PACIO Advance Directive Interoperability Implementation Guide, published by HL7 International / Patient Empowerment. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/fhir-pacio-adi/ and changes regularly. See the Directory of published versions

• Content
• Detailed Descriptions
• Mappings
• Examples
• XML
• JSON
• TTL

Resource Profile: ADI Provenance

Advance Directive Interoperability Provenance based on US Core to capture, search and fetch provenance information associated with advance directive interoperability data.

Usage:

• Examples for this Resource Profile: Provenance/Example-McBee-PACPProvenance1 and Provenance/Example-Smith-Johnson-PACPProvenance1

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

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

This structure is derived from USCoreProvenance

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	USCoreProvenance	US Core Provenance
Slices for agent				Content/Rules for all slices
agent:assembler	S	0..1	BackboneElement	Indicates the name of the system used to assemble the person's original advance care planning information into a document for exchange.
type		1..1	CodeableConcept	(USCDI) How the agent participated Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version		1..1	string	Version of the system - if relevant Fixed Value: 1.0.0
code		1..1	code	Symbol in syntax defined by the system Fixed Value: assembler
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	USCoreProvenance	US Core Provenance
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	SΣ	1..*	Reference(Resource)	(USCDI) The Resource this Provenance record supports
reference	SΣC	0..1	string	(USCDI) Literal reference, Relative, internal or absolute URL
recorded	SΣ	1..1	instant	(USCDI) Timestamp when the activity was recorded / updated
Slices for agent	SC	1..*	BackboneElement	(USCDI) Actor involved Slice: Unordered, Open by pattern:type provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
agent:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	CodeableConcept	(USCDI) How the agent participated Binding: US Core Provenance Participant Type Codes (extensible)
who	SΣ	1..1	Reference(US Core Organization Profile)	(USCDI) Who participated
onBehalfOf	S	0..1	Reference(US Core Organization Profile)	(USCDI) Who the agent is representing
agent:ProvenanceAuthor	S	0..*	BackboneElement	(USCDI) Actor involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: author
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated
agent:ProvenanceTransmitter	S	0..*	BackboneElement	(USCDI) Actor involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transmitter
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated
agent:assembler	SC	0..1	BackboneElement	Indicates the name of the system used to assemble the person's original advance care planning information into a document for exchange. provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: US Core Provenance Participant Type Codes (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version		1..1	string	Version of the system - if relevant Fixed Value: 1.0.0
code		1..1	code	Symbol in syntax defined by the system Fixed Value: assembler
who	SΣ	1..1	Reference(US Core Organization Profile)	(USCDI) Who participated
onBehalfOf	S	0..1	Reference(US Core Organization Profile)	(USCDI) Who the agent is representing
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Provenance.agent.type	extensible	USCoreProvenancePaticipantTypeCodes http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type
Provenance.agent:ProvenanceAuthor.type	extensible	Pattern: author http://hl7.org/fhir/ValueSet/provenance-agent-type from the FHIR Standard
Provenance.agent:ProvenanceTransmitter.type	extensible	Pattern: transmitter http://hl7.org/fhir/ValueSet/provenance-agent-type from the FHIR Standard
Provenance.agent:assembler.type	extensible	Pattern: assembler http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type

Constraints

Id	Grade	Path(s)	Details	Requirements
provenance-1	error	Provenance.agent	onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device : who.exists((resolve() is Practitioner) or (resolve() is Device)) implies onBehalfOf.exists()

