AI Transparency on FHIR
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AI Transparency on FHIR, published by HL7 International / Electronic Health Records. This guide is not an authorized publication; it is the continuous build for version 1.0.0-ballot built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/aitransparency-ig/ and changes regularly. See the Directory of published versions

: Provenance for AI created Patient resource

Page standards status: Informative

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@prefix fhir: <http://hl7.org/fhir/> .
@prefix owl: <http://www.w3.org/2002/07/owl#> .
@prefix rdf: <http://www.w3.org/1999/02/22-rdf-syntax-ns#> .
@prefix rdfs: <http://www.w3.org/2000/01/rdf-schema#> .
@prefix xsd: <http://www.w3.org/2001/XMLSchema#> .

# - resource -------------------------------------------------------------------

 a fhir:Provenance ;
  fhir:nodeRole fhir:treeRoot ;
  fhir:id [ fhir:v "AI-generated-patient-resource"] ; # 
  fhir:meta [
    ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/aitransparency/StructureDefinition/AI-Provenance"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/aitransparency/StructureDefinition/AI-Provenance>     ] )
  ] ; # 
  fhir:language [ fhir:v "en"] ; # 
  fhir:text [
fhir:status [ fhir:v "generated" ] ;
fhir:div [ fhir:v "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en\" lang=\"en\"><p class=\"res-header-id\"><b>Generated Narrative: Provenance AI-generated-patient-resource</b></p><a name=\"AI-generated-patient-resource\"> </a><a name=\"hcAI-generated-patient-resource\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Language: en</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-AI-Provenance.html\">AI Provenance</a></p></div><p>Provenance for <a href=\"Patient-a1b2c3d4-e5f6-7890-abcd-ef1234567890.html\">Jane Doe (official) Female, DoB: 1950-11-15 ( Medical Record Number: MRN123456789 (use: usual, ))</a></p><p>Summary</p><table class=\"grid\"><tr><td>Occurrence</td><td>2025-06-18 00:00:00+0000</td></tr><tr><td>Recorded</td><td>2025-06-18 00:00:00+0000</td></tr><tr><td>Policy</td><td><a href=\"http://example.org/policies/ai-authorized-patient-generation\">http://example.org/policies/ai-authorized-patient-generation</a></td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type verifier}\">Verifier</span></td><td><a href=\"http://server.example.org/fhir/Practitioner/pract\">http://server.example.org/fhir/Practitioner/pract</a></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"Device-Note-ModelCard.html\">Device: extension = Large Language Models; identifier = http://example.org/ehr/client-ids#goodhealth; manufacturer = Acme Devices, Inc; type = All kinds of Artificial Intelligence; contact = http://example.org; note = ---\nlanguage:\n- en\nlicense:\n- bsd-3-clause\nannotations_creators:\n- crowdsourced\n- expert-generated\nlanguage_creators:\n- found\nmultilinguality:\n- monolingual\nsize_categories:\n- n&lt;1K\ntask_categories:\n- image-segmentation\ntask_ids:\n- semantic-segmentation\npretty_name: Sample Segmentation\n---\n\n# Dataset Card for Sample Segmentation\n\nThis is a sample dataset card for a semantic segmentation dataset.</a></td></tr></table></div>"^^rdf:XMLLiteral ]
  ] ; # 
  fhir:contained ( [
a fhir:DocumentReference ;
fhir:id [ fhir:v "Input-Prompt-create-patient" ] ;
fhir:meta [
      ( fhir:profile [
fhir:v "http://hl7.org/fhir/uv/aitransparency/StructureDefinition/AI-InputPrompt"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/aitransparency/StructureDefinition/AI-InputPrompt>       ] )     ] ;
fhir:status [ fhir:v "current" ] ;
fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "http://hl7.org/fhir/uv/aitransparency/CodeSystem/AIinputsCS"^^xsd:anyURI ;
fhir:l <http://hl7.org/fhir/uv/aitransparency/CodeSystem/AIinputsCS>         ] ;
fhir:code [ fhir:v "AIInputPrompt" ] ;
fhir:display [ fhir:v "AI Input Prompt" ]       ] )     ] ;
