Page Status: updated 2023-02-28

Provenance

Page index

Introduction
Overview
- Contained resources
Details
Supported operations
- HTTP methods
- Query operations

Introduction

The Provenance resource, shown in the profile NLLProvenance, contains additional information describing why a resource was created or changed, who performed and/or advised the change and when the change occurred.

When doing an HTTP POST or PUT (insert / update) of a resource, a Provenance resource must be provided in the HTTP header as a custom header parameter, X-Provenance, see HTTP Header and Authorization. The target of the Provenance is the resource(s) defined in the HTTP body. The provided provenance addresses why and who. The National Medication List adds when to the provenance.

See the HL7 FHIR documentation Provenance HTTP header for more details about the Provenance resource.

Regarding information about how the "must support"-property is used in the Swedish National MedicationList, please refer to the page Resources

Overview

NLLProvenance (Provenance)	I		Provenance	Element id Provenance Short description When a change is made in the patient´s medication list a provenance provides information about who, what, when and where from the change is made. Alternate names History, Event, Activity Definition NLLProvenance describes a change that has been made on a resource affecting a patient medications list, e.g. a MedicationRequest, MedicationDispense or resource related to multi dose dispensing (sv: dosunderlag, dossamtycke) or a change affecting a data lock (sv spärr). The change describes What - in the form of which resource is the target in combination with a reason and activity. It describes by Who - in the form of agent and it describes When it occurred. A Provenance resource is created fron the X-Provenance header wich is mandatory in a number of scenarios. Comments Some parties may be duplicated between the target resource and its provenance. For instance, the prescriber is usually (but not always) the author of the prescription resource. This resource is defined with close consideration for W3C Provenance. Data type Provenance Constraints dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists() Mappings rim: Entity. Role, or Act workflow: Event rim: ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN] w3c.prov: Activity EHM: Händelse
id	S Σ	0..1	string	Element id Provenance.id Short description Logical id of this artifact Definition The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. Comments The only time that a resource does not have an id is when it is being submitted to the server using a create operation. Data type string Mappings EHM: Händelse-id
meta	Σ	0..1	Meta	There are no (further) constraints on this element Element id Provenance.meta Short description Metadata about the resource Definition The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource. Data type Meta Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
implicitRules	Σ ?!	0..1	uri	There are no (further) constraints on this element Element id Provenance.implicitRules Short description A set of rules under which this content was created Definition A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Comments Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
language		0..1	codeBinding	There are no (further) constraints on this element Element id Provenance.language Short description Language of the resource content Definition The base language in which the resource is written. Comments Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). Data type code Binding A human language. CommonLanguages (preferred) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
text		0..1	Narrative	There are no (further) constraints on this element Element id Provenance.text Short description Text summary of the resource, for human interpretation Alternate names narrative, html, xhtml, display Definition A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Comments Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later. Data type Narrative Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Act.text?
contained		0..*	Resource	There are no (further) constraints on this element Element id Provenance.contained Short description Contained, inline Resources Alternate names inline resources, anonymous resources, contained resources Definition These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. Comments This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels. Data type Resource Mappings rim: N/A
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
modifierExtension	?! I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.modifierExtension Short description Extensions that cannot be ignored Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
target	S Σ	1..*	Reference(NLLMedicationRequest \| NLLMedicationDispense \| NLLMultiDoseDispConsent \| NLLMultiDoseDispensingBasis \| NLLDispensePaperPrescription \| NLLDataLock \| NLLAccessConsent)	Element id Provenance.target Short description Target Reference(s) (usually version specific) Definition The Reference(s) that were generated or updated by the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity. The Reference is set by the Swedish eHealth Agency to the resource in the body of the request containing the X-Provenance header, and in some cases the target may also point to additional affected resources . Comments Target references are usually version specific, but might not be, if a version has not been assigned or if the provenance information is part of the set of resources being maintained (i.e. a document). When using the RESTful API, the identity of the resource might not be known (especially not the version specific one); the client may either submit the resource first, and then the provenance, or it may submit both using a single transaction. See the notes on transaction for further discussion. Data type Reference(NLLMedicationRequest \| NLLMedicationDispense \| NLLMultiDoseDispConsent \| NLLMultiDoseDispensingBasis \| NLLDispensePaperPrescription \| NLLDataLock \| NLLAccessConsent) Allowed aggregation: referenced Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.what[x] rim: ./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target OR ./participation[isNormalParticipation() and typeCode=SBJ]/role OR ./participation[isNormalParticipation() and typeCode=SBJ]/role[isNormalRole()]/player fhirauditevent: AuditEvent.entity.reference w3c.prov: Entity Created/Updated EHM: Resursreferenser EHM: Referens till spärr
occurred[x]		0..1		Element id Provenance.occurred[x] Short description When the activity occurred Definition The period during which the activity occurred. Comments This value is set by the system to reflect the date and time when the request was received Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.occurred[x] w5: FiveWs.done[x] rim: ./effectiveTime[type=IVL_TS] w3c.prov: Activity.startTime & Activity.endTime EHM: Tidpunkt
occurredDateTime			dateTime	Data type dateTime
