Da Vinci - Documentation Templates and Rules
2.2.0 - STU 2.2

Da Vinci - Documentation Templates and Rules, published by HL7 International / Clinical Decision Support. This guide is not an authorized publication; it is the continuous build for version 2.2.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-dtr/ and changes regularly. See the Directory of published versions

## Extension: Information Origin

Official URL: http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin | Version: 2.2.0 | Highlight text changes?
Standards status: Trial-use Active as of 2026-03-27 | Maturity Level: 2 | Computable Name: InformationOrigin

Identifies the origin of the information in the answer and how it came to exist.

Context of Use

This extension may be used on the following element(s)

- Element ID: `QuestionnaireResponse.item.answer`

Usage info

Usages:

- Use this Extension: DTR Questionnaire Response and DTR Questionnaire Response
- Examples for this Extension: Bundle/DTRQuestionnairePackageOperationResultComplex, Bundle/DTRQuestionnairePackageOperationResultSimple, Bundle/home-o2-questionnairepackage-bundle-2, Bundle/home-o2-questionnairepackage-bundle... Show 6 more, Bundle/home-o2-questionnaireresponse-bundle, Parameters/NextQuestionInputParamsExample, Parameters/NextQuestionOutputParamsExample, Parameters/QuestionnairePackageOutputParamsExample, QuestionnaireResponse/home-o2-adaptive-questionnaireresponse and QuestionnaireResponse/home-o2-questionnaireresponse

You can also check for usages in the FHIR IG Statistics

### Formal Views of Extension Content

Description Differentials, Snapshots, and other representations.

- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 0..* | Extension | Extension
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:source |  | 1..1 | Extension | The origination of information
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "source"
value[x] |  | 1..1 | code | auto-client | auto-server | override | manual Binding: DTRInformationOrigins (2.2.0) (required)
extension:author |  | 0..1 | Extension | The author of the information adjustment
Slices for extension |  |  |  | Content/Rules for all slices
extension:role |  | 0..* | Extension | The role of the final human who authored the information adjustment
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "role"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: USCoreProviderRoleNucc (3.1.1) (extensible)
extension:practitioner |  | 0..1 | Extension | The final practitioner who authored the information adjustment
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "practitioner"
value[x] |  | 1..1 | Reference(US Core Practitioner Profile(7.0.0)) | Value of extension
url |  | 1..1 | uri | "author"
value[x] |  | 0..0 |  | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:source.​value[x] | Base | required | Information Origins Value Set | 📍2.2.0 | This IG
Extension.extension:author.​extension:role.value[x] | Base | extensible | US Core Provider Role (NUCC) | 📍3.1.1 | US Core v3.1

#### Constraints

Id | Grade | Path(s) | Description | Expression

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 0..* | Extension | Extension Constraints: dtrx-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:source |  | 1..1 | Extension | The origination of information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "source"
value[x] |  | 1..1 | code | auto-client | auto-server | override | manual Binding: DTRInformationOrigins (2.2.0) (required)
extension:author |  | 0..1 | Extension | The author of the information adjustment
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:role |  | 0..* | Extension | The role of the final human who authored the information adjustment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "role"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: USCoreProviderRoleNucc (3.1.1) (extensible)
extension:practitioner |  | 0..1 | Extension | The final practitioner who authored the information adjustment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "practitioner"
value[x] |  | 1..1 | Reference(US Core Practitioner Profile(7.0.0)) | Value of extension
url |  | 1..1 | uri | "author"
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:source.​value[x] | Base | required | Information Origins Value Set | 📍2.2.0 | This IG
Extension.extension:author.​extension:role.value[x] | Base | extensible | US Core Provider Role (NUCC) | 📍3.1.1 | US Core v3.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dtrx-1 | error | Extension | If source is 'override' or 'manual' then an author SHALL be supplied, otherwise author is prohibited. | `extension.exists(url = 'source' and (value = 'auto-client' or value = 'auto-server')) != extension.exists(url = 'author')`
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()`

Summary

Complex Extension: Identifies the origin of the information in the answer and how it came to exist.

