eHealth Infrastructure
11.0.1 - Denmark flag

Introduction

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.

Scope and Usage

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.

Reuse of measurements

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:

identifies the resource containing reused data through the target element
identifies the resource from where data was reused through the entity[0].what element
identifies a policy which states reuse

Each such Provenance must be submitted along with the resources containing reused data.

See eHealth-observation for further details.

Tracking measurements submitted in the same bundle

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.

Stating legal frameworks and data privacy regulations for episodes of care

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.

Name	Flags	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Provenance		0..*	Provenance	Who, What, When for a set of resources
Provenance.implicitRules	This element is a modifier element. This element is included in summaries.	0..1	uri	A set of rules under which this content was created
Provenance.modifierExtension	This element is a modifier element.	0..*	Extension	Extensions that cannot be ignored
Provenance.target	This element is included in summaries.	1..*	Reference(Resource)	Target Reference(s) (usually version specific)
Provenance.recorded	This element is included in summaries.	1..1	instant	When the activity was recorded / updated
Provenance.policy		1..*	uri	Policy or plan the activity was defined by Binding: Policies for provenances (required)
Provenance.agent		1..*	BackboneElement	Actor involved
Provenance.agent.modifierExtension	This element is a modifier element. This element is included in summaries.	0..*	Extension	Extensions that cannot be ignored even if unrecognized
Provenance.agent.who	This element is included in summaries.	1..1	Reference(ehealth-practitioner \| ehealth-relatedperson \| ehealth-patient \| ehealth-device \| ehealth-organization)	Who participated
Provenance.agent.onBehalfOf		0..1	Reference(ehealth-practitioner \| ehealth-relatedperson \| ehealth-patient \| ehealth-device \| ehealth-organization)	Who the agent is representing
Documentation for this format

Terminology Bindings

Path	Status	Usage	ValueSet	Version	Source
Provenance.policy	Base	required	Policies for provenances	📦11.0.1	This IG

Constraints

Grade

Path(s)

Description

Expression

Name	Card.	Type	Description & Constraints Filter: Bindings Constraints Obligations
Provenance	0..*	Provenance	Who, What, When for a set of resources
Provenance.policy	1..*	uri	Policy or plan the activity was defined by Binding: Policies for provenances (required)
Provenance.agent
Provenance.agent.who	1..1	Reference(ehealth-practitioner \| ehealth-relatedperson \| ehealth-patient \| ehealth-device \| ehealth-organization)	Who participated
Provenance.agent.onBehalfOf	0..1	Reference(ehealth-practitioner \| ehealth-relatedperson \| ehealth-patient \| ehealth-device \| ehealth-organization)	Who the agent is representing
Provenance.entity
Provenance.entity.Slices for extension	0..*	Extension	Extension Slice: Unordered, Open by value:url Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them
Provenance.entity.Slices for extension.extension: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

Terminology Bindings (Differential)

Path	Status	Usage	ValueSet	Version	Source
Provenance.policy	Base	required	Policies for provenances	📦11.0.1	This IG

Description & Constraints Filter:

Provenance

0..*

Provenance

Who, What, When for a set of resources

0..1

Logical id of this artifact