the activity, which shall be a MedComMessagingOrganization. If more actors has been involved, the element must be sliced.
Slices for entity	S	1..*	BackboneElement	An entity used in this activity Slice: Unordered, Closed by value:role
entity:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SOΣ	1..1	code	derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
what	SΣ	1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message, the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message, formatted as MessageHeader/[id].
identifier	SOΣ	0..1	Identifier	If previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
entity:preceedingMessage	S	0..1	BackboneElement	Shall be included when the current message is a response to a previous FHIR message.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SOΣ	1..1	code	When a message is a response or a forwarding message the role shall be 'revision'. Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: revision
what	SΣ	1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message , the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must contain the MessageHeader.id from previous message.
identifier	SOΣ	0..1	Identifier	If the previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
entity:payload	S	1..*	BackboneElement	An identifier for the payload included during this revision. If more payloads are added, each payload must be represented with an individual entity.
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	SOΣ	1..1	code	The role shall be 'source' or 'revision'. Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: source
what	SΣ	1..1	Reference(Resource)	A reference to the payload included in this message.
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message, formatted as MessageHeader/[id].
identifier	SOΣ	1..1	Identifier	The identifier of the newly included Communication.payload.extension.valueIdentifier must be included here.
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Provenance.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
Provenance.activity	required	MedComCareCommunicationMessageActivities http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-messagingActivities|1.8.1
Provenance.entity.role	required	ProvenanceEntityRole http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity:preceedingMessage.role	required	Pattern Value: revision http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity:payload.role	required	Pattern Value: source http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
txt-1	error	Provenance.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Provenance.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

Differential View

This structure is derived from MedComMessagingProvenance

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Provenance		0..*	MedComMessagingProvenance	Who, What, When for a set of resources
target		1..1	Reference(MedComCareCommunicationMessageHeader)	Targets the MedComMessagingMessageHeader from the current message.
activity		1..1	CodeableConcept	If the previous message is an EDIFACT or OIOXML message, the activity code must be reply-message Binding: MedComCareCommunicationMessageActivities (1.8.1) (required)
Slices for entity		1..*	BackboneElement	An entity used in this activity Slice: Unordered, Closed by value:role
entity:preceedingMessage	S	0..1	BackboneElement	Shall be included when the current message is a response to a previous FHIR message.
role		1..1	code	When a message is a response or a forwarding message the role shall be 'revision'. Required Pattern: revision
what		1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message , the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
reference		0..1	string	If the previous message is a FHIR message, this element must contain the MessageHeader.id from previous message.
identifier		0..1	Identifier	If the previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
entity:payload	S	1..*	BackboneElement	An identifier for the payload included during this revision. If more payloads are added, each payload must be represented with an individual entity.
role		1..1	code	The role shall be 'source' or 'revision'. Required Pattern: source
what		1..1	Reference(Resource)	A reference to the payload included in this message.
identifier		1..1	Identifier	The identifier of the newly included Communication.payload.extension.valueIdentifier must be included here.
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Provenance.activity	required	MedComCareCommunicationMessageActivities http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-messagingActivities|1.8.1

