eHealth Infrastructure
3.3.0 - ci-build
eHealth Infrastructure
3.3.0 - ci-build
eHealth Infrastructure, published by Den telemedicinske infrastruktur (eHealth Infrastructure). This guide is not an authorized publication; it is the continuous build for version 3.3.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/fut-infrastructure/implementation-guide/ and changes regularly. See the Directory of published versions
| Official URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provenance | Version: 3.3.0 | |||
| Active as of 2024-12-20 | Computable Name: ehealth-provenance | |||
Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies.
In scope of the eHealth Infrastructure, Provenance resources are used for a number of different purposes. Some of these purposes are purely internal to the infrastructure, whereas others are of relevance to clients of the infrastructure.
The details of different usages of Provenance resources relevant to clients are described in the following sections together with the resources and operations they are supporting.
When a client submits measurements in the form of Observation, QuestionnaireResponse and/or Media, the client can submit one or more of these as reused resources, provided that reuse requirements have been met. For each resource where data is reused, the client must construct a Provenance that:
target elemententity[0].what elementpolicy which states reuseEach such Provenance must be submitted along with the resources containing reused data.
See eHealth-observation for further details.
Provenance resources are created internally by the eHealth infrastructure to link correlated resources which are submitted together in one bundle:
See eHealth-observation for further details.
Provenance resources are submitted by a client for creation when an EpisodeOfCare (in profile ehealth-episodeofcare) is created using the create-episode-of-care operation.
Some of these provenance resources hold information about which legal frame the EpisodeOfCare is created under through the Provenance element policy. This could be for instance the health law (in Danish: "Sundhedsloven") or other relevant legal frameworks.
Other of these provenance resources define which data privacy regulations are applicable to data concerning patient, practitioners, and suppliers under the episode of care. This, too, is captured in policy.
See create-episode-of-care for further details.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from Provenance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  Provenance |
Provenance | |||
  policy |
1..* | uri | Policy or plan the activity was defined by Binding: Policies for provenances (required) | |
 agent |
||||
  who |
1..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated | |
 onBehalfOf |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing | |
 entity |
||||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
  dateTimeOfReusedEntity |
0..1 | dateTime, Period | Contains date and time of Reused Entity URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provenance-dateTimeOfReusedEntity | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Provenance.policy | required | Policies for provenanceshttp://ehealth.sundhed.dk/vs/ehealth-provenance-policiesfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Provenance |
0..* | Provenance | Who, What, When for a set of resources dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
 implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| target |
Σ | 1..* | Reference(Resource) | Target Reference(s) (usually version specific) ele-1: All FHIR elements must have a @value or children |
| recorded |
Σ | 1..1 | instant | When the activity was recorded / updated ele-1: All FHIR elements must have a @value or children |
| policy |
1..* | uri | Policy or plan the activity was defined by Binding: Policies for provenances (required) ele-1: All FHIR elements must have a @value or children | |
 agent |
1..* | BackboneElement | Actor involved ele-1: All FHIR elements must have a @value or children | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| who |
Σ | 1..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated ele-1: All FHIR elements must have a @value or children |
| onBehalfOf |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Provenance.policy | required | Policies for provenanceshttp://ehealth.sundhed.dk/vs/ehealth-provenance-policiesfrom this IG |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Provenance |
0..* | Provenance | 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.
