Cross Border Data Exchange IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/cross-border-data-exchange/ and changes regularly. See the Directory of published versions

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• Mappings
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Data Type Profile: Provenance-Signature - IEHR

Usage:

• Use this DataType Constraint: Bundle-IEHR and Provenance-IEHR

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 Signature

Name	Flags	Card.	Type	Description & Constraints
Signature			Signature
type	S	1..1	Coding	Indication of the reason the entity signed the object(s) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: urn:iso-astm:E1762-95:2013
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10065.1.12.1.5
display		1..1	string	Representation defined by the system Fixed Value: Verification Signature
onBehalfOf	S	0..0
targetFormat	S	1..1	code	The technical format of the signed resources Binding: TargetFormat ValueSet-IEHR (required)
sigFormat	S	1..1	code	The technical format of the signature Fixed Value: application/jose
data	S	1..1	base64Binary	The actual signature content (XML DigSig. JWS, picture, etc.)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Signature.targetFormat	required	TargetFormatValueSetIEHR http://interopehrate.eu/fhir/ValueSet/TargetFormat-IEHR from this IG

Name	Flags	Card.	Type	Description & Constraints
Signature		0..*	Signature	A Signature - XML DigSig, JWS, Graphical image of signature, etc.
type	SΣ	1..1	Coding	Indication of the reason the entity signed the object(s) Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:iso-astm:E1762-95:2013
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10065.1.12.1.5
display		1..1	string	Representation defined by the system Fixed Value: Verification Signature
userSelected		0..0	boolean	If this coding was chosen directly by the user
when	Σ	1..1	instant	When the signature was created
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed
targetFormat	S	1..1	code	The technical format of the signed resources Binding: TargetFormat ValueSet-IEHR (required)
sigFormat	S	1..1	code	The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/jose
data	S	1..1	base64Binary	The actual signature content (XML DigSig. JWS, picture, etc.)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Signature.type	preferred	Fixed Value: 1.2.840.10065.1.12.1.5("Verification Signature") http://hl7.org/fhir/ValueSet/signature-type from the FHIR Standard
Signature.targetFormat	required	TargetFormatValueSetIEHR http://interopehrate.eu/fhir/ValueSet/TargetFormat-IEHR from this IG
Signature.sigFormat	required	Fixed Value: application/jose http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

Name	Flags	Card.	Type	Description & Constraints
Signature		0..*	Signature	A Signature - XML DigSig, JWS, Graphical image of signature, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	SΣ	1..1	Coding	Indication of the reason the entity signed the object(s) Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:iso-astm:E1762-95:2013
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10065.1.12.1.5
display		1..1	string	Representation defined by the system Fixed Value: Verification Signature
userSelected		0..0	boolean	If this coding was chosen directly by the user
when	Σ	1..1	instant	When the signature was created
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed
targetFormat	S	1..1	code	The technical format of the signed resources Binding: TargetFormat ValueSet-IEHR (required)
sigFormat	S	1..1	code	The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/jose
data	S	1..1	base64Binary	The actual signature content (XML DigSig. JWS, picture, etc.)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Signature.type	preferred	Fixed Value: 1.2.840.10065.1.12.1.5("Verification Signature") http://hl7.org/fhir/ValueSet/signature-type from the FHIR Standard
Signature.targetFormat	required	TargetFormatValueSetIEHR http://interopehrate.eu/fhir/ValueSet/TargetFormat-IEHR from this IG
Signature.sigFormat	required	Fixed Value: application/jose http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 Signature

Summary

Mandatory: 3 elements
Must-Support: 5 elements
Fixed: 2 elements
Prohibited: 1 element

Differential View

This structure is derived from Signature

Name	Flags	Card.	Type	Description & Constraints
Signature			Signature
type	S	1..1	Coding	Indication of the reason the entity signed the object(s) Fixed Value: As shown
system		1..1	uri	Identity of the terminology system Fixed Value: urn:iso-astm:E1762-95:2013
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10065.1.12.1.5
display		1..1	string	Representation defined by the system Fixed Value: Verification Signature
onBehalfOf	S	0..0
targetFormat	S	1..1	code	The technical format of the signed resources Binding: TargetFormat ValueSet-IEHR (required)
sigFormat	S	1..1	code	The technical format of the signature Fixed Value: application/jose
data	S	1..1	base64Binary	The actual signature content (XML DigSig. JWS, picture, etc.)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
Signature.targetFormat	required	TargetFormatValueSetIEHR http://interopehrate.eu/fhir/ValueSet/TargetFormat-IEHR from this IG

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Signature		0..*	Signature	A Signature - XML DigSig, JWS, Graphical image of signature, etc.
type	SΣ	1..1	Coding	Indication of the reason the entity signed the object(s) Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:iso-astm:E1762-95:2013
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10065.1.12.1.5
display		1..1	string	Representation defined by the system Fixed Value: Verification Signature
userSelected		0..0	boolean	If this coding was chosen directly by the user
when	Σ	1..1	instant	When the signature was created
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed
targetFormat	S	1..1	code	The technical format of the signed resources Binding: TargetFormat ValueSet-IEHR (required)
sigFormat	S	1..1	code	The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/jose
data	S	1..1	base64Binary	The actual signature content (XML DigSig. JWS, picture, etc.)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Signature.type	preferred	Fixed Value: 1.2.840.10065.1.12.1.5("Verification Signature") http://hl7.org/fhir/ValueSet/signature-type from the FHIR Standard
Signature.targetFormat	required	TargetFormatValueSetIEHR http://interopehrate.eu/fhir/ValueSet/TargetFormat-IEHR from this IG
Signature.sigFormat	required	Fixed Value: application/jose http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Signature		0..*	Signature	A Signature - XML DigSig, JWS, Graphical image of signature, etc.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
type	SΣ	1..1	Coding	Indication of the reason the entity signed the object(s) Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object. Fixed Value: As shown
id		0..0	string	Unique id for inter-element referencing
extension		0..0	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: urn:iso-astm:E1762-95:2013
version		0..0	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 1.2.840.10065.1.12.1.5
display		1..1	string	Representation defined by the system Fixed Value: Verification Signature
userSelected		0..0	boolean	If this coding was chosen directly by the user
when	Σ	1..1	instant	When the signature was created
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who signed
targetFormat	S	1..1	code	The technical format of the signed resources Binding: TargetFormat ValueSet-IEHR (required)
sigFormat	S	1..1	code	The technical format of the signature Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed. Fixed Value: application/jose
data	S	1..1	base64Binary	The actual signature content (XML DigSig. JWS, picture, etc.)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
Signature.type	preferred	Fixed Value: 1.2.840.10065.1.12.1.5("Verification Signature") http://hl7.org/fhir/ValueSet/signature-type from the FHIR Standard
Signature.targetFormat	required	TargetFormatValueSetIEHR http://interopehrate.eu/fhir/ValueSet/TargetFormat-IEHR from this IG
Signature.sigFormat	required	Fixed Value: application/jose http://hl7.org/fhir/ValueSet/mimetypes|4.0.1 from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
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 Signature

Summary

Mandatory: 3 elements
Must-Support: 5 elements
Fixed: 2 elements
Prohibited: 1 element

Other representations of profile: CSV, Excel, Schematron