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	USCoreProvenance	US Core Provenance
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	SΣ	1..*	Reference(Resource)	(USCDI) The Resource this Provenance record supports
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	SΣC	0..1	string	(USCDI) Literal reference, Relative, internal or absolute URL
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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
occurred[x]		0..1		When the activity occurred
occurredPeriod			Period
occurredDateTime			dateTime
recorded	SΣ	1..1	instant	(USCDI) Timestamp when the activity was recorded / updated
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 (extensible): The reason the activity took place.
activity		0..1	CodeableConcept	Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place.
Slices for agent	SC	1..*	BackboneElement	(USCDI) Actor involved Slice: Unordered, Open by pattern:type provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
agent: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
type	SΣ	0..1	CodeableConcept	(USCDI) How the agent participated Binding: US Core Provenance Participant Type Codes (extensible)
role		0..*	CodeableConcept	What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
who	SΣ	1..1	Reference(US Core Organization Profile S | US Core Practitioner Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	(USCDI) Who participated
onBehalfOf	S	0..1	Reference(US Core Organization Profile)	(USCDI) Who the agent is representing
agent:ProvenanceAuthor	S	0..*	BackboneElement	(USCDI) 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	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: author
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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 | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated
onBehalfOf		0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
agent:ProvenanceTransmitter	S	0..*	BackboneElement	(USCDI) 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	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transmitter
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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 | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated
onBehalfOf		0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
agent:assembler	SC	0..1	BackboneElement	Indicates the name of the system used to assemble the person's original advance care planning information into a document for exchange. provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
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	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: US Core Provenance Participant Type Codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version		1..1	string	Version of the system - if relevant Fixed Value: 1.0.0
code		1..1	code	Symbol in syntax defined by the system Fixed Value: assembler
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
role		0..*	CodeableConcept	What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
who	SΣ	1..1	Reference(US Core Organization Profile S | US Core Practitioner Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	(USCDI) Who participated
onBehalfOf	S	0..1	Reference(US Core Organization Profile)	(USCDI) 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		0..*	Signature	Signature on target
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Provenance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Provenance.target.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Provenance.reason	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Provenance.activity	extensible	ProvenanceActivityType http://hl7.org/fhir/ValueSet/provenance-activity-type from the FHIR Standard
Provenance.agent.type	extensible	USCoreProvenancePaticipantTypeCodes http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type
Provenance.agent.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Provenance.agent:ProvenanceAuthor.type	extensible	Pattern: author http://hl7.org/fhir/ValueSet/provenance-agent-type from the FHIR Standard
Provenance.agent:ProvenanceAuthor.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Provenance.agent:ProvenanceTransmitter.type	extensible	Pattern: transmitter http://hl7.org/fhir/ValueSet/provenance-agent-type from the FHIR Standard
Provenance.agent:ProvenanceTransmitter.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Provenance.agent:assembler.type	extensible	Pattern: assembler http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type
Provenance.agent:assembler.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Provenance.entity.role	required	ProvenanceEntityRole http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
provenance-1	error	Provenance.agent	onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device : who.exists((resolve() is Practitioner) or (resolve() is Device)) implies onBehalfOf.exists()

This structure is derived from USCoreProvenance

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 1 element

Differential View

This structure is derived from USCoreProvenance

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	USCoreProvenance	US Core Provenance
Slices for agent				Content/Rules for all slices
agent:assembler	S	0..1	BackboneElement	Indicates the name of the system used to assemble the person's original advance care planning information into a document for exchange.
type		1..1	CodeableConcept	(USCDI) How the agent participated Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version		1..1	string	Version of the system - if relevant Fixed Value: 1.0.0
code		1..1	code	Symbol in syntax defined by the system Fixed Value: assembler
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	USCoreProvenance	US Core Provenance
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	SΣ	1..*	Reference(Resource)	(USCDI) The Resource this Provenance record supports
reference	SΣC	0..1	string	(USCDI) Literal reference, Relative, internal or absolute URL
recorded	SΣ	1..1	instant	(USCDI) Timestamp when the activity was recorded / updated
Slices for agent	SC	1..*	BackboneElement	(USCDI) Actor involved Slice: Unordered, Open by pattern:type provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
agent:All Slices				Content/Rules for all slices
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	0..1	CodeableConcept	(USCDI) How the agent participated Binding: US Core Provenance Participant Type Codes (extensible)
who	SΣ	1..1	Reference(US Core Organization Profile)	(USCDI) Who participated
onBehalfOf	S	0..1	Reference(US Core Organization Profile)	(USCDI) Who the agent is representing
agent:ProvenanceAuthor	S	0..*	BackboneElement	(USCDI) Actor involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: author
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated
agent:ProvenanceTransmitter	S	0..*	BackboneElement	(USCDI) Actor involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transmitter
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated
agent:assembler	SC	0..1	BackboneElement	Indicates the name of the system used to assemble the person's original advance care planning information into a document for exchange. provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: US Core Provenance Participant Type Codes (extensible) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version		1..1	string	Version of the system - if relevant Fixed Value: 1.0.0
code		1..1	code	Symbol in syntax defined by the system Fixed Value: assembler
who	SΣ	1..1	Reference(US Core Organization Profile)	(USCDI) Who participated
onBehalfOf	S	0..1	Reference(US Core Organization Profile)	(USCDI) Who the agent is representing
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Provenance.agent.type	extensible	USCoreProvenancePaticipantTypeCodes http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type
Provenance.agent:ProvenanceAuthor.type	extensible	Pattern: author http://hl7.org/fhir/ValueSet/provenance-agent-type from the FHIR Standard
Provenance.agent:ProvenanceTransmitter.type	extensible	Pattern: transmitter http://hl7.org/fhir/ValueSet/provenance-agent-type from the FHIR Standard
Provenance.agent:assembler.type	extensible	Pattern: assembler http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type