recorded	S Σ	1..1	instant	Element id Provenance.recorded Short description When the activity was recorded / updated Definition The instant of time at which the activity was recorded by the Swedish eHealth Agency. Comments This can be a little different from the time stamp on the resource if there is a delay between recording the event and updating the provenance and target resource. Data type instant Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings w5: FiveWs.recorded rim: unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS]) fhirauditevent: AuditEvent.recorded w3c.prov: Activity.when EHM: Händelsetidpunkt
policy		0..*	uri	There are no (further) constraints on this element Element id Provenance.policy Short description Policy or plan the activity was defined by Definition Policy or plan the activity was defined by. Typically, a single activity may have multiple applicable policy documents, such as patient consent, guarantor funding, etc. Comments For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: ./inboundRelationship[isNormalActRelationship() and typeCode="SUBJ"]/source[isNormalAct and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel fhirauditevent: AuditEvent.agent.policy
location		0..1	Reference(Location)	There are no (further) constraints on this element Element id Provenance.location Short description Where the activity occurred, if relevant Definition Where the activity occurred, if relevant. Data type Reference(Location) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.location w5: FiveWs.where[x] rim: unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode="LOC" and determinerCode="INST"] fhirauditevent: AuditEvent.agent.location w3c.prov: Activity.location
reason	S	0..1	CodeableConceptBinding	Element id Provenance.reason Short description Reason the activity is occurring Definition The reason for the change. <br> For prescriptions, codes can be used to describe either a reason for change or a reason for cancellation. For other scenarios regarding prescriptions, only the text element is allowed (in combination with the code OTH). For all scenarios regarding medication dispense, only the text element is allowed. For all scenarios regarding Consents (NLLMultiDoseDispConsent (sv Dossamtycke), NLLAccessConsent (sv. Åtkomstsamtycke)), NLLMultiDoseDispensingBasis (sv Dosunderlag) and NLLDataLock (sv Spärr) no reason is allowed. Comments _ Data type CodeableConcept Binding The reason the activity took place. http://electronichealth.se/fhir/ValueSet/nll-reason-for-provenance (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.reasonCode w5: FiveWs.why[x] rim: unique(./reasonCode) fhirauditevent: AuditEvent.purposeOfEvent w3c.prov: Activity.Activity EHM: Händelseorsak
id		0..1	string	There are no (further) constraints on this element Element id Provenance.reason.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.reason.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	0..1	Coding	There are no (further) constraints on this element Element id Provenance.reason.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Provenance.reason.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.reason.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id Provenance.reason.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id Provenance.reason.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Provenance.reason.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Provenance.reason.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Provenance.reason.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	S Σ	0..1	string	Element id Provenance.reason.text Short description Plain text representation of the concept Definition Plain text representation of the reason that the activity was taking place. Mandatory when the code "OTH" (other) is used. Can be used for all scenarios regarding prescriptions and dispenses that does not require a code. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Maximum string length: 256 For reasons related to dispensens for paper prescriptions the maximum string length is: 50 Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning händelseorsak
activity	S	1..1	CodeableConceptBinding	Element id Provenance.activity Short description Activity that occurred Definition This type describes the activity that occurred. This could both be a medication list activity type concerning a MedicationRequest for example, or a data lock activity type. Comments _ Data type CodeableConcept Binding The activity that took place. provenance-activity-types (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.code w5: FiveWs.why[x] rim: Act.code w3c.prov: Activity.Activity EHM: Händelsetyp
id		0..1	string	There are no (further) constraints on this element Element id Provenance.activity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.activity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
coding	S Σ	1..1	Coding	There are no (further) constraints on this element Element id Provenance.activity.coding Short description Code defined by a terminology system Definition A reference to a code defined by a terminology system. Requirements Allows for alternative encodings within a code system, and translations to other code systems. Comments Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Data type Coding Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
id		0..1	string	There are no (further) constraints on this element Element id Provenance.activity.coding.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.activity.coding.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
system	S Σ	0..1	uri	There are no (further) constraints on this element Element id Provenance.activity.coding.system Short description Identity of the terminology system Definition The identification of the code system that defines the meaning of the symbol in the code. Requirements Need to be unambiguous about the source of the definition of the symbol. Comments The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously. Data type uri Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
version	S Σ	0..1	string	There are no (further) constraints on this element Element id Provenance.activity.coding.version Short description Version of the system - if relevant Definition The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Comments Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
code	S Σ	1..1	code	There are no (further) constraints on this element Element id Provenance.activity.coding.code Short description Symbol in syntax defined by the system Definition A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Requirements Need to refer to a particular code in the system. Data type code Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
display	Σ	0..1	string	There are no (further) constraints on this element Element id Provenance.activity.coding.display Short description Representation defined by the system Definition A representation of the meaning of the code in the system, following the rules of the system. Requirements Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
