MHR AU Patient Summary Consultation - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
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An initial design for a MHR AU PS Provenance profile is available in this Implementation Guide, and the Agency welcomes feedback from the community.
The Provenance resource plays a critical role in the MHR-generated Patient Summary document. It is used to track the original source and context of the information included in the generated summary. This ensures transparency, traceability, and accountability for the data presented to clinicians and patients.
The current design includes four main components:
target
Refers to the data being tracked by the Provenance resource. This is typically the specific element or resource within the Patient Summary that originated from another source.
agent.author⚠️ Many FHIR resources also have their own
authorelements. A key design consideration is whether to use the author of the resource or the author of the document. This needs further discussion and input.
agent.custodian
Identifies the custodian of the original document or data source. This is typically the organisation or system responsible for maintaining the source data.
entity.sourceTo avoid bloating the Patient Summary, the full content of the source document is not included. Instead, the identifier and title of the source document are recorded. This allows the document to be retrieved if needed, without embedding it directly.
The use of Provenance in this context raises several important questions:
These are active areas of exploration, and the Agency is keen to ensure that the Provenance model is both technically sound and clinically meaningful.
The Agency welcomes feedback and suggestions on this important design area. Your input will help shape a Provenance model that supports safe, transparent, and trustworthy use of MHR data in unplanned care.