DK MedCom Carecommunication
4.0.3 - release Denmark flag

This page is part of the DK MedCom CareCommunication (v4.0.3: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MedComCareCommunicationProvenance

Official URL: http://medcomfhir.dk/ig/carecommunication/StructureDefinition/medcom-careCommunication-provenance Version: 4.0.3
Active as of 2025-05-23 Computable Name: MedComCareCommunicationProvenance

Provenance information about the current and preceeding message.

Scope and usage

This profile is used as the Provenance in a CareCommunication message. This profile inherits from MedComMessagingProvenance and must be used as Provenance instance in the CareCommuncation message. The Provenance resource tracks information about the activity what was created, while referencing the current message and previous messages if such exist. Further, does the profile include the identifier of the message segment (also referred to as payload).

Entities

The element Provenance.entity is sliced. One slice is called payload, and contains the identifier for the payloads added in the current CareCommunication. The second slice is called previousMessage is used when the message is a reply or forwarding. In these cases, the Provenance.entity must refer to the previous message.

Please refer to the tab "Snapshot Table" below for the definition of the required content of a MedComCareCommunicationMessageHeader.

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* MedComMessagingProvenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text S 0..1 Narrative Text summary of the resource, for human interpretation
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... Slices for occurred[x] 1..1 dateTime When the activity occurred
Slice: Unordered, Closed by type:$this
.... occurred[x]:occurredDateTime S 1..1 dateTime A human readable date and time for when the message is sent. Shall include a date, a time and timezone.
... recorded SΣ 1..1 instant A system readable date and time for when the message is sent.
... activity S 1..1 CodeableConcept Activity that occurred
Binding: MedComCareCommunicationMessageActivityCodes (required)
.... coding SΣ 1..* Coding Code defined by a terminology system
..... code SΣ 1..1 code Symbol in syntax defined by the system
... agent S 1..* BackboneElement The actors involved in the activity taking place
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... who SΣ 1..1 Reference(MedComMessagingOrganization) {b} A reference to the actor of the activity, which shall be a MedComMessagingOrganization. If more actors has been involved, the element must be sliced.
... Slices for entity S 1..* BackboneElement An entity used in this activity
Slice: Unordered, Closed by value:role
.... entity:All Slices Content/Rules for all slices
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role SΣ 1..1 code When a message is a response, a correction or a forwarding message the role shall be 'revision' and when the message is a cancellation the role shall be 'removal'.
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.

..... what SΣ 1..1 Reference(Resource) A reference to the previous message. If the previous message is a FHIR message, the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
...... reference SΣC 0..1 string If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message.
...... identifier SΣ 0..1 Identifier If previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
.... entity:preceedingMessage S 0..1 BackboneElement Shall be included when the current message is a response to a previous FHIR message.
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role SΣ 1..1 code When a message is a response or a forwarding message the role shall be 'revision'.
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.


Required Pattern: revision
..... what SΣ 1..1 Reference(Resource) A reference to the previous message. If the previous message is a FHIR message , the reference element must be used and if the previous message is an EDIFACT or OIOXML, the identifier element must be used.
...... reference SΣC 0..1 string If the previous message is a FHIR message, this element must contain the MessageHeader.id from previous message.
...... identifier SΣ 0..1 Identifier If the previous message is EDIFACT or OIOXML, this element must be expressed as [lokationsnummer]#[brevid] from the EDIFACT or OIOXML message.
.... entity:payload S 1..* BackboneElement An identifier for the payload included during this revision. If more payloads are added, each payload must be represented with an individual entity.
..... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
..... role SΣ 1..1 code The role shall be 'source' or 'revision'.
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.


Required Pattern: source
..... what SΣ 1..1 Reference(Resource) A reference to the payload included in this message.
...... reference SΣC 0..1 string If the previous message is a FHIR message, this element must hold the MessageHeader.id from previous message.
...... identifier SΣ 1..1 Identifier The identifier of the newly included Communication.payload.extension.valueIdentifier must be included here.

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.activityrequiredMedComCareCommunicationMessageActivities
http://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-messagingActivities
Provenance.entity.rolerequiredProvenanceEntityRole
http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1
from the FHIR Standard
Provenance.entity:preceedingMessage.rolerequiredPattern: revision
http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1
from the FHIR Standard
Provenance.entity:payload.rolerequiredPattern: source
http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProvenanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProvenanceIf 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-4errorProvenanceIf 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-5errorProvenanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProvenanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

 

Other representations of profile: CSV, Excel, Schematron