userSelected	Σ	0..1	boolean	There are no (further) constraints on this element Element id Provenance.activity.coding.userSelected Short description If this coding was chosen directly by the user Definition Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). Requirements This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Comments Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
text	Σ	0..1	string	There are no (further) constraints on this element Element id Provenance.activity.text Short description Plain text representation of the concept Definition A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. Requirements The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Comments Very often the text is the same as a displayName of one of the codings. Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
agent	S	1..*	BackboneElement	Element id Provenance.agent Short description Actor involved Definition Allowed actors are: enterer (sv: utförare) and author (sv: uppdragsgivare). Enterer MUST always be present, author CAN be present in case a practitioner is performing a change on behalf of someone Requirements _ Comments Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.performer w5: FiveWs.who rim: ./participation[isNormalParticipation()] OR ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV'] fhirauditevent: AuditEvent.agent w3c.prov: Agent EHM: Uppdragsgivare EHM: Utförare
id		0..1	string	There are no (further) constraints on this element Element id Provenance.agent.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.agent.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.agent.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
type	S Σ	1..1	CodeableConceptBinding	Element id Provenance.agent.type Short description How the agent participated Definition The participation the agent had with respect to the activity. Comments _ Data type CodeableConcept Binding The type of participation that a provenance agent played with respect to the activity. provenance-participant-types (extensible) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.performer.function rim: .role fhirauditevent: AuditEvent.agent.type w3c.prov: Agent.Attribution
role		0..*	CodeableConcept	There are no (further) constraints on this element Element id Provenance.agent.role Short description What the agents role was Definition The function of the agent with respect to the activity. The security role enabling the agent with respect to the activity. Comments For example: doctor, nurse, clerk, etc. Data type CodeableConcept Binding The role that a provenance agent played with respect to the activity. SecurityRoleType (example) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: .typecode fhirauditevent: AuditEvent.agent.role
who	S Σ	1..1	Reference(NLLPractitioner \| NLLPatient)	Element id Provenance.agent.who Short description Who participated Definition The individual that participated in the event. NB! Only a DataLock Provenance can contain a reference to a Patient resource. Comments whoIdentity should be used when the agent is not a Resource type. Data type Reference(NLLPractitioner \| NLLPatient) Allowed aggregation: contained, referenced Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings workflow: Event.performer.actor w5: FiveWs.actor rim: .id EHM: Uppdragsgivare / Utförare
onBehalfOf		0..1	Reference(Practitioner \| PractitionerRole \| RelatedPerson \| Patient \| Device \| Organization)	There are no (further) constraints on this element Element id Provenance.agent.onBehalfOf Short description Who the agent is representing Definition The individual, device, or organization for whom the change was made. Comments onBehalfOfIdentity should be used when the agent is not a Resource type. Data type Reference(Practitioner \| PractitionerRole \| RelatedPerson \| Patient \| Device \| Organization) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]
entity		0..*	BackboneElement	There are no (further) constraints on this element Element id Provenance.entity Short description An entity used in this activity Definition An entity used in this activity. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: ./subjectOf fhirauditevent: AuditEvent.entity w3c.prov: Entity
id		0..1	string	There are no (further) constraints on this element Element id Provenance.entity.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.entity.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id Provenance.entity.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: N/A
role	Σ	1..1	codeBinding	There are no (further) constraints on this element Element id Provenance.entity.role Short description derivation \| revision \| quotation \| source \| removal Definition How the entity was used during the activity. Data type code Binding How an entity was used in an activity. ProvenanceEntityRole (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: ./typeCode fhirauditevent: AuditEvent.entity.lifecycle w3c.prov: Entity.role
what	Σ	1..1	Reference(Resource)	There are no (further) constraints on this element Element id Provenance.entity.what Short description Identity of entity Definition Identity of the Entity used. May be a logical or physical uri and maybe absolute or relative. Comments whatIdentity should be used for entities that are not a Resource type. Data type Reference(Resource) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: ./text/reference fhirauditevent: AuditEvent.entity.reference w3c.prov: Entity.Identity
agent		0..*	see (agent)	There are no (further) constraints on this element Element id Provenance.entity.agent Short description Entity is attributed to this agent Definition The entity is attributed to an agent to express the agent's responsibility for that entity, possibly along with other agents. This description can be understood as shorthand for saying that the agent was responsible for the activity which generated the entity. Comments A usecase where one Provenance.entity.agent is used where the Entity that was used in the creation/updating of the Target, is not in the context of the same custodianship as the Target, and thus the meaning of Provenance.entity.agent is to say that the entity referenced is managed elsewhere and that this Agent provided access to it. This would be similar to where the Entity being referenced is managed outside FHIR, such as through HL7 v2, v3, or XDS. This might be where the Entity being referenced is managed in another FHIR resource server. Thus it explains the Provenance of that Entity's use in the context of this Provenance activity. Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: ./author/role
signature		0..*	Signature	There are no (further) constraints on this element Element id Provenance.signature Short description Signature on target Definition A digital signature on the target Reference(s). The signer should match a Provenance.agent. The purpose of the signature is indicated. Data type Signature Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: ./signatureText