fhir:description [ fhir:v "System Prompt\n\nYou are a healthcare data specialist that converts natural language patient information into valid FHIR Patient resources. Your task is to extract relevant patient demographics and create a well-formed FHIR Patient resource that is fully conformant with FHIR US Core 6.1.0 specifications.\n\nRequirements:\n\n- Generate valid JSON that conforms to FHIR R4 Patient resource structure\n- Ensure compliance with US Core Patient Profile (US Core 6.1.0)\n- Include all required US Core elements when data is available\n- Use appropriate FHIR data types and value sets\n- Generate a unique resource ID using UUID format\n- Apply proper FHIR coding systems and terminologies\n- Handle missing data appropriately (omit optional fields when data unavailable)\n- Use standard US address formatting\n- Apply proper date formatting (YYYY-MM-DD)\n- Include appropriate extensions when necessary for US Core compliance\n\nUS Core 6.1.0 Patient Profile Requirements:\n\n- Must include: identifier, name, gender, birthDate\n- Should include: address, telecom, race, ethnicity when available\n- Use US Core extensions for race and ethnicity\n- Follow US postal address conventions\n- Use appropriate terminologies (e.g., HL7 AdministrativeGender, OMB race categories)\n\nData Mapping Guidelines:\n\n- Extract patient name and structure as HumanName with family/given components\n- Map gender terms to FHIR AdministrativeGender codes (male, female, other, unknown)\n- Convert birth dates to FHIR date format\n- Structure addresses using Address data type with appropriate use codes\n- Map race/ethnicity information using US Core extensions with appropriate OMB codes\n- Generate medical record number as primary identifier when not provided\n- Include meta.profile reference to US Core Patient profile\n\nOutput Format:\n\n- Provide only the valid FHIR JSON resource without additional commentary or explanation.\n\nUser Prompt\n\n- Convert the following patient information into a FHIR Patient resource conformant with US Core 6.1.0:\n\n`Jane Doe is a white female born on November 15, 1950. She lives at 123 Main Street, Anytown, Michigan, zipcode 12345.`" ] ;
    ( fhir:content [
fhir:attachment [
fhir:contentType [ fhir:v "text/markdown" ] ;
fhir:data [ fhir:v "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"^^xsd:base64Binary ]       ]     ] )
  ] ) ; # 
  fhir:target ( [
fhir:l fhir:Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890 ;
fhir:reference [ fhir:v "Patient/a1b2c3d4-e5f6-7890-abcd-ef1234567890" ]
  ] ) ; # 
  fhir:occurred [
a fhir:DateTime ;
fhir:v "2025-06-18T00:00:00Z"^^xsd:dateTime
  ] ; # 
  fhir:recorded [ fhir:v "2025-06-18T00:00:00Z"^^xsd:dateTime] ; # 
  fhir:policy ( [
fhir:v "http://example.org/policies/ai-authorized-patient-generation"^^xsd:anyURI ;
fhir:l <http://example.org/policies/ai-authorized-patient-generation>
  ] ) ; # 
  fhir:reason ( [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ActReason"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ActReason>       ] ;
fhir:code [ fhir:v "HOPERAT" ]     ] )
  ] [
    ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/v3-ObservationValue"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/v3-ObservationValue>       ] ;
fhir:code [ fhir:v "AIAST" ]     ] )
  ] ) ; # 
  fhir:agent ( [
fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/provenance-participant-type>         ] ;
fhir:code [ fhir:v "verifier" ] ;
fhir:display [ fhir:v "Verifier" ]       ] )     ] ;
fhir:who [
fhir:l <http://server.example.org/fhir/Practitioner/pract> ;
fhir:reference [ fhir:v "http://server.example.org/fhir/Practitioner/pract" ]     ]
  ] [
fhir:type [
      ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/provenance-participant-type>         ] ;
fhir:code [ fhir:v "author" ] ;
fhir:display [ fhir:v "Author" ]       ] )     ] ;
fhir:who [
fhir:l fhir:Device/Note-ModelCard ;
fhir:reference [ fhir:v "Device/Note-ModelCard" ]     ]
  ] ) ; # 
  fhir:entity ( [
fhir:role [ fhir:v "quotation" ] ;
fhir:what [
fhir:l <#Input-Prompt-create-patient> ;
fhir:reference [ fhir:v "#Input-Prompt-create-patient" ]     ] ;
    ( fhir:agent [
fhir:type [
        ( fhir:coding [
fhir:system [
fhir:v "http://terminology.hl7.org/CodeSystem/provenance-participant-type"^^xsd:anyURI ;
fhir:l <http://terminology.hl7.org/CodeSystem/provenance-participant-type>           ] ;
fhir:code [ fhir:v "author" ] ;
fhir:display [ fhir:v "Author" ]         ] )       ] ;
fhir:who [
fhir:l <http://server.example.org/fhir/Practitioner/pract> ;
fhir:reference [ fhir:v "http://server.example.org/fhir/Practitioner/pract" ]       ]     ] )
  ] ) . #