Finnish Base Profiles
2.0.0 - release

Finnish Base Profiles, published by HL7 Finland. This guide is not an authorized publication; it is the continuous build for version 2.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fhir-fi/finnish-base-profiles/ and changes regularly. See the Directory of published versions

## Resource Profile: FI Base InformationCustodian ( Abstract )

Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-information-custodian | Version: 2.0.0
Active as of 2025-10-05 | Computable Name: FiBaseInformationCustodian

This is a Finnish abstract base profile for the Provenance resource, used to communicate the custodian of information (rekisterinpitäjä).

### Scope and Usage

#### How to communicate Kanta information custodian and register information

The Finnish national healthcare infrastructure uses the concept of the information custodian (rekisterinpitäjä), also known as the data controller or register keeper.

Most of the information in the Kanta system needs to be tagged with information of the information custodian and of the specific register.

For details, please refer to the Kanta CDA R2 Header specification, version 4.66 or later, chapters 2.2.17, 2.4.21, and 2.4.22.

These details are expressed with the Provenance resource conforming to this profile. Information custodian is the `.agent`.

The working group was not able to reach consensus on how to present the details of the register (the type of register, rekisterin tyyppi and the register specifier, rekisterin tarkenne).

Proposed alternatives are:

1. ​use extensions either to the `.agent` field or to the root of the Provenance resource (see the proposal in the first ballot version and the example from Kanta)
2. ​encode the information in `.entity` fields of Provenance instances (see examples for public healthcare and for private healthcare)
3. include the register information in the `.reason` field of the Provenance resource (see example from CGI)

See also the discussion thread on chat.fhir.org and the GitHub issues #88, #135, #141, and #163.

Implementer feedback is appreciated on how to continue work on the topic.

Usages:

- Derived from this Profile: FI Base Information Custodian (Individual Provider), FI Base Information Custodian (Private Organization), FI Base Information Custodian (Public Organization), FI Base Information Custodian (Individual Provider)... Show 2 more, FI Base Information Custodian (Private Organization) and FI Base Information Custodian (Public Organization)
- Impose this profile Profile: An imaginary profile for Kanta system, utilizing the Finnish Base Information Custodian profile
- Examples for this Profile: Provenance/id-for-provenance-1

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..* | FiBaseProvenance(2.0.0) | This is an abstract profile. Child profiles: FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic, FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic 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 | Σ | 1..* | Reference(Resource) | Target Reference(s) (usually version specific)
recorded | Σ | 1..1 | instant | When the activity was recorded / updated
Slices for agent |  | 1..* | BackboneElement | An agent with type http://terminology.hl7.org/CodeSystem/v3-ParticipationType#CST Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
who | Σ | 1..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who participated
agent:custodian |  | 1..* | BackboneElement | Actor involved
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..1 | CodeableConcept | 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/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CST
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
Slices for role |  | 1..* | CodeableConcept | What the agents role was Slice: Unordered, Open by value:coding.system Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
role:custodianRole |  | 1..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
Slices for coding | Σ | 1..* | Coding | A role with type urn:oid:1.2.246.537.5.40172 Slice: Unordered, Open by value:system
coding:All Slices |  |  |  | Content/Rules for all slices
system | Σ | 1..1 | uri | Identity of the terminology system
coding:custodianRoleCoding | Σ | 1..* | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Public or private occupational healthcare provider Required Pattern: urn:oid:1.2.246.537.5.40172
who | Σ | 1..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who participated
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Provenance.agent:custodian.​type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​role:custodianRole | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.identifier.type | Base | extensible | IdentifierType | 📍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 FiBaseProvenance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | FiBaseProvenance(2.0.0) | This is an abstract profile. Child profiles: FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic, FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic Who, What, When for a set of resources
Slices for agent |  | 1..* | BackboneElement | An agent with type http://terminology.hl7.org/CodeSystem/v3-ParticipationType#CST Slice: Unordered, Open by value:type
agent:custodian |  | 1..* | BackboneElement | Actor involved
type |  | 1..1 | CodeableConcept | 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/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CST
Slices for role |  | 1..* | CodeableConcept | What the agents role was Slice: Unordered, Open by value:coding.system
role:custodianRole |  | 1..* | CodeableConcept | What the agents role was
Slices for coding |  | 1..* | Coding | A role with type urn:oid:1.2.246.537.5.40172 Slice: Unordered, Open by value:system
coding:All Slices |  |  |  | Content/Rules for all slices
system |  | 1..1 | uri | Identity of the terminology system
coding:custodianRoleCoding |  | 1..* | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Public or private occupational healthcare provider Required Pattern: urn:oid:1.2.246.537.5.40172
who |  |  |  |
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
type |  | 1..1 | CodeableConcept | Description of identifier 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/v2-0203
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
Documentation for this format