Provenance
Definition	NLLProvenance describes a change that has been made on a resource affecting a patient medications list, e.g. a MedicationRequest, MedicationDispense or resource related to multi dose dispensing (sv: dosunderlag, dossamtycke) or a change affecting a data lock (sv spärr). The change describes What - in the form of which resource is the target in combination with a reason and activity. It describes by Who - in the form of agent and it describes When it occurred. A Provenance resource is created fron the X-Provenance header wich is mandatory in a number of scenarios.
Cardinality	0...*
Alias	History, Event, Activity
Comments	Some parties may be duplicated between the target resource and its provenance. For instance, the prescriber is usually (but not always) the author of the prescription resource. This resource is defined with close consideration for W3C Provenance.
Invariants	dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources `contained.contained.empty()` dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label `contained.meta.security.empty()` dom-6: A resource should have narrative for robust management text.`div`.exists()
Mappings	rim: Entity. Role, or Act workflow: Event rim: ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN] w3c.prov: Activity EHM: Händelse
Provenance.id
Definition	The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	The only time that a resource does not have an id is when it is being submitted to the server using a create operation.
Mappings	EHM: Händelse-id
Provenance.meta
Definition	The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
Cardinality	0...1
Type	Meta
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Provenance.implicitRules
Definition	A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
Cardinality	0...1
Type	uri
Modifier	True
Summary	True
Comments	Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Provenance.language
Definition	The base language in which the resource is written.
Cardinality	0...1
Type	code
Binding	A human language. CommonLanguages (preferred)
Comments	Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Provenance.text
Definition	A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
Cardinality	0...1
Type	Narrative
Alias	narrative, html, xhtml, display
Comments	Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Act.text?
Provenance.contained
Definition	These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.
Cardinality	0...*
Type	Resource
Alias	inline resources, anonymous resources, contained resources
Comments	This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
Mappings	rim: N/A
Provenance.extension
Definition	May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
Provenance.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Alias	extensions, user content
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
Provenance.target
Definition	The Reference(s) that were generated or updated by the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity. The Reference is set by the Swedish eHealth Agency to the resource in the body of the request containing the X-Provenance header, and in some cases the target may also point to additional affected resources .
Cardinality	1...*
Type	Reference(NLLMedicationRequest \| NLLMedicationDispense \| NLLMultiDoseDispConsent \| NLLMultiDoseDispensingBasis \| NLLDispensePaperPrescription \| NLLDataLock \| NLLAccessConsent)
Must Support	True
Summary	True
Comments	Target references are usually version specific, but might not be, if a version has not been assigned or if the provenance information is part of the set of resources being maintained (i.e. a document). When using the RESTful API, the identity of the resource might not be known (especially not the version specific one); the client may either submit the resource first, and then the provenance, or it may submit both using a single transaction. See the notes on transaction for further discussion.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.what[x] rim: ./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target OR ./participation[isNormalParticipation() and typeCode=SBJ]/role OR ./participation[isNormalParticipation() and typeCode=SBJ]/role[isNormalRole()]/player fhirauditevent: AuditEvent.entity.reference w3c.prov: Entity Created/Updated EHM: Resursreferenser EHM: Referens till spärr
Provenance.occurred[x]
Definition	The period during which the activity occurred.
Cardinality	0...1
Type	dateTime
Comments	This value is set by the system to reflect the date and time when the request was received
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.occurred[x] w5: FiveWs.done[x] rim: ./effectiveTime[type=IVL_TS] w3c.prov: Activity.startTime & Activity.endTime EHM: Tidpunkt
Provenance.recorded
Definition	The instant of time at which the activity was recorded by the Swedish eHealth Agency.
Cardinality	1...1
Type	instant
Must Support	True
Summary	True
Comments	This can be a little different from the time stamp on the resource if there is a delay between recording the event and updating the provenance and target resource.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	w5: FiveWs.recorded rim: unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS]) fhirauditevent: AuditEvent.recorded w3c.prov: Activity.when EHM: Händelsetidpunkt
Provenance.policy
Definition	Policy or plan the activity was defined by. Typically, a single activity may have multiple applicable policy documents, such as patient consent, guarantor funding, etc.
Cardinality	0...*
Type	uri
Comments	For example: Where an OAuth token authorizes, the unique identifier from the OAuth token is placed into the policy element Where a policy engine (e.g. XACML) holds policy logic, the unique policy identifier is placed into the policy element.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: ./inboundRelationship[isNormalActRelationship() and typeCode="SUBJ"]/source[isNormalAct and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel fhirauditevent: AuditEvent.agent.policy
Provenance.location
Definition	Where the activity occurred, if relevant.
Cardinality	0...1
Type	Reference(Location)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.location w5: FiveWs.where[x] rim: unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode="LOC" and determinerCode="INST"] fhirauditevent: AuditEvent.agent.location w3c.prov: Activity.location
Provenance.reason
Definition	The reason for the change. For prescriptions, codes can be used to describe either a reason for change or a reason for cancellation. For other scenarios regarding prescriptions, only the text element is allowed (in combination with the code OTH). For all scenarios regarding medication dispense, only the text element is allowed. For all scenarios regarding Consents (NLLMultiDoseDispConsent (sv Dossamtycke), NLLAccessConsent (sv. Åtkomstsamtycke)), NLLMultiDoseDispensingBasis (sv Dosunderlag) and NLLDataLock (sv Spärr) no reason is allowed.
Cardinality	0...1
Type	CodeableConcept
Binding	The reason the activity took place. http://electronichealth.se/fhir/ValueSet/nll-reason-for-provenance (extensible)
Must Support	True
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.reasonCode w5: FiveWs.why[x] rim: unique(./reasonCode) fhirauditevent: AuditEvent.purposeOfEvent w3c.prov: Activity.Activity EHM: Händelseorsak
Provenance.reason.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Provenance.reason.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
Provenance.reason.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	0...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Provenance.reason.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Provenance.reason.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
Provenance.reason.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Provenance.reason.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
Provenance.reason.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Provenance.reason.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Provenance.reason.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
Provenance.reason.text
Definition	Plain text representation of the reason that the activity was taking place. Mandatory when the code "OTH" (other) is used. Can be used for all scenarios regarding prescriptions and dispenses that does not require a code.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Maximum string length: 256 For reasons related to dispensens for paper prescriptions the maximum string length is: 50
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText EHM: Beskrivning händelseorsak
Provenance.activity
Definition	This type describes the activity that occurred. This could both be a medication list activity type concerning a MedicationRequest for example, or a data lock activity type.
