{ "resourceType": "StructureDefinition", "id": "cio-RegistrationInformation", "url": "http://nictiz.nl/fhir/StructureDefinition/cio-RegistrationInformation", "version": "1.0.0-beta.5", "name": "CioRegistrationInformation", "title": "cio RegistrationInformation", "status": "draft", "publisher": "Nictiz", "contact": [ { "name": "Nictiz", "telecom": [ { "system": "url", "value": "https://www.nictiz.nl", "use": "work" } ] } ], "description": "Registration information contains the information that originates during the registration process of data in the patient record, such as, for instance, when and by whom the information was registered.", "purpose": "This Provenance resource mostly represents several concepts within the RegistrationInformation building block for implementations following the information standard [CiO](https://informatiestandaarden.nictiz.nl/wiki/Landingspagina_Contra-indicaties_en_Overgevoeligheden), but is also used for some concepts present in the other building blocks within CiO. This profile is largely based on the Dutch zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) RegistrationData that is part of the 2024 prepublication. Therefore it has no dependency on a corresponding nl-core profile and mappings to zib concepts are not defined. Instead mappings to the CiO data set have been added. Note that there are minor conceptual differences between the zib RegistrationData and the RegistrationInformation building block in the CiO data set. It is the intention to replace this profile by a more general nl-core profile in the future.", "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.", "fhirVersion": "4.0.1", "mapping": [ { "identity": "cio-dataset-200-beta2-20231214", "uri": "https://decor.nictiz.nl/pub/cio/cio-html-20231214T100742/ds-2.16.840.1.113883.2.4.3.11.60.26.1.2-2020-04-02T000000.html", "name": "ART-DECOR Dataset Contraindications and hypersensitivities 2.0.0-beta.2 20231214" }, { "identity": "cio-dataset-200-beta3-20241023", "uri": "https://decor.nictiz.nl/pub/cio/cio-html-20241023T071643/ds-2.16.840.1.113883.2.4.3.11.60.26.1.2-2020-04-02T000000.html", "name": "ART-DECOR Dataset Contraindications and hypersensitivities 2.0.0-beta.3 20241023" } ], "kind": "resource", "abstract": false, "type": "Provenance", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/Provenance", "derivation": "constraint", "snapshot": { "element": [ { "id": "Provenance", "path": "Provenance", "short": "RegistrationInformation", "definition": "Provenance of a resource is a record that describes entities and processes involved in producing and delivering or otherwise influencing that resource. Provenance provides a critical foundation for assessing authenticity, enabling trust, and allowing reproducibility. Provenance assertions are a form of contextual metadata and can themselves become important records with their own provenance. Provenance statement indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g. Document Completion - has the artifact been legally authenticated), all of which may impact security, privacy, and trust policies.", "comment": "Many other FHIR resources contain some elements that represent information about how the resource was obtained, and therefore they overlap with the functionality of the Provenance resource. Examples of such elements are `AllergyIntolerance.recordedDate` and `Flag.author`, which overlap with `.recorded` and `.agent` in this resource, respectively. These elements in other resources should always be used in preference to the Provenance resource. This means that, if a concept from the functional data model is mapped to an element in the Provenance resource, as well as an element in another resource, the information on that concept SHALL be included in the other resource, and MAY be added to the Provenance resource (the obvious exception being an element that is mandatory in the Provenance resource, such as `.recorded`; in that case the latter conformance changes to a SHALL as well).\r\n\r\nNote that the IdentificationNumber concept (cio-dataelement-20-780) is part of the RegistrationInformation building block, but is not mapped within this profile. Instead it is mapped to `Resource.identifier` in the profiles referenced by `.target`.", "alias": [ "History", "Event", "Activity", "RegistratieInformatie" ], "min": 0, "max": "*", "base": { "path": "Provenance", "min": 0, "max": "*" }, "constraint": [ { "key": "dom-2", "severity": "error", "human": "If the resource is contained in another resource, it SHALL NOT contain nested Resources", "expression": "contained.contained.empty()", "xpath": "not(parent::f:contained and f:contained)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-4", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated", "expression": "contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-3", "severity": "error", "human": "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", "expression": "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()", "xpath": "not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice", "valueBoolean": true }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation", "valueMarkdown": "When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time." } ], "key": "dom-6", "severity": "warning", "human": "A resource should have narrative for robust management", "expression": "text.