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | FiBaseProvenance(2.0.0) | This is an abstract profile. Child profiles: FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic, FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic 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 | 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(FI Base Location(2.0.0)) | 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 |  | 1..* | BackboneElement | An agent with type http://terminology.hl7.org/CodeSystem/v3-ParticipationType#CST Slice: Unordered, Open by value:type
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 | 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(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who participated
onBehalfOf |  | 0..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who the agent is representing
agent:custodian |  | 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 | 1..1 | CodeableConcept | 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/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CST
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
Slices for role |  | 1..* | CodeableConcept | What the agents role was Slice: Unordered, Open by value:coding.system Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
role:custodianRole |  | 1..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | A role with type urn:oid:1.2.246.537.5.40172 Slice: Unordered, Open by value:system
coding: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 Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:custodianRoleCoding | Σ | 1..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Public or private occupational healthcare provider Required Pattern: urn:oid:1.2.246.537.5.40172
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
who | Σ | 1..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who participated
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 | Σ C | 0..1 | string | 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 | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
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
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
onBehalfOf |  | 0..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | 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 | 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 v6.5
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.agent:custodian.​type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​role:custodianRole | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.identifier.type | Base | extensible | IdentifierType | 📍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 FiBaseProvenance

Summary

Mandatory: 9 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Provenance.agent
- The element 1 is sliced based on the value of Provenance.agent.role
- The element 1 is sliced based on the value of Provenance.agent.role.coding

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | FiBaseProvenance(2.0.0) | This is an abstract profile. Child profiles: FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic, FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic 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 | Σ | 1..* | Reference(Resource) | Target Reference(s) (usually version specific)
recorded | Σ | 1..1 | instant | When the activity was recorded / updated
Slices for agent |  | 1..* | BackboneElement | An agent with type http://terminology.hl7.org/CodeSystem/v3-ParticipationType#CST Slice: Unordered, Open by value:type
agent:All Slices |  |  |  | Content/Rules for all slices
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
who | Σ | 1..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who participated
agent:custodian |  | 1..* | BackboneElement | Actor involved
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
type | Σ | 1..1 | CodeableConcept | 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/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CST
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
Slices for role |  | 1..* | CodeableConcept | What the agents role was Slice: Unordered, Open by value:coding.system Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
role:custodianRole |  | 1..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
Slices for coding | Σ | 1..* | Coding | A role with type urn:oid:1.2.246.537.5.40172 Slice: Unordered, Open by value:system
coding:All Slices |  |  |  | Content/Rules for all slices
system | Σ | 1..1 | uri | Identity of the terminology system
coding:custodianRoleCoding | Σ | 1..* | Coding | Code defined by a terminology system
system | Σ | 1..1 | uri | Public or private occupational healthcare provider Required Pattern: urn:oid:1.2.246.537.5.40172
who | Σ | 1..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who participated
identifier | Σ | 1..1 | Identifier | Logical reference, when literal reference is not known
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
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
Documentation for this format

#### Terminology Bindings

Path | Status | Usage | ValueSet | Version | Source
Provenance.agent:custodian.​type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​role:custodianRole | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.identifier.type | Base | extensible | IdentifierType | 📍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()`