Cardinality	1...1
Type	CodeableConcept
Binding	The activity that took place. provenance-activity-types (required)
Must Support	True
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.code w5: FiveWs.why[x] rim: Act.code w3c.prov: Activity.Activity EHM: Händelsetyp
Provenance.activity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Provenance.activity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
Provenance.activity.coding
Definition	A reference to a code defined by a terminology system.
Cardinality	1...1
Type	Coding
Must Support	True
Summary	True
Requirements	Allows for alternative encodings within a code system, and translations to other code systems.
Comments	Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1-8, CE.10-22 rim: union(., ./translation) orim: fhir:CodeableConcept.coding rdfs:subPropertyOf dt:CD.coding
Provenance.activity.coding.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Provenance.activity.coding.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
Provenance.activity.coding.system
Definition	The identification of the code system that defines the meaning of the symbol in the code.
Cardinality	0...1
Type	uri
Must Support	True
Summary	True
Requirements	Need to be unambiguous about the source of the definition of the symbol.
Comments	The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.3 rim:* ./codeSystem orim: fhir:Coding.system rdfs:subPropertyOf dt:CDCoding.codeSystem
Provenance.activity.coding.version
Definition	The version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged.
Cardinality	0...1
Type	string
Must Support	True
Summary	True
Comments	Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.7 rim:* ./codeSystemVersion orim: fhir:Coding.version rdfs:subPropertyOf dt:CDCoding.codeSystemVersion
Provenance.activity.coding.code
Definition	A symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination).
Cardinality	1...1
Type	code
Must Support	True
Summary	True
Requirements	Need to refer to a particular code in the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.1 rim:* ./code orim: fhir:Coding.code rdfs:subPropertyOf dt:CDCoding.code
Provenance.activity.coding.display
Definition	A representation of the meaning of the code in the system, following the rules of the system.
Cardinality	0...1
Type	string
Summary	True
Requirements	Need to be able to carry a human-readable meaning of the code for readers that do not know the system.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.2 - but note this is not well followed rim:* CV.displayName orim: fhir:Coding.display rdfs:subPropertyOf dt:CDCoding.displayName
Provenance.activity.coding.userSelected
Definition	Indicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays).
Cardinality	0...1
Type	boolean
Summary	True
Requirements	This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing.
Comments	Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: Sometimes implied by being first rim: CD.codingRationale orim: fhir:Coding.userSelected fhir:mapsTo dt:CDCoding.codingRationale. fhir:Coding.userSelected fhir:hasMap fhir:Coding.userSelected.map. fhir:Coding.userSelected.map a fhir:Map; fhir:target dt:CDCoding.codingRationale. fhir:Coding.userSelected\#true a [ fhir:source "true"; fhir:target dt:CDCoding.codingRationale\#O ]
Provenance.activity.text
Definition	A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.
Cardinality	0...1
Type	string
Summary	True
Requirements	The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.
Comments	Very often the text is the same as a displayName of one of the codings.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	v2: CE.9. But note many systems use CE.2 for this rim: ./originalText[mediaType/code="text/plain"]/data orim: fhir:CodeableConcept.text rdfs:subPropertyOf dt:CD.originalText
Provenance.agent
Definition	Allowed actors are: enterer (sv: utförare) and author (sv: uppdragsgivare). Enterer MUST always be present, author CAN be present in case a practitioner is performing a change on behalf of someone
Cardinality	1...*
Type	BackboneElement
Must Support	True
Requirements	_
Comments	Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.performer w5: FiveWs.who rim: ./participation[isNormalParticipation()] OR ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV'] fhirauditevent: AuditEvent.agent w3c.prov: Agent EHM: Uppdragsgivare EHM: Utförare
Provenance.agent.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Provenance.agent.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
Provenance.agent.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
Provenance.agent.type
Definition	The participation the agent had with respect to the activity.
Cardinality	1...1
Type	CodeableConcept
Binding	The type of participation that a provenance agent played with respect to the activity. provenance-participant-types (extensible)
Must Support	True
Summary	True
Comments	_
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.performer.function rim: .role fhirauditevent: AuditEvent.agent.type w3c.prov: Agent.Attribution
Provenance.agent.role
Definition	The function of the agent with respect to the activity. The security role enabling the agent with respect to the activity.
Cardinality	0...*
Type	CodeableConcept
Binding	The role that a provenance agent played with respect to the activity. SecurityRoleType (example)
Comments	For example: doctor, nurse, clerk, etc.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: .typecode fhirauditevent: AuditEvent.agent.role
Provenance.agent.who
Definition	The individual that participated in the event. NB! Only a DataLock Provenance can contain a reference to a Patient resource.
Cardinality	1...1
Type	Reference(NLLPractitioner \| NLLPatient)
Must Support	True
Summary	True
Comments	whoIdentity should be used when the agent is not a Resource type.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	workflow: Event.performer.actor w5: FiveWs.actor rim: .id EHM: Uppdragsgivare / Utförare
Provenance.agent.onBehalfOf
Definition	The individual, device, or organization for whom the change was made.
Cardinality	0...1
Type	Reference(Practitioner \| PractitionerRole \| RelatedPerson \| Patient \| Device \| Organization)
Comments	onBehalfOfIdentity should be used when the agent is not a Resource type.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]
Provenance.entity
Definition	An entity used in this activity.
Cardinality	0...*
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: ./subjectOf fhirauditevent: AuditEvent.entity w3c.prov: Entity
Provenance.entity.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
Provenance.entity.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a
Provenance.entity.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: N/A
Provenance.entity.role
Definition	How the entity was used during the activity.
Cardinality	1...1
Type	code
Binding	How an entity was used in an activity. ProvenanceEntityRole (required)
Summary	True
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: ./typeCode fhirauditevent: AuditEvent.entity.lifecycle w3c.prov: Entity.role
Provenance.entity.what
Definition	Identity of the Entity used. May be a logical or physical uri and maybe absolute or relative.
Cardinality	1...1
Type	Reference(Resource)
Summary	True
Comments	whatIdentity should be used for entities that are not a Resource type.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: ./text/reference fhirauditevent: AuditEvent.entity.reference w3c.prov: Entity.Identity
Provenance.entity.agent
Definition	The entity is attributed to an agent to express the agent's responsibility for that entity, possibly along with other agents. This description can be understood as shorthand for saying that the agent was responsible for the activity which generated the entity.
Cardinality	0...*
Type	see (agent)
Comments	A usecase where one Provenance.entity.agent is used where the Entity that was used in the creation/updating of the Target, is not in the context of the same custodianship as the Target, and thus the meaning of Provenance.entity.agent is to say that the entity referenced is managed elsewhere and that this Agent provided access to it. This would be similar to where the Entity being referenced is managed outside FHIR, such as through HL7 v2, v3, or XDS. This might be where the Entity being referenced is managed in another FHIR resource server. Thus it explains the Provenance of that Entity's use in the context of this Provenance activity.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: ./author/role
Provenance.signature
Definition	A digital signature on the target Reference(s). The signer should match a Provenance.agent. The purpose of the signature is indicated.
Cardinality	0...*
Type	Signature
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: ./signatureText