`div`.exists()", "xpath": "exists(f:text/h:div)", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "dom-5", "severity": "error", "human": "If a resource is contained in another resource, it SHALL NOT have a security label", "expression": "contained.meta.security.empty()", "xpath": "not(exists(f:contained/*/f:meta/f:security))", "source": "http://hl7.org/fhir/StructureDefinition/DomainResource" }, { "key": "cio-RegistrationInformation-1", "severity": "error", "human": "If the Provenance is related to a non-proposal medication contraindication or surveillance decision, Provenance.agent:performer SHALL exist.", "expression": "((target.resolve().conformsTo('http://nictiz.nl/fhir/StructureDefinition/cio-MedicationContraIndication') and target.resolve().meta.tag.where(system = 'http://terminology.hl7.org/CodeSystem/common-tags' and code = 'actionable').exists().not()) or target.resolve().conformsTo('http://nictiz.nl/fhir/StructureDefinition/cio-SurveillanceDecision')) implies agent.type.coding.where($this.system = 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' and $this.code = 'performer').exists()", "source": "http://nictiz.nl/fhir/StructureDefinition/cio-RegistrationInformation" }, { "key": "cio-RegistrationInformation-2", "severity": "error", "human": "If the Provenance is related to a (reply) proposal medication contraindication, Provenance.agent:author SHALL exist.", "expression": "((target.resolve().conformsTo('http://nictiz.nl/fhir/StructureDefinition/cio-MedicationContraIndication') and target.resolve().meta.tag.where(system = 'http://terminology.hl7.org/CodeSystem/common-tags' and code = 'actionable').exists()) or target.resolve().conformsTo('http://nictiz.nl/fhir/StructureDefinition/cio-ReplyProposalContraIndication')) implies agent.type.coding.where($this.system = 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' and $this.code = 'author').exists()", "source": "http://nictiz.nl/fhir/StructureDefinition/cio-RegistrationInformation" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "workflow", "map": "Event" }, { "identity": "rim", "map": "ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN]" }, { "identity": "w3c.prov", "map": "Activity" }, { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-779", "comment": "RegistrationData [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-779", "comment": "RegistrationInformation" } ] }, { "id": "Provenance.id", "path": "Provenance.id", "short": "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.", "comment": "The only time that a resource does not have an id is when it is being submitted to the server using a create operation.", "min": 0, "max": "1", "base": { "path": "Resource.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "isSummary": true }, { "id": "Provenance.meta", "path": "Provenance.meta", "short": "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.", "min": 0, "max": "1", "base": { "path": "Resource.meta", "min": 0, "max": "1" }, "type": [ { "code": "Meta" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.implicitRules", "path": "Provenance.implicitRules", "short": "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.", "comment": "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.", "min": 0, "max": "1", "base": { "path": "Resource.implicitRules", "min": 0, "max": "1" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isModifier": true, "isModifierReason": "This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Provenance.language", "path": "Provenance.language", "short": "Language of the resource content", "definition": "The base language in which the resource is written.", "comment": "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).", "min": 0, "max": "1", "base": { "path": "Resource.language", "min": 0, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet", "valueCanonical": "http://hl7.org/fhir/ValueSet/all-languages" }, { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "Language" } ], "strength": "preferred", "description": "A human language.", "valueSet": "http://hl7.org/fhir/ValueSet/languages" }, "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Provenance.text", "path": "Provenance.text", "short": "Text summary of the resource, for human interpretation", "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.", "comment": "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.", "alias": [ "narrative", "html", "xhtml", "display" ], "min": 0, "max": "1", "base": { "path": "DomainResource.text", "min": 0, "max": "1" }, "type": [ { "code": "Narrative" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "Act.text?" } ] }, { "id": "Provenance.contained", "path": "Provenance.contained", "short": "Contained, inline 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.", "comment": "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.", "alias": [ "inline resources", "anonymous resources", "contained resources" ], "min": 0, "max": "*", "base": { "path": "DomainResource.contained", "min": 0, "max": "*" }, "type": [ { "code": "Resource" } ], "mapping": [ { "identity": "rim", "map": "Entity. Role, or Act" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.extension", "path": "Provenance.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.modifierExtension", "path": "Provenance.modifierExtension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Extensions that cannot be ignored", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "DomainResource.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them", "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.target", "path": "Provenance.target", "short": "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.", "comment": "Please note that on a functional level, the building blocks MedicationContraIndication, SurveillanceDecision, HypersensitivityIntolerance, Reaction, Symptom and Condition reference the building block RegistrationInformation, but in FHIR this direction is reversed.", "min": 1, "max": "*", "base": { "path": "Provenance.target", "min": 1, "max": "*" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource", "http://nictiz.nl/fhir/StructureDefinition/cio-MedicationContraIndication", "http://nictiz.nl/fhir/StructureDefinition/cio-SurveillanceDecision", "http://nictiz.nl/fhir/StructureDefinition/cio-HypersensitivityIntolerance", "http://nictiz.nl/fhir/StructureDefinition/cio-Reaction", "http://nictiz.nl/fhir/StructureDefinition/cio-Symptom", "http://nictiz.nl/fhir/StructureDefinition/cio-Condition" ] } ], "condition": [ "ele-1", "cio-RegistrationInformation-1", "cio-RegistrationInformation-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "w5", "map": "FiveWs.what[x]" }, { "identity": "rim", "map": "./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target OR ./participation[isNormalParticipation() and typeCode=SBJ]/role OR ./participation[isNormalParticipation() and typeCode=SBJ]/role[isNormalRole()]/player" }, { "identity": "fhirauditevent", "map": "AuditEvent.entity.reference" }, { "identity": "w3c.prov", "map": "Entity Created/Updated" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-883", "comment": "Reversed reference for MedicationContraIndication.