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). One option is to use extensions to the information custodian .agent or even to the Provenance resource instance (see the ballot version as one example). Another proposed approach is to encode this information in .entity instances (see version 1.0.0-rc21 for details). 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.

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

This structure is derived from FiBaseProvenance

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	FiBaseProvenance	This is an abstract profile. Child profiles: 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		0..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
Provenance		0..*	FiBaseProvenance	This is an abstract profile. Child profiles: 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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	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
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 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	0..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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	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
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

Terminology Bindings

Path	Conformance	ValueSet / Code
Provenance.agent:custodian.type	extensible	Pattern: CST
Provenance.agent:custodian.role	example	SecurityRoleType
Provenance.agent:custodian.role:custodianRole	example	SecurityRoleType
Provenance.agent:custodian.who.identifier.use	required	IdentifierUse
Provenance.agent:custodian.who.identifier.type	extensible	Pattern: PRN

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	FiBaseProvenance	This is an abstract profile. Child profiles: 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
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)	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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	Who participated
onBehalfOf		0..1	Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	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	0..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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	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	ΣC	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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base 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
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
Provenance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Provenance.reason	extensible	PurposeOfUse
Provenance.activity	extensible	ProvenanceActivityType
Provenance.agent.type	extensible	ProvenanceParticipantType
Provenance.agent.role	example	SecurityRoleType
Provenance.agent:custodian.type	extensible	Pattern: CST
Provenance.agent:custodian.role	example	SecurityRoleType
Provenance.agent:custodian.role:custodianRole	example	SecurityRoleType
Provenance.agent:custodian.who.type	extensible	ResourceType
Provenance.agent:custodian.who.identifier.use	required	IdentifierUse
Provenance.agent:custodian.who.identifier.type	extensible	Pattern: PRN
Provenance.entity.role	required	ProvenanceEntityRole

Constraints

Id	Grade	Path(s)	Details	Requirements
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
Provenance		0..*	FiBaseProvenance	This is an abstract profile. Child profiles: 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		0..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

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	FiBaseProvenance	This is an abstract profile. Child profiles: 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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	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
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 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	0..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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	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
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

Terminology Bindings

Path	Conformance	ValueSet / Code
Provenance.agent:custodian.type	extensible	Pattern: CST
Provenance.agent:custodian.role	example	SecurityRoleType
Provenance.agent:custodian.role:custodianRole	example	SecurityRoleType
Provenance.agent:custodian.who.identifier.use	required	IdentifierUse
Provenance.agent:custodian.who.identifier.type	extensible	Pattern: PRN

Constraints

Id	Grade	Path(s)	Details	Requirements
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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	FiBaseProvenance	This is an abstract profile. Child profiles: 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
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)	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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	Who participated
onBehalfOf		0..1	Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	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	0..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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base Organization)	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	ΣC	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 | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device | FI Base 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
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
Provenance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Provenance.reason	extensible	PurposeOfUse
Provenance.activity	extensible	ProvenanceActivityType
Provenance.agent.type	extensible	ProvenanceParticipantType
Provenance.agent.role	example	SecurityRoleType
Provenance.agent:custodian.type	extensible	Pattern: CST
Provenance.agent:custodian.role	example	SecurityRoleType
Provenance.agent:custodian.role:custodianRole	example	SecurityRoleType
Provenance.agent:custodian.who.type	extensible	ResourceType
Provenance.agent:custodian.who.identifier.use	required	IdentifierUse
Provenance.agent:custodian.who.identifier.type	extensible	Pattern: PRN
Provenance.entity.role	required	ProvenanceEntityRole

Constraints

Id	Grade	Path(s)	Details	Requirements
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 Provenance.agent is sliced based on the value of value:type
• The element Provenance.agent.role is sliced based on the value of value:coding.system
• The element Provenance.agent.role.coding is sliced based on the value of value:system