<StructureDefinition xmlns="http://hl7.org/fhir">
    <url value="http://electronichealth.se/fhir/StructureDefinition/NLLProvenance" />
    <version value="2.0.0" />
    <name value="NLLProvenance" />
    <status value="active" />
    <experimental value="false" />
    <date value="2024-12-17" />
    <publisher value="Swedish eHealth Agency" />
    <description value="A profile of Provenance that is compatible with all scenarios in the Swedish National Medication List." />
    <fhirVersion value="4.0.1" />
    <mapping>
        <identity value="EHM" />
        <name value="E-h&#228;lsomyndigheten concept" />
    </mapping>
    <kind value="resource" />
    <abstract value="false" />
    <type value="Provenance" />
    <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Provenance" />
    <derivation value="constraint" />
    <differential>
        <element id="Provenance">
            <path value="Provenance" />
            <short value="When a change is made in the patient&#180;s medication list a provenance provides information about who, what, when and where from the change is made." />
            <definition value="NLLProvenance describes a change that has been made on a resource affecting a patient medications list, e.g. a MedicationRequest, MedicationDispense or resource related to multi dose dispensing (sv: dosunderlag, dossamtycke) or a change affecting a data lock (sv sp&#228;rr). The change describes What - in the form of which resource is the target in combination with a reason and activity. It describes by Who - in the form of agent and it describes When it occurred.\nA Provenance resource is created fron the X-Provenance header wich is mandatory in a number of scenarios." />
            <mapping>
                <identity value="EHM" />
                <map value="H&#228;ndelse" />
            </mapping>
        </element>
        <element id="Provenance.id">
            <path value="Provenance.id" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="H&#228;ndelse-id" />
            </mapping>
        </element>
        <element id="Provenance.target">
            <path value="Provenance.target" />
            <definition value="The Reference(s) that were generated or updated by  the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity.\nThe Reference is set by the Swedish eHealth Agency to the resource in the body of the request containing the X-Provenance header, and in some cases the target may also point to additional affected resources ." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLMedicationRequest" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLMedicationDispense" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLMultiDoseDispConsent" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLMultiDoseDispensingBasis" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLDispensePaperPrescription" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLDataLock" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLAccessConsent" />
                <aggregation value="referenced" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Resursreferenser" />
            </mapping>
            <mapping>
                <identity value="EHM" />
                <map value="Referens till sp&#228;rr" />
            </mapping>
        </element>
        <element id="Provenance.occurred[x]">
            <path value="Provenance.occurred[x]" />
            <comment value="This value is set by the system to reflect the date and time when the request was received" />
            <type>
                <code value="dateTime" />
            </type>
            <mapping>
                <identity value="EHM" />
                <map value="Tidpunkt" />
            </mapping>
        </element>
        <element id="Provenance.recorded">
            <path value="Provenance.recorded" />
            <definition value="The instant of time at which the activity was recorded by the Swedish eHealth Agency." />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="H&#228;ndelsetidpunkt" />
            </mapping>
        </element>
        <element id="Provenance.reason">
            <path value="Provenance.reason" />
            <definition value="The reason for the change. &lt;br&gt;\nFor prescriptions, codes can be used to describe either a reason for change or a reason for cancellation.\nFor other scenarios regarding prescriptions, only the text element is allowed (in combination with the code OTH).\nFor all scenarios regarding medication dispense, only the text element is allowed.\nFor all scenarios regarding Consents (NLLMultiDoseDispConsent (sv Dossamtycke), NLLAccessConsent (sv. &#197;tkomstsamtycke)), NLLMultiDoseDispensingBasis (sv Dosunderlag) and NLLDataLock (sv Sp&#228;rr) no reason is allowed." />
            <comment value="_" />
            <max value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="extensible" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/nll-reason-for-provenance" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="H&#228;ndelseorsak" />
            </mapping>
        </element>
        <element id="Provenance.reason.coding">
            <path value="Provenance.reason.coding" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Provenance.reason.coding.system">
            <path value="Provenance.reason.coding.system" />
            <mustSupport value="true" />
        </element>
        <element id="Provenance.reason.coding.version">
            <path value="Provenance.reason.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="Provenance.reason.coding.code">
            <path value="Provenance.reason.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Provenance.reason.text">
            <path value="Provenance.reason.text" />
            <definition value="Plain text representation of the reason that the activity was taking place. \nMandatory when the code &quot;OTH&quot; (other) is used.\nCan be used for all scenarios regarding prescriptions and dispenses that does not require a code." />
            <comment value="Maximum string length: 256\nFor reasons related to dispensens for paper prescriptions the maximum string length is: 50" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Beskrivning h&#228;ndelseorsak" />
            </mapping>
        </element>
        <element id="Provenance.activity">
            <path value="Provenance.activity" />
            <definition value="This type describes the activity that occurred. This could both be a medication list activity type concerning a MedicationRequest for example, or a data lock activity type." />
            <comment value="_" />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="required" />
                <valueSet value="http://ehalsomyndigheten.se/fhir/ValueSet/provenance-activity-types" />
            </binding>
            <mapping>
                <identity value="EHM" />
                <map value="H&#228;ndelsetyp" />
            </mapping>
        </element>
        <element id="Provenance.activity.coding">
            <path value="Provenance.activity.coding" />
            <min value="1" />
            <max value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Provenance.activity.coding.system">
            <path value="Provenance.activity.coding.system" />
            <mustSupport value="true" />
        </element>
        <element id="Provenance.activity.coding.version">
            <path value="Provenance.activity.coding.version" />
            <mustSupport value="true" />
        </element>
        <element id="Provenance.activity.coding.code">
            <path value="Provenance.activity.coding.code" />
            <min value="1" />
            <mustSupport value="true" />
        </element>
        <element id="Provenance.agent">
            <path value="Provenance.agent" />
            <definition value="Allowed actors are: enterer (sv: utf&#246;rare) and author (sv: uppdragsgivare). Enterer MUST always be present, author CAN be present in case a practitioner is performing a change on behalf of someone" />
            <requirements value="_" />
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Uppdragsgivare" />
            </mapping>
            <mapping>
                <identity value="EHM" />
                <map value="Utf&#246;rare" />
            </mapping>
        </element>
        <element id="Provenance.agent.type">
            <path value="Provenance.agent.type" />
            <comment value="_" />
            <min value="1" />
            <mustSupport value="true" />
            <binding>
                <strength value="extensible" />
                <valueSet value="http://electronichealth.se/fhir/ValueSet/provenance-participant-types" />
            </binding>
        </element>
        <element id="Provenance.agent.who">
            <path value="Provenance.agent.who" />
            <definition value="The individual that participated in the event. NB! Only a DataLock Provenance can contain a reference to a Patient resource." />
            <type>
                <code value="Reference" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLPractitioner" />
                <targetProfile value="http://electronichealth.se/fhir/StructureDefinition/NLLPatient" />
                <aggregation value="contained" />
                <aggregation value="referenced" />
            </type>
            <mustSupport value="true" />
            <mapping>
                <identity value="EHM" />
                <map value="Uppdragsgivare / Utf&#246;rare" />
                <comment value="Depending on type, this is the practitioner acting as the performer (sv: utf&#246;rare) or author (sv: uppdragsgivare)" />
            </mapping>
        </element>
    </differential>
</StructureDefinition>