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-822", "comment": "Reversed reference for SurveillanceDecision.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-798", "comment": "Reversed reference for HypersensitivityIntolerance.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-819", "comment": "Reversed reference for Reaction.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-934", "comment": "Reversed reference for Symptom.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-920", "comment": "Reversed reference for Condition.RegistrationInformation" } ] }, { "id": "Provenance.occurred[x]", "path": "Provenance.occurred[x]", "short": "When the activity occurred", "definition": "The period during which the activity occurred.", "comment": "The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.", "min": 0, "max": "1", "base": { "path": "Provenance.occurred[x]", "min": 0, "max": "1" }, "type": [ { "code": "Period" }, { "code": "dateTime" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.occurred[x]" }, { "identity": "w5", "map": "FiveWs.done[x]" }, { "identity": "rim", "map": "./effectiveTime[type=IVL_TS]" }, { "identity": "w3c.prov", "map": "Activity.startTime & Activity.endTime" }, { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-756", "comment": "DecisionDateTime [DEPRECATED]" } ] }, { "id": "Provenance.recorded", "path": "Provenance.recorded", "short": "CreationDateTime", "definition": "Date and time when the information about the patient was registered.", "comment": "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.", "alias": [ "OntstaansDatumTijd" ], "min": 1, "max": "1", "base": { "path": "Provenance.recorded", "min": 1, "max": "1" }, "type": [ { "code": "instant" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "w5", "map": "FiveWs.recorded" }, { "identity": "rim", "map": "unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS])" }, { "identity": "fhirauditevent", "map": "AuditEvent.recorded" }, { "identity": "w3c.prov", "map": "Activity.when" }, { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-783", "comment": "RegistrationDateTime [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-783", "comment": "CreationDateTime" } ] }, { "id": "Provenance.policy", "path": "Provenance.policy", "short": "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.", "comment": "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.", "min": 0, "max": "*", "base": { "path": "Provenance.policy", "min": 0, "max": "*" }, "type": [ { "code": "uri" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "./inboundRelationship[isNormalActRelationship() and typeCode=\"SUBJ\"]/source[isNormalAct and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.policy" } ] }, { "id": "Provenance.location", "path": "Provenance.location", "short": "Where the activity occurred, if relevant", "definition": "Where the activity occurred, if relevant.", "comment": "References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.", "min": 0, "max": "1", "base": { "path": "Provenance.location", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Location" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.location" }, { "identity": "w5", "map": "FiveWs.where[x]" }, { "identity": "rim", "map": "unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode=\"LOC\" and determinerCode=\"INST\"]" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.location" }, { "identity": "w3c.prov", "map": "Activity.location" } ] }, { "id": "Provenance.reason", "path": "Provenance.reason", "short": "Reason the activity is occurring", "definition": "The reason that the activity was taking place.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "*", "base": { "path": "Provenance.reason", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceReason" } ], "strength": "extensible", "description": "The reason the activity took place.", "valueSet": "http://terminology.hl7.org/ValueSet/v3-PurposeOfUse" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.reasonCode" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "rim", "map": "unique(./reasonCode)" }, { "identity": "fhirauditevent", "map": "AuditEvent.purposeOfEvent" }, { "identity": "w3c.prov", "map": "Activity.Activity" } ] }, { "id": "Provenance.activity", "path": "Provenance.activity", "short": "Activity that occurred", "definition": "An activity is something that occurs over a period of time and acts upon or with entities; it may include consuming, processing, transforming, modifying, relocating, using, or generating entities.", "comment": "Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.", "min": 0, "max": "1", "base": { "path": "Provenance.activity", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceActivity" } ], "strength": "extensible", "description": "The activity that took place.", "valueSet": "http://hl7.org/fhir/ValueSet/provenance-activity-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.code" }, { "identity": "w5", "map": "FiveWs.why[x]" }, { "identity": "rim", "map": "Act.code" }, { "identity": "w3c.prov", "map": "Activity.Activity" } ] }, { "id": "Provenance.agent", "path": "Provenance.agent", "slicing": { "discriminator": [ { "type": "value", "path": "type" } ], "rules": "open" }, "short": "Actor involved", "definition": "An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.", "comment": "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.", "requirements": "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.", "min": 1, "max": "*", "base": { "path": "Provenance.agent", "min": 1, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.performer" }, { "identity": "w5", "map": "FiveWs.who" }, { "identity": "rim", "map": "./participation[isNormalParticipation()] OR ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent" }, { "identity": "w3c.prov", "map": "Agent" } ] }, { "id": "Provenance.agent.id", "path": "Provenance.agent.