| |||||
| 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 |
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 |
1..* | uri | Policy or plan the activity was defined by Binding: Policies for provenances (required) | |||||
| 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. | |||||
| agent |
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 | 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(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated | ||||
| onBehalfOf |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing | |||||
| entity |
0..* | BackboneElement | An entity used in this activity | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| dateTimeOfReusedEntity |
0..1 | dateTime, Period | Contains date and time of Reused Entity URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provenance-dateTimeOfReusedEntity | |||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Provenance.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Provenance.policy | required | Policies for provenanceshttp://ehealth.sundhed.dk/vs/ehealth-provenance-policiesfrom this IG | ||||
| Provenance.reason | extensible | PurposeOfUsehttp://terminology.hl7.org/ValueSet/v3-PurposeOfUse | ||||
| Provenance.activity | extensible | ProvenanceActivityTypehttp://hl7.org/fhir/ValueSet/provenance-activity-typefrom the FHIR Standard | ||||
| Provenance.agent.type | extensible | ProvenanceParticipantTypehttp://hl7.org/fhir/ValueSet/provenance-agent-typefrom the FHIR Standard | ||||
| Provenance.agent.role | example | SecurityRoleTypehttp://hl7.org/fhir/ValueSet/security-role-typefrom the FHIR Standard | ||||
| Provenance.entity.role | required | ProvenanceEntityRolehttp://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1from the FHIR Standard |
This structure is derived from Provenance
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Differential View
This structure is derived from Provenance
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Provenance |
Provenance | |||
| policy |
1..* | uri | Policy or plan the activity was defined by Binding: Policies for provenances (required) | |
| agent |
||||
| who |
1..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated | |
| onBehalfOf |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing | |
| entity |
||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| dateTimeOfReusedEntity |
0..1 | dateTime, Period | Contains date and time of Reused Entity URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provenance-dateTimeOfReusedEntity | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Provenance.policy | required | Policies for provenanceshttp://ehealth.sundhed.dk/vs/ehealth-provenance-policiesfrom this IG |
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| Provenance |
0..* | Provenance | Who, What, When for a set of resources dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: 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 dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| target |
Σ | 1..* | Reference(Resource) | Target Reference(s) (usually version specific) ele-1: All FHIR elements must have a @value or children |
| recorded |
Σ | 1..1 | instant | When the activity was recorded / updated ele-1: All FHIR elements must have a @value or children |
| policy |
1..* | uri | Policy or plan the activity was defined by Binding: Policies for provenances (required) ele-1: All FHIR elements must have a @value or children | |
| agent |
1..* | BackboneElement | Actor involved ele-1: All FHIR elements must have a @value or children | |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| who |
Σ | 1..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated ele-1: All FHIR elements must have a @value or children |
| onBehalfOf |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing ele-1: All FHIR elements must have a @value or children | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| Provenance.policy | required | Policies for provenanceshttp://ehealth.sundhed.dk/vs/ehealth-provenance-policiesfrom this IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| Provenance |
0..* | Provenance | 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.
| |||||
| 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 |
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 |
1..* | uri | Policy or plan the activity was defined by Binding: Policies for provenances (required) | |||||
| 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. | |||||
| agent |
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 | 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(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who participated | ||||
| onBehalfOf |
0..1 | Reference(ehealth-practitioner | ehealth-relatedperson | ehealth-patient | ehealth-device | ehealth-organization) | Who the agent is representing | |||||
| entity |
0..* | BackboneElement | An entity used in this activity | |||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |||||
| dateTimeOfReusedEntity |
0..1 | dateTime, Period | Contains date and time of Reused Entity URL: http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provenance-dateTimeOfReusedEntity | |||||
| 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| Provenance.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| Provenance.policy | required | Policies for provenanceshttp://ehealth.sundhed.dk/vs/ehealth-provenance-policiesfrom this IG | ||||
| Provenance.reason | extensible | PurposeOfUsehttp://terminology.hl7.org/ValueSet/v3-PurposeOfUse | ||||
| Provenance.activity | extensible | ProvenanceActivityTypehttp://hl7.org/fhir/ValueSet/provenance-activity-typefrom the FHIR Standard | ||||
| Provenance.agent.type | extensible | ProvenanceParticipantTypehttp://hl7.org/fhir/ValueSet/provenance-agent-typefrom the FHIR Standard | ||||
| Provenance.agent.role | example | SecurityRoleTypehttp://hl7.org/fhir/ValueSet/security-role-typefrom the FHIR Standard | ||||
| Provenance.entity.role | required | ProvenanceEntityRolehttp://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1from the FHIR Standard |
This structure is derived from Provenance
Summary
Mandatory: 1 element
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Other representations of profile: CSV, Excel, Schematron
IG © 2021+ Den telemedicinske infrastruktur (eHealth Infrastructure). Package dk.ehealth.sundhed.fhir.ig.core#3.3.0 based on FHIR 4.0.1. Generated 2024-12-20