{
    "resourceType": "StructureDefinition",
    "url": "http://electronichealth.se/fhir/StructureDefinition/NLLProvenance",
    "version": "2.0.0",
    "name": "NLLProvenance",
    "status": "active",
    "experimental": false,
    "date": "2024-12-17",
    "publisher": "Swedish eHealth Agency",
    "description": "A profile of Provenance that is compatible with all scenarios in the Swedish National Medication List.",
    "fhirVersion": "4.0.1",
    "mapping":  [
        {
            "identity": "EHM",
            "name": "E-hälsomyndigheten concept"
        }
    ],
    "kind": "resource",
    "abstract": false,
    "type": "Provenance",
    "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Provenance",
    "derivation": "constraint",
    "differential": {
        "element":  [
            {
                "id": "Provenance",
                "path": "Provenance",
                "short": "When a change is made in the patient´s medication list a provenance provides information about who, what, when and where from the change is made.",
                "definition": "NLLProvenance describes a change that has been made on a resource affecting a patient medications list, e.g. a MedicationRequest, MedicationDispense or resource related to multi dose dispensing (sv: dosunderlag, dossamtycke) or a change affecting a data lock (sv spärr). The change describes What - in the form of which resource is the target in combination with a reason and activity. It describes by Who - in the form of agent and it describes When it occurred.\nA Provenance resource is created fron the X-Provenance header wich is mandatory in a number of scenarios.",
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Händelse"
                    }
                ]
            },
            {
                "id": "Provenance.id",
                "path": "Provenance.id",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Händelse-id"
                    }
                ]
            },
            {
                "id": "Provenance.target",
                "path": "Provenance.target",
                "definition": "The Reference(s) that were generated or updated by  the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity.\nThe Reference is set by the Swedish eHealth Agency to the resource in the body of the request containing the X-Provenance header, and in some cases the target may also point to additional affected resources .",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLMedicationRequest",
                            "http://electronichealth.se/fhir/StructureDefinition/NLLMedicationDispense",
                            "http://electronichealth.se/fhir/StructureDefinition/NLLMultiDoseDispConsent",
                            "http://electronichealth.se/fhir/StructureDefinition/NLLMultiDoseDispensingBasis",
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDispensePaperPrescription",
                            "http://electronichealth.se/fhir/StructureDefinition/NLLDataLock",
                            "http://electronichealth.se/fhir/StructureDefinition/NLLAccessConsent"
                        ],
                        "aggregation":  [
                            "referenced"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Resursreferenser"
                    },
                    {
                        "identity": "EHM",
                        "map": "Referens till spärr"
                    }
                ]
            },
            {
                "id": "Provenance.occurred[x]",
                "path": "Provenance.occurred[x]",
                "comment": "This value is set by the system to reflect the date and time when the request was received",
                "type":  [
                    {
                        "code": "dateTime"
                    }
                ],
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Tidpunkt"
                    }
                ]
            },
            {
                "id": "Provenance.recorded",
                "path": "Provenance.recorded",
                "definition": "The instant of time at which the activity was recorded by the Swedish eHealth Agency.",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Händelsetidpunkt"
                    }
                ]
            },
            {
                "id": "Provenance.reason",
                "path": "Provenance.reason",
                "definition": "The reason for the change. <br>\nFor prescriptions, codes can be used to describe either a reason for change or a reason for cancellation.\nFor other scenarios regarding prescriptions, only the text element is allowed (in combination with the code OTH).\nFor all scenarios regarding medication dispense, only the text element is allowed.\nFor all scenarios regarding Consents (NLLMultiDoseDispConsent (sv Dossamtycke), NLLAccessConsent (sv. Åtkomstsamtycke)), NLLMultiDoseDispensingBasis (sv Dosunderlag) and NLLDataLock (sv Spärr) no reason is allowed.",
                "comment": "_",
                "max": "1",
                "mustSupport": true,
                "binding": {
                    "strength": "extensible",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/nll-reason-for-provenance"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Händelseorsak"
                    }
                ]
            },
            {
                "id": "Provenance.reason.coding",
                "path": "Provenance.reason.coding",
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "Provenance.reason.coding.system",
                "path": "Provenance.reason.coding.system",
                "mustSupport": true
            },
            {
                "id": "Provenance.reason.coding.version",
                "path": "Provenance.reason.coding.version",
                "mustSupport": true
            },
            {
                "id": "Provenance.reason.coding.code",
                "path": "Provenance.reason.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Provenance.reason.text",
                "path": "Provenance.reason.text",
                "definition": "Plain text representation of the reason that the activity was taking place. \nMandatory when the code \"OTH\" (other) is used.\nCan be used for all scenarios regarding prescriptions and dispenses that does not require a code.",
                "comment": "Maximum string length: 256\nFor reasons related to dispensens for paper prescriptions the maximum string length is: 50",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Beskrivning händelseorsak"
                    }
                ]
            },
            {
                "id": "Provenance.activity",
                "path": "Provenance.activity",
                "definition": "This type describes the activity that occurred. This could both be a medication list activity type concerning a MedicationRequest for example, or a data lock activity type.",
                "comment": "_",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "required",
                    "valueSet": "http://ehalsomyndigheten.se/fhir/ValueSet/provenance-activity-types"
                },
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Händelsetyp"
                    }
                ]
            },
            {
                "id": "Provenance.activity.coding",
                "path": "Provenance.activity.coding",
                "min": 1,
                "max": "1",
                "mustSupport": true
            },
            {
                "id": "Provenance.activity.coding.system",
                "path": "Provenance.activity.coding.system",
                "mustSupport": true
            },
            {
                "id": "Provenance.activity.coding.version",
                "path": "Provenance.activity.coding.version",
                "mustSupport": true
            },
            {
                "id": "Provenance.activity.coding.code",
                "path": "Provenance.activity.coding.code",
                "min": 1,
                "mustSupport": true
            },
            {
                "id": "Provenance.agent",
                "path": "Provenance.agent",
                "definition": "Allowed actors are: enterer (sv: utförare) and author (sv: uppdragsgivare). Enterer MUST always be present, author CAN be present in case a practitioner is performing a change on behalf of someone",
                "requirements": "_",
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Uppdragsgivare"
                    },
                    {
                        "identity": "EHM",
                        "map": "Utförare"
                    }
                ]
            },
            {
                "id": "Provenance.agent.type",
                "path": "Provenance.agent.type",
                "comment": "_",
                "min": 1,
                "mustSupport": true,
                "binding": {
                    "strength": "extensible",
                    "valueSet": "http://electronichealth.se/fhir/ValueSet/provenance-participant-types"
                }
            },
            {
                "id": "Provenance.agent.who",
                "path": "Provenance.agent.who",
                "definition": "The individual that participated in the event. NB! Only a DataLock Provenance can contain a reference to a Patient resource.",
                "type":  [
                    {
                        "code": "Reference",
                        "targetProfile":  [
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPractitioner",
                            "http://electronichealth.se/fhir/StructureDefinition/NLLPatient"
                        ],
                        "aggregation":  [
                            "contained",
                            "referenced"
                        ]
                    }
                ],
                "mustSupport": true,
                "mapping":  [
                    {
                        "identity": "EHM",
                        "map": "Uppdragsgivare / Utförare",
                        "comment": "Depending on type, this is the practitioner acting as the performer (sv: utförare) or author (sv: uppdragsgivare)"
                    }
                ]
            }
        ]
    }
}