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Provenance.agent.extension", "path": "Provenance.agent.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.agent.modifierExtension", "path": "Provenance.agent.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.agent.type", "path": "Provenance.agent.type", "short": "How the agent participated", "definition": "The participation the agent had with respect to the activity.", "comment": "For example: author, performer, enterer, attester, etc.", "min": 0, "max": "1", "base": { "path": "Provenance.agent.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceAgentType" } ], "strength": "extensible", "description": "The type of participation that a provenance agent played with respect to the activity.", "valueSet": "http://hl7.org/fhir/ValueSet/provenance-agent-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.performer.function" }, { "identity": "rim", "map": ".role" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.type" }, { "identity": "w3c.prov", "map": "Agent.Attribution" } ] }, { "id": "Provenance.agent.role", "path": "Provenance.agent.role", "short": "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.", "comment": "For example: doctor, nurse, clerk, etc.", "min": 0, "max": "*", "base": { "path": "Provenance.agent.role", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceAgentRole" } ], "strength": "example", "description": "The role that a provenance agent played with respect to the activity.", "valueSet": "http://hl7.org/fhir/ValueSet/security-role-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".typecode" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.role" } ] }, { "id": "Provenance.agent.who", "path": "Provenance.agent.who", "short": "Who participated", "definition": "The individual, device or organization that participated in the event.", "comment": "whoIdentity should be used when the agent is not a Resource type.", "min": 1, "max": "1", "base": { "path": "Provenance.agent.who", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "rim", "map": ".id" } ] }, { "id": "Provenance.agent.onBehalfOf", "path": "Provenance.agent.onBehalfOf", "short": "Who the agent is representing", "definition": "The individual, device, or organization for whom the change was made.", "comment": "onBehalfOfIdentity should be used when the agent is not a Resource type.", "min": 0, "max": "1", "base": { "path": "Provenance.agent.onBehalfOf", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": "Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]" } ] }, { "id": "Provenance.agent:author", "path": "Provenance.agent", "sliceName": "author", "short": "Actor involved", "definition": "An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.", "comment": "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.", "requirements": "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.", "min": 0, "max": "1", "base": { "path": "Provenance.agent", "min": 1, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1", "cio-RegistrationInformation-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.performer" }, { "identity": "w5", "map": "FiveWs.who" }, { "identity": "rim", "map": "./participation[isNormalParticipation()] OR ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent" }, { "identity": "w3c.prov", "map": "Agent" } ] }, { "id": "Provenance.agent:author.id", "path": "Provenance.agent.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Provenance.agent:author.extension", "path": "Provenance.agent.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.agent:author.modifierExtension", "path": "Provenance.agent.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.agent:author.type", "path": "Provenance.agent.type", "short": "How the agent participated", "definition": "The participation the agent had with respect to the activity.", "comment": "For example: author, performer, enterer, attester, etc.", "min": 1, "max": "1", "base": { "path": "Provenance.agent.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code": "author" } ] }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceAgentType" } ], "strength": "extensible", "description": "The type of participation that a provenance agent played with respect to the activity.", "valueSet": "http://hl7.org/fhir/ValueSet/provenance-agent-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.performer.function" }, { "identity": "rim", "map": ".role" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.type" }, { "identity": "w3c.prov", "map": "Agent.Attribution" } ] }, { "id": "Provenance.agent:author.role", "path": "Provenance.agent.role", "short": "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.", "comment": "For example: doctor, nurse, clerk, etc.", "min": 0, "max": "*", "base": { "path": "Provenance.agent.role", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceAgentRole" } ], "strength": "example", "description": "The role that a provenance agent played with respect to the activity.", "valueSet": "http://hl7.org/fhir/ValueSet/security-role-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".typecode" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.role" } ] }, { "id": "Provenance.agent:author.who", "path": "Provenance.agent.who", "short": "Author", "definition": "The person who has registered or had someone else register the information in the patient record.", "comment": "Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\r\n\r\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.", "alias": [ "Auteur" ], "min": 1, "max": "1", "base": { "path": "Provenance.agent.who", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ] } ], "condition": [ "ele-1", "cio-RegistrationInformation-2" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "rim", "map": ".id" }, { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-781", "comment": "Author [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-781", "comment": "Author" } ] }, { "id": "Provenance.agent:author.onBehalfOf", "path": "Provenance.agent.onBehalfOf", "short": "Who the agent is