Constraints

Id	Grade	Path(s)	Details	Requirements
provenance-1	error	Provenance.agent	onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device : who.exists((resolve() is Practitioner) or (resolve() is Device)) implies onBehalfOf.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	USCoreProvenance	US Core Provenance
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
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	SΣ	1..*	Reference(Resource)	(USCDI) The Resource this Provenance record supports
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	SΣC	0..1	string	(USCDI) Literal reference, Relative, internal or absolute URL
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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
occurred[x]		0..1		When the activity occurred
occurredPeriod			Period
occurredDateTime			dateTime
recorded	SΣ	1..1	instant	(USCDI) Timestamp when the activity was recorded / updated
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 (extensible): The reason the activity took place.
activity		0..1	CodeableConcept	Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place.
Slices for agent	SC	1..*	BackboneElement	(USCDI) Actor involved Slice: Unordered, Open by pattern:type provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
agent: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
type	SΣ	0..1	CodeableConcept	(USCDI) How the agent participated Binding: US Core Provenance Participant Type Codes (extensible)
role		0..*	CodeableConcept	What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
who	SΣ	1..1	Reference(US Core Organization Profile S | US Core Practitioner Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	(USCDI) Who participated
onBehalfOf	S	0..1	Reference(US Core Organization Profile)	(USCDI) Who the agent is representing
agent:ProvenanceAuthor	S	0..*	BackboneElement	(USCDI) 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	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: author
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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 | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated
onBehalfOf		0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
agent:ProvenanceTransmitter	S	0..*	BackboneElement	(USCDI) 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	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: transmitter
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
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 | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated
onBehalfOf		0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
agent:assembler	SC	0..1	BackboneElement	Indicates the name of the system used to assemble the person's original advance care planning information into a document for exchange. provenance-1: onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device
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	SΣ	1..1	CodeableConcept	(USCDI) How the agent participated Binding: US Core Provenance Participant Type Codes (extensible) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/provenance-participant-type
version		1..1	string	Version of the system - if relevant Fixed Value: 1.0.0
code		1..1	code	Symbol in syntax defined by the system Fixed Value: assembler
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
role		0..*	CodeableConcept	What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
who	SΣ	1..1	Reference(US Core Organization Profile S | US Core Practitioner Profile | US Core Patient Profile | US Core PractitionerRole Profile | US Core RelatedPerson Profile | Device)	(USCDI) Who participated
onBehalfOf	S	0..1	Reference(US Core Organization Profile)	(USCDI) 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		0..*	Signature	Signature on target
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Provenance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
Provenance.target.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
Provenance.reason	extensible	PurposeOfUse http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Provenance.activity	extensible	ProvenanceActivityType http://hl7.org/fhir/ValueSet/provenance-activity-type from the FHIR Standard
Provenance.agent.type	extensible	USCoreProvenancePaticipantTypeCodes http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type
Provenance.agent.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Provenance.agent:ProvenanceAuthor.type	extensible	Pattern: author http://hl7.org/fhir/ValueSet/provenance-agent-type from the FHIR Standard
Provenance.agent:ProvenanceAuthor.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Provenance.agent:ProvenanceTransmitter.type	extensible	Pattern: transmitter http://hl7.org/fhir/ValueSet/provenance-agent-type from the FHIR Standard
Provenance.agent:ProvenanceTransmitter.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Provenance.agent:assembler.type	extensible	Pattern: assembler http://hl7.org/fhir/us/core/ValueSet/us-core-provenance-participant-type
Provenance.agent:assembler.role	example	SecurityRoleType http://hl7.org/fhir/ValueSet/security-role-type from the FHIR Standard
Provenance.entity.role	required	ProvenanceEntityRole http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
provenance-1	error	Provenance.agent	onBehalfOf SHALL be present when Provenance.agent.who is a Practitioner or Device : who.exists((resolve() is Practitioner) or (resolve() is Device)) implies onBehalfOf.exists()

This structure is derived from USCoreProvenance

Summary

Mandatory: 0 element(1 nested mandatory element)
Must-Support: 1 element

Other representations of profile: CSV, Excel, Schematron