DK MedCom Carecommunication
4.0.3 - release
DK MedCom Carecommunication
4.0.3 - release
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
| 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.
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).
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:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  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 |
 target |
SΣ | 1..1 | Reference(MedComCareCommunicationMessageHeader) | Targets the MedComMessagingMessageHeader from the current message. |
  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. |
| Documentation for this format | ||||
| Path | Conformance | ValueSet / Code | URI |
| Provenance.activity | required | MedComCareCommunicationMessageActivitieshttp://medcomfhir.dk/ig/terminology/ValueSet/medcom-careCommunication-messagingActivities | |
| Provenance.entity.role | required | ProvenanceEntityRolehttp://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1from the FHIR Standard | |
| Provenance.entity:preceedingMessage.role | required | Pattern: revisionhttp://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1from the FHIR Standard | |
| Provenance.entity:payload.role | required | Pattern: sourcehttp://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1from the FHIR Standard |
| 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() |
Other representations of profile: CSV, Excel, Schematron