representing", "definition": "The individual, device, or organization for whom the change was made.", "comment": "onBehalfOfIdentity should be used when the agent is not a Resource type.", "min": 0, "max": "1", "base": { "path": "Provenance.agent.onBehalfOf", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": "Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]" } ] }, { "id": "Provenance.agent:informationSource", "path": "Provenance.agent", "sliceName": "informationSource", "short": "Actor involved", "definition": "An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.", "comment": "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.", "requirements": "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.", "min": 0, "max": "1", "base": { "path": "Provenance.agent", "min": 1, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.performer" }, { "identity": "w5", "map": "FiveWs.who" }, { "identity": "rim", "map": "./participation[isNormalParticipation()] OR ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent" }, { "identity": "w3c.prov", "map": "Agent" } ] }, { "id": "Provenance.agent:informationSource.id", "path": "Provenance.agent.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Provenance.agent:informationSource.extension", "path": "Provenance.agent.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.agent:informationSource.modifierExtension", "path": "Provenance.agent.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.agent:informationSource.type", "path": "Provenance.agent.type", "short": "How the agent participated", "definition": "The participation the agent had with respect to the activity.", "comment": "For example: author, performer, enterer, attester, etc.", "min": 1, "max": "1", "base": { "path": "Provenance.agent.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code": "informant" } ] }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceAgentType" } ], "strength": "extensible", "description": "The type of participation that a provenance agent played with respect to the activity.", "valueSet": "http://hl7.org/fhir/ValueSet/provenance-agent-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.performer.function" }, { "identity": "rim", "map": ".role" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.type" }, { "identity": "w3c.prov", "map": "Agent.Attribution" } ] }, { "id": "Provenance.agent:informationSource.role", "path": "Provenance.agent.role", "short": "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.", "comment": "For example: doctor, nurse, clerk, etc.", "min": 0, "max": "*", "base": { "path": "Provenance.agent.role", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceAgentRole" } ], "strength": "example", "description": "The role that a provenance agent played with respect to the activity.", "valueSet": "http://hl7.org/fhir/ValueSet/security-role-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".typecode" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.role" } ] }, { "id": "Provenance.agent:informationSource.who", "path": "Provenance.agent.who", "short": "InformationSource", "definition": "If the recorded information has not been assessed by the attending physician, the source of the information can be recorded.", "comment": "Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\r\n\r\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.", "alias": [ "Informatiebron" ], "min": 1, "max": "1", "base": { "path": "Provenance.agent.who", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-ContactPerson" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "rim", "map": ".id" }, { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-784", "comment": "InformationSource" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-784", "comment": "InformationSource" } ] }, { "id": "Provenance.agent:informationSource.onBehalfOf", "path": "Provenance.agent.onBehalfOf", "short": "Who the agent is representing", "definition": "The individual, device, or organization for whom the change was made.", "comment": "onBehalfOfIdentity should be used when the agent is not a Resource type.", "min": 0, "max": "1", "base": { "path": "Provenance.agent.onBehalfOf", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": "Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]" } ] }, { "id": "Provenance.agent:performer", "path": "Provenance.agent", "sliceName": "performer", "short": "Actor involved", "definition": "An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.", "comment": "Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.", "requirements": "An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.", "min": 0, "max": "1", "base": { "path": "Provenance.agent", "min": 1, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1", "cio-RegistrationInformation-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "workflow", "map": "Event.performer" }, { "identity": "w5", "map": "FiveWs.who" }, { "identity": "rim", "map": "./participation[isNormalParticipation()] OR ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent" }, { "identity": "w3c.prov", "map": "Agent" } ] }, { "id": "Provenance.agent:performer.id", "path": "Provenance.agent.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Provenance.agent:performer.extension", "path": "Provenance.agent.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.agent:performer.modifierExtension", "path": "Provenance.agent.