Differential View

This structure is derived from FiBaseProvenance

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | FiBaseProvenance(2.0.0) | This is an abstract profile. Child profiles: FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic, FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic Who, What, When for a set of resources
Slices for agent |  | 1..* | BackboneElement | An agent with type http://terminology.hl7.org/CodeSystem/v3-ParticipationType#CST Slice: Unordered, Open by value:type
agent:custodian |  | 1..* | BackboneElement | Actor involved
type |  | 1..1 | CodeableConcept | 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/v3-ParticipationType
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CST
Slices for role |  | 1..* | CodeableConcept | What the agents role was Slice: Unordered, Open by value:coding.system
role:custodianRole |  | 1..* | CodeableConcept | What the agents role was
Slices for coding |  | 1..* | Coding | A role with type urn:oid:1.2.246.537.5.40172 Slice: Unordered, Open by value:system
coding:All Slices |  |  |  | Content/Rules for all slices
system |  | 1..1 | uri | Identity of the terminology system
coding:custodianRoleCoding |  | 1..* | Coding | Code defined by a terminology system
system |  | 1..1 | uri | Public or private occupational healthcare provider Required Pattern: urn:oid:1.2.246.537.5.40172
who |  |  |  |
identifier |  | 1..1 | Identifier | Logical reference, when literal reference is not known
type |  | 1..1 | CodeableConcept | Description of identifier 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/v2-0203
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
Documentation for this format

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
Provenance |  | 0..* | FiBaseProvenance(2.0.0) | This is an abstract profile. Child profiles: FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic, FiBaseInformationCustodianIndividual, FiBaseInformationCustodianPrivate, FiBaseInformationCustodianPublic 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 | 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(FI Base Location(2.0.0)) | 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 |  | 1..* | BackboneElement | An agent with type http://terminology.hl7.org/CodeSystem/v3-ParticipationType#CST Slice: Unordered, Open by value:type
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 | 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(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who participated
onBehalfOf |  | 0..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who the agent is representing
agent:custodian |  | 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 | 1..1 | CodeableConcept | 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/v3-ParticipationType
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: CST
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
Slices for role |  | 1..* | CodeableConcept | What the agents role was Slice: Unordered, Open by value:coding.system Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
role:custodianRole |  | 1..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding | Σ | 1..* | Coding | A role with type urn:oid:1.2.246.537.5.40172 Slice: Unordered, Open by value:system
coding: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 Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Identity of the terminology system
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
coding:custodianRoleCoding | Σ | 1..* | Coding | Code defined by a terminology system
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
system | Σ | 1..1 | uri | Public or private occupational healthcare provider Required Pattern: urn:oid:1.2.246.537.5.40172
version | Σ | 0..1 | string | Version of the system - if relevant
code | Σ | 0..1 | code | Symbol in syntax defined by the system
display | Σ | 0..1 | string | Representation defined by the system
userSelected | Σ | 0..1 | boolean | If this coding was chosen directly by the user
text | Σ | 0..1 | string | Plain text representation of the concept
who | Σ | 1..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | Who participated
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 | Σ C | 0..1 | string | 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 | 1..1 | Identifier | Logical reference, when literal reference is not known
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
use | ?!Σ | 0..1 | code | usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type | Σ | 1..1 | CodeableConcept | Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose. 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/v2-0203
version |  | 0..1 | string | Version of the system - if relevant
code |  | 1..1 | code | Symbol in syntax defined by the system Fixed Value: PRN
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
system | Σ | 0..1 | uri | The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value | Σ | 0..1 | string | The value that is unique Example General: 123456
period | Σ | 0..1 | Period | Time period when id is/was valid for use
assigner | Σ | 0..1 | Reference(Organization) | Organization that issued id (may be just text)
display | Σ | 0..1 | string | Text alternative for the resource
onBehalfOf |  | 0..1 | Reference(FI Base Practitioner(2.0.0) | FI Base PractitionerRole(2.0.0) | FI Base Patient(2.0.0) | RelatedPerson | Device | FI Base Organization(2.0.0)) | 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 | 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 v6.5
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.agent:custodian.​type | Base | extensible | Provenance participant type | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​role | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​role:custodianRole | Base | example | SecurityRoleType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.type | Base | extensible | ResourceType | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.identifier.use | Base | required | IdentifierUse | 📍4.0.1 | FHIR Std.
Provenance.agent:custodian.​who.identifier.type | Base | extensible | IdentifierType | 📍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 FiBaseProvenance

Summary

Mandatory: 9 elements

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of Provenance.agent
- The element 1 is sliced based on the value of Provenance.agent.role
- The element 1 is sliced based on the value of Provenance.agent.role.coding

Other representations of profile: CSV, Excel, Schematron