eHealth Infrastructure (v2019.5.2)
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 together with the resources and operations they are supporting. In overview this is:
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:
Each 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 eHealth-episodeofcare is created using the create-episode-of-caren operation.
Some of these provenance resources hold information about which legal frame the EpisodeOfCare is created under. This could be for instance the health law (in Danish: “Sundhedsloven”) or other relevant legal frameworks.
Other of these provenance resource define which data privacy regulations are applicable to data concerning patient, practitioners, and suppliers under the episode of care.
See create-episode-of-care for further details.
State related to Message resources, such as whether a message has been read or not, or time limited validity on notifications, is also handled through the use of Provenance resources.
See eHealth-message for further details.
The official URL for this profile is:
http://ehealth.sundhed.dk/fhir/StructureDefinition/ehealth-provenance
This profile builds on Provenance.
This profile was published on Wed May 29 18:05:58 UTC 2019 as a draft by ehealth.sundhed.dk.
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
| Path | Name | Conformance | ValueSet |
| Provenance.language | Common Languages | extensible | Common Languages |
| Provenance.policy | Policies for provenances | required | Policies for provenances |
| Provenance.reason | PurposeOfUse | extensible | PurposeOfUse |
| Provenance.activity | ProvenanceActivityType | extensible | ProvenanceActivityType |
| Provenance.agent.role | SecurityRoleType | extensible | SecurityRoleType (missing link) |
| Provenance.agent.relatedAgentType | v3 Code System RoleLinkType | example | v3 Code System RoleLinkType |
| Provenance.entity.role | ProvenanceEntityRole | required | ProvenanceEntityRole |
| Id | Path | Details | Requirements |
| dom-2 | Provenance | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-1 | Provenance | If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty() | |
| dom-4 | 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-3 | Provenance | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty() | |
| ele-1 | Provenance.agent | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) | |
| ele-1 | Provenance.entity | All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count()) |