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.agent:performer.type", "path": "Provenance.agent.type", "short": "How the agent participated", "definition": "The participation the agent had with respect to the activity.", "comment": "For example: author, performer, enterer, attester, etc.", "min": 1, "max": "1", "base": { "path": "Provenance.agent.type", "min": 0, "max": "1" }, "type": [ { "code": "CodeableConcept" } ], "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code": "performer" } ] }, "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceAgentType" } ], "strength": "extensible", "description": "The type of participation that a provenance agent played with respect to the activity.", "valueSet": "http://hl7.org/fhir/ValueSet/provenance-agent-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "workflow", "map": "Event.performer.function" }, { "identity": "rim", "map": ".role" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.type" }, { "identity": "w3c.prov", "map": "Agent.Attribution" } ] }, { "id": "Provenance.agent:performer.role", "path": "Provenance.agent.role", "short": "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.", "comment": "For example: doctor, nurse, clerk, etc.", "min": 0, "max": "*", "base": { "path": "Provenance.agent.role", "min": 0, "max": "*" }, "type": [ { "code": "CodeableConcept" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceAgentRole" } ], "strength": "example", "description": "The role that a provenance agent played with respect to the activity.", "valueSet": "http://hl7.org/fhir/ValueSet/security-role-type" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "v2", "map": "CE/CNE/CWE" }, { "identity": "rim", "map": "CD" }, { "identity": "orim", "map": "fhir:CodeableConcept rdfs:subClassOf dt:CD" }, { "identity": "rim", "map": ".typecode" }, { "identity": "fhirauditevent", "map": "AuditEvent.agent.role" } ] }, { "id": "Provenance.agent:performer.who", "path": "Provenance.agent.who", "short": "DecisionMaker", "definition": "The person that carried out the activity, for instance:\r\n* The health professional who is responsible for setting the alert.\r\n* The health professional who made the surveillance decision.", "comment": "Each occurrence of the zib HealthProfessional is normally represented by _two_ FHIR resources: a PractitionerRole resource (instance of [nl-core-HealthProfessional-PractitionerRole](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole)) and a Practitioner resource (instance of [nl-core-HealthProfessional-Practitioner](http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-Practitioner)). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance.\r\n\r\nIn rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the nl-core-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile.", "alias": [ "Beslisser", "Vaststeller" ], "min": 1, "max": "1", "base": { "path": "Provenance.agent.who", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ] } ], "condition": [ "ele-1", "cio-RegistrationInformation-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "workflow", "map": "Event.performer.actor" }, { "identity": "w5", "map": "FiveWs.actor" }, { "identity": "rim", "map": ".id" }, { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-776", "comment": "DecisionMaker [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-776", "comment": "DecisionMaker" }, { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-763", "comment": "DecisionMaker [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-763", "comment": "DecisionMaker" } ] }, { "id": "Provenance.agent:performer.onBehalfOf", "path": "Provenance.agent.onBehalfOf", "short": "Who the agent is representing", "definition": "The individual, device, or organization for whom the change was made.", "comment": "onBehalfOfIdentity should be used when the agent is not a Resource type.", "min": 0, "max": "1", "base": { "path": "Provenance.agent.onBehalfOf", "min": 0, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Device", "http://hl7.org/fhir/StructureDefinition/Organization" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": "Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]" } ] }, { "id": "Provenance.entity", "path": "Provenance.entity", "short": "An entity used in this activity", "definition": "An entity used in this activity.", "min": 0, "max": "*", "base": { "path": "Provenance.entity", "min": 0, "max": "*" }, "type": [ { "code": "BackboneElement" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "./subjectOf" }, { "identity": "fhirauditevent", "map": "AuditEvent.entity" }, { "identity": "w3c.prov", "map": "Entity" } ] }, { "id": "Provenance.entity.id", "path": "Provenance.entity.id", "representation": [ "xmlAttr" ], "short": "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.", "min": 0, "max": "1", "base": { "path": "Element.id", "min": 0, "max": "1" }, "type": [ { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type", "valueUrl": "string" } ], "code": "http://hl7.org/fhirpath/System.String" } ], "mapping": [ { "identity": "rim", "map": "n/a" } ] }, { "id": "Provenance.entity.extension", "path": "Provenance.entity.extension", "slicing": { "discriminator": [ { "type": "value", "path": "url" } ], "description": "Extensions are always sliced by (at least) url", "rules": "open" }, "short": "Additional content defined by implementations", "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.", "comment": "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.", "alias": [ "extensions", "user content" ], "min": 0, "max": "*", "base": { "path": "Element.extension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.entity.modifierExtension", "path": "Provenance.entity.modifierExtension", "short": "Extensions that cannot be ignored even if unrecognized", "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.\n\nModifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).", "comment": "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.", "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](extensibility.html#modifierExtension).", "alias": [ "extensions", "user content", "modifiers" ], "min": 0, "max": "*", "base": { "path": "BackboneElement.modifierExtension", "min": 0, "max": "*" }, "type": [ { "code": "Extension" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ext-1", "severity": "error", "human": "Must have either extensions or value[x], not both", "expression": "extension.exists() != value.exists()", "xpath": "exists(f:extension)!