HL7 Czech Base and Core Implementation Guide
            
            0.3.0-ballot - ci-build
  
            
          
HL7 Czech Base and Core Implementation Guide, published by HL7 Czech Republic. This guide is not an authorized publication; it is the continuous build for version 0.3.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7-cz/cz-core/ and changes regularly. See the Directory of published versions
| Official URL: https://hl7.cz/fhir/core/StructureDefinition/cz-provenance | Version: 0.3.0-ballot | |||
| Draft as of 2025-10-20 | Computable Name: CZ_Provenance | |||
Czech national profile on Provenance tracks information about the activity that created, revised, deleted, or signed a version of a resource, describing the entities and agents involved.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| 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 | |
![]() ![]()  | 
S | 1..* | Reference(Resource) | Target Reference(s) (usually version specific) | 
![]() ![]()  | 
0..1 | Reference(Location (CZ core)) | Where the activity occurred, if relevant | |
![]() ![]()  | 
S | 1..* | BackboneElement | Actor involved | 
![]() ![]() ![]()  | 
1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Patient (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core)) | Who participated | |
![]() ![]() ![]()  | 
0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Patient (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core)) | Who the agent is representing | |
![]() ![]()  | 
S | 0..1 | CZ_Signature | Signature on target | 
  Documentation for this format | ||||
| 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 | ||||
![]() ![]()  | 
SΣ | 1..* | Reference(Resource) | 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 (CZ core)) | Where the activity occurred, if relevant | |||||
![]() ![]()  | 
0..* | CodeableConcept | Reason the activity is occurring Binding: PurposeOfUse (3.1.0) (extensible): The reason the activity took place.  | |||||
![]() ![]()  | 
0..1 | CodeableConcept | Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place.  | |||||
![]() ![]()  | 
S | 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: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.  | |||||
![]() ![]() ![]()  | 
Σ | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Patient (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core)) | Who participated | ||||
![]() ![]() ![]()  | 
0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Patient (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core)) | 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 | |||||
![]() ![]()  | 
S | 0..1 | CZ_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 v6.5 | 
| 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.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
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Key Elements View
| 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 | |
![]() ![]()  | 
S | 1..* | Reference(Resource) | Target Reference(s) (usually version specific) | 
![]() ![]()  | 
0..1 | Reference(Location (CZ core)) | Where the activity occurred, if relevant | |
![]() ![]()  | 
S | 1..* | BackboneElement | Actor involved | 
![]() ![]() ![]()  | 
1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Patient (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core)) | Who participated | |
![]() ![]() ![]()  | 
0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Patient (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core)) | Who the agent is representing | |
![]() ![]()  | 
S | 0..1 | CZ_Signature | Signature on target | 
  Documentation for this format | ||||
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 | ||||
![]() ![]()  | 
SΣ | 1..* | Reference(Resource) | 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 (CZ core)) | Where the activity occurred, if relevant | |||||
![]() ![]()  | 
0..* | CodeableConcept | Reason the activity is occurring Binding: PurposeOfUse (3.1.0) (extensible): The reason the activity took place.  | |||||
![]() ![]()  | 
0..1 | CodeableConcept | Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place.  | |||||
![]() ![]()  | 
S | 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: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.  | |||||
![]() ![]() ![]()  | 
Σ | 1..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Patient (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core)) | Who participated | ||||
![]() ![]() ![]()  | 
0..1 | Reference(Practitioner (CZ core) | Practitioner Role (CZ core) | Related Person (CZ core) | Patient (CZ core) | Device: Performer/Observer (CZ) | Medical Device (CZ) | Organization (CZ core)) | 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 | |||||
![]() ![]()  | 
S | 0..1 | CZ_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 v6.5 | 
| 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.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
Must-Support: 3 elements
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron