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US Core Provenance

Previous Page - PDex Provenance

US Core Provenance Profile is provided as a reference for situations where payers receive detailed clinical data via formats such as C-CDA and in converting to a FHIR format are able to identify the detailed information about the originating event and can therefore create an appropriate Provenance record.

In all other cases a payer SHALL create a PDex Provenance profile that identifies their role as a “Transmitter” of the information.

The essential fields (Must Support or Cardinality greater than 0..*) to be provided in the US Core Provenance Profile are:

Table Definition

Example US Core Provenance Resource

The example below is for a Provenance resource that is provided for an Allergyintolerance resource.

{
  "resourceType" : "Bundle",
  "id" : "c887e62f-6166-419f-8268-b5ecd6c7b901",
  "meta" : {
    "lastUpdated" : "2019-07-09T18:49:01.235+00:00"
  },
  "type" : "searchset",
  "total" : 1,
  "link" : [
    {
      "relation" : "self",
      "url" : "http://example.org/fhir/AllergyIntolerance?_revinclude=Provenance%3Atarget&patient=Examples"
    }
  ],
  "entry" : [
    {
      "fullUrl" : "http://example.org/fhir/AllergyIntolerance/79613",
      "resource" : {
        "resourceType" : "AllergyIntolerance",
        "id" : "79613",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-07-09T15:26:23.217+00:00",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-allergyintolerance"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">
Generated Narrative
id: 79613
meta: 
clinicalStatus: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical active}\">Active</span>
verificationStatus: <span title=\"Codes: {http://terminology.hl7.org/CodeSystem/allergyintolerance-verification confirmed}\">Confirmed</span>
category: medication
criticality: high
code: <span title=\"Codes: {http://snomed.info/sct 762952008}\">Peanuts</span>
patient: <a href=\"Patient-example.html\">Generated Summary: id: example; Medical Record Number: 1032702 (USUAL); active; Amy V. Shaw , Amy V. Baxter ; ph: 555-555-5555(HOME), amy.shaw@example.com; gender: female; birthDate: 1987-02-20</a>
onset: 2017-06-09
Reactions
<table class=\"grid\">-ManifestationOnset*<span title=\"Codes: {http://snomed.info/sct 247472004}\">Hives</span>2017-06-09</table></div>"
        },
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/allergyintolerance-verification",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ]
        },
        "category" : [
          "medication"
        ],
        "criticality" : "high",
        "code" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "762952008",
              "display" : "Peanuts"
            }
          ],
          "text" : "Peanuts"
        },
        "patient" : {
          "reference" : "Patient/example"
        },
        "onsetDateTime" : "2017-06-09",
        "reaction" : [
          {
            "manifestation" : [
              {
                "coding" : [
                  {
                    "system" : "http://snomed.info/sct",
                    "code" : "247472004",
                    "display" : "Hives"
                  }
                ]
              }
            ],
            "onset" : "2017-06-09"
          }
        ]
      },
      "search" : {
        "mode" : "match"
      }
    },
    {
      "fullUrl" : "http://example.org/fhir/Provenance/79614",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "79614",
        "meta" : {
          "versionId" : "1",
          "lastUpdated" : "2019-07-09T15:26:23.217+00:00",
          "profile" : [
            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-provenance"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">
Generated Narrative
id: 79614
meta: 
target: <a href=\"#AllergyIntolerance_79613\">See above (AllergyIntolerance/79613)</a>
recorded: 10/07/2019 1:26:23 AM
Agents
<table class=\"grid\">-TypeWhoOnBehalfOf*<span title=\"Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span><a href=\"Practitioner-practitioner-1.html\">Generated Summary: id: practitioner-1; id: 9941339108, id: 25456; Ronald Bone </a><a href=\"Organization-saint-luke-w-endpoint.html\">Generated Summary: id: saint-luke-w-endpoint; id: 1063494177, id: 00-0000000; active; name: Saint Luke's Hospital of Kansas City; ph: (816)932-2000(WORK), http://www.saintlukeshealthsystem.org/locations/saint-lukes-hospital-kansas-city(WORK)</a></table></div>"
        },
        "target" : [
          {
            "reference" : "AllergyIntolerance/79613"
          }
        ],
        "recorded" : "2019-07-09T15:26:23.217+00:00",
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "author",
                  "display" : "Author"
                }
              ]
            },
            "who" : {
              "reference" : "Practitioner/practitioner-1"
            },
            "onBehalfOf" : {
              "reference" : "Organization/saint-luke-w-endpoint"
            }
          }
        ]
      },
      "search" : {
        "mode" : "include"
      }
    }
  ]
}

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