=exists(f:*[starts-with(local-name(.), 'value')])", "source": "http://hl7.org/fhir/StructureDefinition/Extension" } ], "isModifier": true, "isModifierReason": "Modifier extensions are expected to modify the meaning or interpretation of the element that contains them", "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" } ] }, { "id": "Provenance.entity.role", "path": "Provenance.entity.role", "short": "derivation | revision | quotation | source | removal", "definition": "How the entity was used during the activity.", "comment": "Note that FHIR strings SHALL NOT exceed 1MB in size", "min": 1, "max": "1", "base": { "path": "Provenance.entity.role", "min": 1, "max": "1" }, "type": [ { "code": "code" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "isSummary": true, "binding": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName", "valueString": "ProvenanceEntityRole" } ], "strength": "required", "description": "How an entity was used in an activity.", "valueSet": "http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1" }, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "./typeCode" }, { "identity": "fhirauditevent", "map": "AuditEvent.entity.lifecycle" }, { "identity": "w3c.prov", "map": "Entity.role" } ] }, { "id": "Provenance.entity.what", "path": "Provenance.entity.what", "short": "Identity of entity", "definition": "Identity of the Entity used. May be a logical or physical uri and maybe absolute or relative.", "comment": "whatIdentity should be used for entities that are not a Resource type.", "min": 1, "max": "1", "base": { "path": "Provenance.entity.what", "min": 1, "max": "1" }, "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ] } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" }, { "key": "ref-1", "severity": "error", "human": "SHALL have a contained resource if a local reference is provided", "expression": "reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))", "xpath": "not(starts-with(f:reference/@value, '#')) or exists(ancestor::*[self::f:entry or self::f:parameter]/f:resource/f:*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')]|/*/f:contained/f:*[f:id/@value=substring-after(current()/f:reference/@value, '#')])", "source": "http://hl7.org/fhir/StructureDefinition/Reference" } ], "isSummary": true, "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "The target of a resource reference is a RIM entry point (Act, Role, or Entity)" }, { "identity": "rim", "map": "./text/reference" }, { "identity": "fhirauditevent", "map": "AuditEvent.entity.reference" }, { "identity": "w3c.prov", "map": "Entity.Identity" } ] }, { "id": "Provenance.entity.agent", "path": "Provenance.entity.agent", "short": "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.", "comment": "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.", "min": 0, "max": "*", "base": { "path": "Provenance.entity.agent", "min": 0, "max": "*" }, "contentReference": "#Provenance.agent", "mapping": [ { "identity": "rim", "map": "./author/role" } ] }, { "id": "Provenance.signature", "path": "Provenance.signature", "short": "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.", "comment": "The elements of the Signature Resource are for ease of access of these elements. For digital signatures (Xml DigSig, JWS), the non-repudiation proof comes from the Signature validation, which includes validation of the referenced objects (e.g. Resources) (a.k.a., Content) in the XML-Signature Detached form.", "min": 0, "max": "*", "base": { "path": "Provenance.signature", "min": 0, "max": "*" }, "type": [ { "code": "Signature" } ], "condition": [ "ele-1" ], "constraint": [ { "key": "ele-1", "severity": "error", "human": "All FHIR elements must have a @value or children", "expression": "hasValue() or (children().count() > id.count())", "xpath": "@value|f:*|h:div", "source": "http://hl7.org/fhir/StructureDefinition/Element" } ], "mapping": [ { "identity": "rim", "map": "n/a" }, { "identity": "rim", "map": "N/A" }, { "identity": "rim", "map": "./signatureText" } ] } ] }, "differential": { "element": [ { "id": "Provenance", "path": "Provenance", "short": "RegistrationInformation", "comment": "Many other FHIR resources contain some elements that represent information about how the resource was obtained, and therefore they overlap with the functionality of the Provenance resource. Examples of such elements are `AllergyIntolerance.recordedDate` and `Flag.author`, which overlap with `.recorded` and `.agent` in this resource, respectively. These elements in other resources should always be used in preference to the Provenance resource. This means that, if a concept from the functional data model is mapped to an element in the Provenance resource, as well as an element in another resource, the information on that concept SHALL be included in the other resource, and MAY be added to the Provenance resource (the obvious exception being an element that is mandatory in the Provenance resource, such as `.recorded`; in that case the latter conformance changes to a SHALL as well).\r\n\r\nNote that the IdentificationNumber concept (cio-dataelement-20-780) is part of the RegistrationInformation building block, but is not mapped within this profile. Instead it is mapped to `Resource.identifier` in the profiles referenced by `.target`.", "alias": [ "RegistratieInformatie" ], "constraint": [ { "key": "cio-RegistrationInformation-1", "severity": "error", "human": "If the Provenance is related to a non-proposal medication contraindication or surveillance decision, Provenance.agent:performer SHALL exist.", "expression": "((target.resolve().conformsTo('http://nictiz.nl/fhir/StructureDefinition/cio-MedicationContraIndication') and target.resolve().meta.tag.where(system = 'http://terminology.hl7.org/CodeSystem/common-tags' and code = 'actionable').exists().not()) or target.resolve().conformsTo('http://nictiz.nl/fhir/StructureDefinition/cio-SurveillanceDecision')) implies agent.type.coding.where($this.system = 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' and $this.code = 'performer').exists()" }, { "key": "cio-RegistrationInformation-2", "severity": "error", "human": "If the Provenance is related to a (reply) proposal medication contraindication, Provenance.agent:author SHALL exist.", "expression": "((target.resolve().conformsTo('http://nictiz.nl/fhir/StructureDefinition/cio-MedicationContraIndication') and target.resolve().meta.tag.where(system = 'http://terminology.hl7.org/CodeSystem/common-tags' and code = 