Provenance		..
Provenance.id		..
Provenance.target	Reference(NLLMedicationRequest \| NLLMedicationDispense \| NLLMultiDoseDispConsent \| NLLMultiDoseDispensingBasis \| NLLDispensePaperPrescription \| NLLDataLock \| NLLAccessConsent)	..
Provenance.occurred[x]	dateTime	..
Provenance.recorded		..
Provenance.reason		..1
Provenance.reason.coding		..1
Provenance.reason.coding.system		..
Provenance.reason.coding.version		..
Provenance.reason.coding.code		1..
Provenance.reason.text		..
Provenance.activity		1..
Provenance.activity.coding		1..1
Provenance.activity.coding.system		..
Provenance.activity.coding.version		..
Provenance.activity.coding.code		1..
Provenance.agent		..
Provenance.agent.type		1..
Provenance.agent.who	Reference(NLLPractitioner \| NLLPatient)	..

Contained resources

References to other resources are based on contained resources in the following cases.

Element	Resource	Case
agent.who	Practitioner	Allways

For more information about references and contained resources see Resources - References.

Details

Description of all elements can be found here, Element descriptions.

Mapping of FHIR element names to the National Medication List names can be found here, Element language mappings.

Super provenance and sub provenances

The profile NLLProvenance is a super type compatible with all other sub-profiles used in the National Medication List. NLLProvenance can therefore be used as a replacement of all other provenance types.

The value sets used in NLLProvenance contain all codes for all scenarios in the National Medication List, and the references support all scenarios. To describe valid elements and combinations of data for specific scenarios a number of specialized sub-profiles are available.

See the following pages for more information about how to use the Provenance resource in scenarios where it is used together with information about the supporting sub-profiles.

Practitioner

The Provenance structure must conform to the type of activity it describes and who is doing it. In some use cases a practitioner is provided in the HTTP body, e.g. an agent is defined as requester in a MedicationRequest, as well as in the Provenance in the HTTP header. It is important that the practitioner is the same in both places in many of those use cases.

Supported operations

HTTP methods

Operation	Supported	Comment
Search (GET, POST)	yes	See below for supported search options.
Insert (POST)	no
Update (PUT)	no
Delete (DEL)	no
Operation (GET, POST)	no

When interacting with this resource a set of HTTP-headers must be included in the request, see HTTP Header and Authorization.

Query operations

The following query alternatives are available for this resource.

../Provenance/[id]
../Provenance?target=[ref]{&activity-type=[code]}

Compartment searches

Supported searches on a compartment. This kind of search returns a bundle with the related resources.

../Provenance/[id]/MedicationRequest returns all related medication requests.
../MedicationRequest/[id]/Provenance returns all related provenances.
../Basic/[id]/Provenance returns all related provenances (data locks and multi dose dispenses).
../Consent/[id]/Provenance returns all related provenances.
../MedicationDispense/[id]/Provenance returns all related provenances.

Include & reverse includes

Include and revinclude are not supported by this resource.

For generic information about how to search in FHIR look here.

Search parameters

The table below shows all supported search parameters.

Parameter	Description	Comment
Provenance/[id]	A read based on the logical ID (UUID) of a provenance `../Provenance/<uuid>`	Applicable for provenances related to Basic (multidose dispenses and datalock), medication request, medication dispense (not dispense paper prescription) and consent
target	Reference to the target resource. Supported targets are MedicationRequest, MedicationDispense, Consent and Basic `..?target=Basic/<uuid>` `..?target=MedicationRequest/<uuid>/_history/2`
activity-type	Type of activity `..&activity-type=REGISTRERA_FORSKRIVNING`