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
Provenance		0..*	MedComMessagingProvenance	Who, What, When for a set of resources
id	SOΣ	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	S	0..1	Narrative	The narrative text SHALL always be included when exchanging a MedCom FHIR Bundle. This profile does not constrain the narrative in regard to content, language, or traceability to data elements
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
status	S	1..1	code	generated | extensions | additional | empty Binding: NarrativeStatus (required): The status of a resource narrative.
div	SC	1..1	xhtml	Limited xhtml content Constraints: txt-1, txt-2
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	SOΣ	1..1	Reference(MedComCareCommunicationMessageHeader)	Targets the MedComMessagingMessageHeader from the current message.
Slices for occurred[x]	S	1..1	dateTime	When the activity occurred Slice: Unordered, Closed by type:$this
occurred[x]:occurredDateTime	SO	1..1	dateTime	A human readable date and time for when the message is sent. Shall include a date, a time and timezone.
recorded	SΣ	1..1	instant	A system readable date and time for when the message is sent.
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 (3.1.0) (extensible): The reason the activity took place.
activity	S	1..1	CodeableConcept	If the previous message is an EDIFACT or OIOXML message, the activity code must be reply-message Binding: MedComCareCommunicationMessageActivities (1.8.1) (required)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	SΣ	1..1	Coding	Code defined by a terminology system
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	SΣ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	SOΣ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
agent	S	1..*	BackboneElement	The actors involved in the activity taking place
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	SOΣ	1..1	Reference(MedComMessagingOrganization) {b}	A reference to the actor of the activity, which shall be a MedComMessagingOrganization. If more actors has been involved, the element must be sliced.
onBehalfOf		0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
Slices for entity	S	1..*	BackboneElement	An entity used in this activity Slice: Unordered, Closed by value:role
entity: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
role	SOΣ	1..1	code	derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
what	SΣ	1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message, the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message, formatted as MessageHeader/[id].
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	0..1	Identifier	If previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
display	Σ	0..1	string	Text alternative for the resource
agent		0..*	See agent (Provenance)	Entity is attributed to this agent
entity:preceedingMessage	S	0..1	BackboneElement	Shall be included when the current message is a response to a previous FHIR message.
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	SOΣ	1..1	code	When a message is a response or a forwarding message the role shall be 'revision'. Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: revision
what	SΣ	1..1	Reference(Resource)	A reference to the previous message. If the previous message is a FHIR message , the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must contain the MessageHeader.id from previous message.
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	0..1	Identifier	If the previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
display	Σ	0..1	string	Text alternative for the resource
agent		0..*	See agent (Provenance)	Entity is attributed to this agent
entity:payload	S	1..*	BackboneElement	An identifier for the payload included during this revision. If more payloads are added, each payload must be represented with an individual entity.
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	SOΣ	1..1	code	The role shall be 'source' or 'revision'. Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: source
what	SΣ	1..1	Reference(Resource)	A reference to the payload included in this message.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	SOΣC	0..1	string	If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message, formatted as MessageHeader/[id].
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	SOΣ	1..1	Identifier	The identifier of the newly included Communication.payload.extension.valueIdentifier must be included here.
display	Σ	0..1	string	Text alternative for the resource
agent		0..*	See agent (Provenance)	Entity is attributed to this agent
signature		0..*	Signature	Signature on target
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Provenance.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages|4.0.1 From the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
Provenance.text.status	required	NarrativeStatus http://hl7.org/fhir/ValueSet/narrative-status|4.0.1 From the FHIR Standard
Provenance.reason	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse|3.1.0
Provenance.activity	required	MedComCareCommunicationMessageActivities http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-messagingActivities|1.8.1
Provenance.agent.type	extensible	ProvenanceParticipantType http://hl7.org/fhir/ValueSet/provenance-agent-type|4.0.1 From the FHIR Standard
Provenance.agent.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type|4.0.1 From the FHIR Standard
Provenance.entity.role	required	ProvenanceEntityRole http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity.what.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
Provenance.entity:preceedingMessage.role	required	Pattern Value: revision http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity:preceedingMessage.what.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard
Provenance.entity:payload.role	required	Pattern Value: source http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 From the FHIR Standard
Provenance.entity:payload.what.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types|4.0.1 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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()
txt-1	error	Provenance.text.div	The narrative SHALL contain only the basic html formatting elements and attributes described in chapters 7-11 (except section 4 of chapter 9) and 15 of the HTML 4.0 standard, <a> elements (either name or href), images and internally contained style attributes : htmlChecks()
txt-2	error	Provenance.text.div	The narrative SHALL have some non-whitespace content : htmlChecks()

This structure is derived from MedComMessagingProvenance

Summary

Mandatory: 3 elements
Must-Support: 2 elements

Structures

This structure refers to these other structures:

• MedComCareCommunicationMessageHeader (http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-messageHeader)

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of Provenance.entity (Closed)