- source: code: The origination of information
- role: CodeableConcept: The role of the final human who authored the information adjustment
- practitioner: Reference: The final practitioner who authored the information adjustment

Maturity: 2

Differential ViewDifferential View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 0..* | Extension | Extension
extension |  | 1..* | Extension | Extension
Slices for extension |  |  |  | Content/Rules for all slices
extension:source |  | 1..1 | Extension | The origination of information
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "source"
value[x] |  | 1..1 | code | auto-client | auto-server | override | manual Binding: DTRInformationOrigins (2.2.0) (required)
extension:author |  | 0..1 | Extension | The author of the information adjustment
Slices for extension |  |  |  | Content/Rules for all slices
extension:role |  | 0..* | Extension | The role of the final human who authored the information adjustment
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "role"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: USCoreProviderRoleNucc (3.1.1) (extensible)
extension:practitioner |  | 0..1 | Extension | The final practitioner who authored the information adjustment
extension |  | 0..0 |  | Extension
url |  | 1..1 | uri | "practitioner"
value[x] |  | 1..1 | Reference(US Core Practitioner Profile(7.0.0)) | Value of extension
url |  | 1..1 | uri | "author"
value[x] |  | 0..0 |  | Value of extension
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
value[x] |  | 0..0 |  | Value of extension
Documentation for this format

#### Terminology Bindings (Differential)

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:source.​value[x] | Base | required | Information Origins Value Set | 📍2.2.0 | This IG
Extension.extension:author.​extension:role.value[x] | Base | extensible | US Core Provider Role (NUCC) | 📍3.1.1 | US Core v3.1

#### Constraints

Id | Grade | Path(s) | Description | Expression

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Extension | C | 0..* | Extension | Extension Constraints: dtrx-1
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 1..* | Extension | Extension Slice: Unordered, Open by value:url
extension:source |  | 1..1 | Extension | The origination of information
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "source"
value[x] |  | 1..1 | code | auto-client | auto-server | override | manual Binding: DTRInformationOrigins (2.2.0) (required)
extension:author |  | 0..1 | Extension | The author of the information adjustment
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:role |  | 0..* | Extension | The role of the final human who authored the information adjustment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "role"
value[x] |  | 1..1 | CodeableConcept | Value of extension Binding: USCoreProviderRoleNucc (3.1.1) (extensible)
extension:practitioner |  | 0..1 | Extension | The final practitioner who authored the information adjustment
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..0 |  | Extension Slice: Unordered, Open by value:url
url |  | 1..1 | uri | "practitioner"
value[x] |  | 1..1 | Reference(US Core Practitioner Profile(7.0.0)) | Value of extension
url |  | 1..1 | uri | "author"
url |  | 1..1 | uri | "http://hl7.org/fhir/us/davinci-dtr/StructureDefinition/information-origin"
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Extension.extension:source.​value[x] | Base | required | Information Origins Value Set | 📍2.2.0 | This IG
Extension.extension:author.​extension:role.value[x] | Base | extensible | US Core Provider Role (NUCC) | 📍3.1.1 | US Core v3.1

#### Constraints

Id | Grade | Path(s) | Description | Expression
dtrx-1 | error | Extension | If source is 'override' or 'manual' then an author SHALL be supplied, otherwise author is prohibited. | `extension.exists(url = 'source' and (value = 'auto-client' or value = 'auto-server')) != extension.exists(url = 'author')`
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()`

Summary

Complex Extension: Identifies the origin of the information in the answer and how it came to exist.

- source: code: The origination of information
- role: CodeableConcept: The role of the final human who authored the information adjustment
- practitioner: Reference: The final practitioner who authored the information adjustment

Maturity: 2

Other representations of profile: CSV, Excel, Schematron