'actionable').exists()) or target.resolve().conformsTo('http://nictiz.nl/fhir/StructureDefinition/cio-ReplyProposalContraIndication')) implies agent.type.coding.where($this.system = 'http://terminology.hl7.org/CodeSystem/provenance-participant-type' and $this.code = 'author').exists()" } ], "mapping": [ { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-779", "comment": "RegistrationData [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-779", "comment": "RegistrationInformation" } ] }, { "id": "Provenance.target", "path": "Provenance.target", "comment": "Please note that on a functional level, the building blocks MedicationContraIndication, SurveillanceDecision, HypersensitivityIntolerance, Reaction, Symptom and Condition reference the building block RegistrationInformation, but in FHIR this direction is reversed.", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource", "http://nictiz.nl/fhir/StructureDefinition/cio-MedicationContraIndication", "http://nictiz.nl/fhir/StructureDefinition/cio-SurveillanceDecision", "http://nictiz.nl/fhir/StructureDefinition/cio-HypersensitivityIntolerance", "http://nictiz.nl/fhir/StructureDefinition/cio-Reaction", "http://nictiz.nl/fhir/StructureDefinition/cio-Symptom", "http://nictiz.nl/fhir/StructureDefinition/cio-Condition" ] } ], "condition": [ "cio-RegistrationInformation-1", "cio-RegistrationInformation-2" ], "mapping": [ { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-883", "comment": "Reversed reference for MedicationContraIndication.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-822", "comment": "Reversed reference for SurveillanceDecision.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-798", "comment": "Reversed reference for HypersensitivityIntolerance.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-819", "comment": "Reversed reference for Reaction.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-934", "comment": "Reversed reference for Symptom.RegistrationInformation" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-920", "comment": "Reversed reference for Condition.RegistrationInformation" } ] }, { "id": "Provenance.occurred[x]", "path": "Provenance.occurred[x]", "mapping": [ { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-756", "comment": "DecisionDateTime [DEPRECATED]" } ] }, { "id": "Provenance.recorded", "path": "Provenance.recorded", "short": "CreationDateTime", "definition": "Date and time when the information about the patient was registered.", "alias": [ "OntstaansDatumTijd" ], "mapping": [ { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-783", "comment": "RegistrationDateTime [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-783", "comment": "CreationDateTime" } ] }, { "id": "Provenance.agent", "path": "Provenance.agent", "slicing": { "discriminator": [ { "type": "value", "path": "type" } ], "rules": "open" } }, { "id": "Provenance.agent:author", "path": "Provenance.agent", "sliceName": "author", "max": "1", "condition": [ "cio-RegistrationInformation-2" ] }, { "id": "Provenance.agent:author.type", "path": "Provenance.agent.type", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code": "author" } ] } }, { "id": "Provenance.agent:author.who", "path": "Provenance.agent.who", "short": "Author", "definition": "The person who has registered or had someone else register the information in the patient record.", "alias": [ "Auteur" ], "type": [ { "code": "Reference", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ] } ], "condition": [ "cio-RegistrationInformation-2" ], "mapping": [ { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-781", "comment": "Author [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-781", "comment": "Author" } ] }, { "id": "Provenance.agent:informationSource", "path": "Provenance.agent", "sliceName": "informationSource", "max": "1" }, { "id": "Provenance.agent:informationSource.type", "path": "Provenance.agent.type", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code": "informant" } ] } }, { "id": "Provenance.agent:informationSource.who", "path": "Provenance.agent.who", "short": "InformationSource", "definition": "If the recorded information has not been assessed by the attending physician, the source of the information can be recorded.", "alias": [ "Informatiebron" ], "type": [ { "code": "Reference", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-Patient", "http://nictiz.nl/fhir/StructureDefinition/nl-core-ContactPerson" ] } ], "mapping": [ { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-784", "comment": "InformationSource" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-784", "comment": "InformationSource" } ] }, { "id": "Provenance.agent:performer", "path": "Provenance.agent", "sliceName": "performer", "max": "1", "condition": [ "cio-RegistrationInformation-1" ] }, { "id": "Provenance.agent:performer.type", "path": "Provenance.agent.type", "min": 1, "patternCodeableConcept": { "coding": [ { "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type", "code": "performer" } ] } }, { "id": "Provenance.agent:performer.who", "path": "Provenance.agent.who", "short": "DecisionMaker", "definition": "The person that carried out the activity, for instance:\r\n* The health professional who is responsible for setting the alert.\r\n* The health professional who made the surveillance decision.", "alias": [ "Beslisser", "Vaststeller" ], "type": [ { "code": "Reference", "profile": [ "http://nictiz.nl/fhir/StructureDefinition/pattern-NlCoreHealthProfessionalReference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://nictiz.nl/fhir/StructureDefinition/nl-core-HealthProfessional-PractitionerRole" ] } ], "condition": [ "cio-RegistrationInformation-1" ], "mapping": [ { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-776", "comment": "DecisionMaker [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-776", "comment": "DecisionMaker" }, { "identity": "cio-dataset-200-beta2-20231214", "map": "cio-dataelement-20-763", "comment": "DecisionMaker [DEPRECATED]" }, { "identity": "cio-dataset-200-beta3-20241023", "map": "cio-dataelement-20-763", "comment": "DecisionMaker" } ] } ] } }