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

## Resource Profile: Provenance (CZ)

Official URL: https://hl7.cz/fhir/core/StructureDefinition/cz-provenance | Version: 0.3.0-ballot
Draft as of 2025-12-19 | 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:

- Examples for this Profile: Provenance/signature-rentgen

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) | Target Reference(s) (usually version specific)
recorded | Σ | 1..1 | instant | When the activity was recorded / updated
location |  | 0..1 | Reference(Location (CZ core)) | Where the activity occurred, if relevant
agent | S | 1..* | BackboneElement | Actor involved
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
who | 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
onBehalfOf |  | 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
signature | S | 0..1 | CZ_Signature | Signature on target
Documentation for this format

#### 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 |  | 0..* | Provenance | Who, What, When for a set of resources
target | S | 1..* | Reference(Resource) | Target Reference(s) (usually version specific)
location |  | 0..1 | Reference(Location (CZ core)) | Where the activity occurred, if relevant
agent | S | 1..* | BackboneElement | Actor involved
who |  | 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
onBehalfOf |  | 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
signature | S | 0..1 | CZ_Signature | Signature on target
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) | Target Reference(s) (usually version specific)
occurred[x] |  | 0..1 |  | When the activity occurred
occurredPeriod |  |  | Period |
occurredDateTime |  |  | dateTime |
recorded | Σ | 1..1 | instant | When the activity was recorded / updated
policy |  | 0..* | uri | Policy or plan the activity was defined by
location |  | 0..1 | Reference(Location (CZ core)) | 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 |  | 0..1 | CodeableConcept | Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place.
agent | S | 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 | 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 (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
onBehalfOf |  | 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
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 | S | 0..1 | CZ_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 v7.0
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.

#### 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

Must-Support: 3 elements

Structures

This structure refers to these other structures:

- Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Device: Performer/Observer (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
- Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- Signature (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-signature)

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) | Target Reference(s) (usually version specific)
recorded | Σ | 1..1 | instant | When the activity was recorded / updated
location |  | 0..1 | Reference(Location (CZ core)) | Where the activity occurred, if relevant
agent | S | 1..* | BackboneElement | Actor involved
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
who | 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
onBehalfOf |  | 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
signature | S | 0..1 | CZ_Signature | Signature on target
Documentation for this format

#### 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 |  | 0..* | Provenance | Who, What, When for a set of resources
target | S | 1..* | Reference(Resource) | Target Reference(s) (usually version specific)
location |  | 0..1 | Reference(Location (CZ core)) | Where the activity occurred, if relevant
agent | S | 1..* | BackboneElement | Actor involved
who |  | 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
onBehalfOf |  | 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
signature | S | 0..1 | CZ_Signature | Signature on target
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) | Target Reference(s) (usually version specific)
occurred[x] |  | 0..1 |  | When the activity occurred
occurredPeriod |  |  | Period |
occurredDateTime |  |  | dateTime |
recorded | Σ | 1..1 | instant | When the activity was recorded / updated
policy |  | 0..* | uri | Policy or plan the activity was defined by
location |  | 0..1 | Reference(Location (CZ core)) | 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 |  | 0..1 | CodeableConcept | Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place.
agent | S | 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 | 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 (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
onBehalfOf |  | 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
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 | S | 0..1 | CZ_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 v7.0
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.

#### 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

Must-Support: 3 elements

Structures

This structure refers to these other structures:

- Location (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-location-core)
- Practitioner (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitioner-core)
- Practitioner Role (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-practitionerrole-core)
- Related Person (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-relatedPerson-core)
- Patient (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-patient-core)
- Device: Performer/Observer (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-device-observer)
- Medical Device (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-medical-device)
- Organization (CZ core) (https://hl7.cz/fhir/core/StructureDefinition/cz-organization-core)
- Signature (CZ) (https://hl7.cz/fhir/core/StructureDefinition/cz-signature)

Other representations of profile: CSV, Excel, Schematron