This page is part of the FHIR Specification (v3.2.0: R4 Ballot 1). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4
StructureDefinition: provenance-relevant-history - XML

(No assigned work group)
Maturity Level: 1
Informative
Use Context: Any
provenance-relevant-history
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="provenance-relevant-history"/> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">to do</div> 
  </text> 
  <url value="http://hl7.org/fhir/StructureDefinition/provenance-relevant-history"/> 
  <name value="Provenance Relevant History"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  <date value="2013-12-03"/> 
  <publisher value="Health Level Seven International"/> 
  <contact> 
    <telecom> 
      <system value="url"/> 
      <value value="http://www.hl7.org/Special/Committees/fhir-i"/> 
    </telecom> 
  </contact> 
  <description value="Guidance on using Provenance for related history elements"/> 
  <fhirVersion value="3.2.0"/> 
  <mapping> 
    <identity value="rim"/> 
    <uri value="http://hl7.org/v3"/> 
    <name value="RIM Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="w3c.prov"/> 
    <uri value="http://www.w3.org/ns/prov"/> 
    <name value="W3C PROV"/> 
  </mapping> 
  <mapping> 
    <identity value="w5"/> 
    <uri value="http://hl7.org/fhir/w5"/> 
    <name value="W5 Mapping"/> 
  </mapping> 
  <mapping> 
    <identity value="fhirauditevent"/> 
    <uri value="http://hl7.org/fhir/auditevent"/> 
    <name value="FHIR AuditEvent"/> 
  </mapping> 
  <kind value="resource"/> 
  <abstract value="false"/> 
  <type value="Provenance"/> 
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/Provenance"/> 
  <derivation value="constraint"/> 
  <snapshot> 
    <element id="Provenance">
      <path value="Provenance"/> 
      <short value="Who, What, When for a set of resources"/> 
      <definition value="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 value="Some parties may be duplicated between the target resource and its provenance.  For instance,
       the prescriber is usually (but not always) the author of the prescription resource. This
       resource is defined with close consideration for W3C Provenance."/> 
      <alias value="History"/> 
      <alias value="Event"/> 
      <alias value="Activity"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <constraint> 
        <key value="dom-2"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> 
        <expression value="contained.contained.empty()"/> 
        <xpath value="not(parent::f:contained and f:contained)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-1"/> 
        <severity value="error"/> 
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/> 
        <expression value="contained.text.empty()"/> 
        <xpath value="not(parent::f:contained and f:text)"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated"/> 
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> 
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-3"/> 
        <severity value="error"/> 
        <human value="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 value="contained.all(('#'+id in %resource.descendants().reference) or descendants().where(reference
         = '#').exists())"/> 
        <xpath value="not(exists(for $contained in f:contained return $contained[not(parent::*/descendant::f:reference/@va
        lue=concat('#', $contained/*/id/@value) or descendant::reference[@value='#'])]))"/> 
        <source value="DomainResource"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Entity. Role, or Act"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN]"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="infrastructure.information"/> 
      </mapping> 
    </element> 
    <element id="Provenance.id">
      <path value="Provenance.id"/> 
      <short value="Logical id of this artifact"/> 
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this
       value never changes."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="id"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="Provenance.meta">
      <path value="Provenance.meta"/> 
      <short value="Metadata about the resource"/> 
      <definition value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.meta"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Meta"/> 
      </type> 
      <isSummary value="true"/> 
    </element> 
    <element id="Provenance.implicitRules">
      <path value="Provenance.implicitRules"/> 
      <short value="A set of rules under which this content was created"/> 
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and
       which must be understood when processing the content."/> 
      <comment value="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. 

This element is labelled as a modifier because the implicit rules may provide additional
       knowledge about the resource that modifies it's meaning or interpretation."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.implicitRules"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
    </element> 
    <element id="Provenance.language">
      <path value="Provenance.language"/> 
      <short value="Language of the resource content"/> 
      <definition value="The base language in which the resource is written."/> 
      <comment value="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 value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Resource.language"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference> 
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/> 
          </valueReference> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/> 
        </extension> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="A human language."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/languages"/> 
        </valueSetReference> 
      </binding> 
    </element> 
    <element id="Provenance.text">
      <path value="Provenance.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      <definition value="A human-readable narrative that contains a summary of the resource, and may 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 &quot;clinically
       safe&quot; 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 value="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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded in formation is added
       later."/> 
      <alias value="narrative"/> 
      <alias value="html"/> 
      <alias value="xhtml"/> 
      <alias value="display"/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="DomainResource.text"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Narrative"/> 
      </type> 
      <condition value="dom-1"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.text?"/> 
      </mapping> 
    </element> 
    <element id="Provenance.contained">
      <path value="Provenance.contained"/> 
      <short value="Contained, inline Resources"/> 
      <definition value="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 value="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."/> 
      <alias value="inline resources"/> 
      <alias value="anonymous resources"/> 
      <alias value="contained resources"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.contained"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Resource"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.extension">
      <path value="Provenance.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the resource. In order 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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.modifierExtension">
      <path value="Provenance.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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.
       Usually modifier elements provide negation or qualification. In order 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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="DomainResource.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.target">
      <path value="Provenance.target"/> 
      <short value="Resource version"/> 
      <definition value="This points to the version of the resource that was created as a result of this historical
       record action.  Typically only a single resource will be referenced, but if the same action
       is performed to multiple resources in the context of a transaction, some systems may link
       multiple resource instances."/> 
      <comment value="The reference SHALL be version-specific."/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.target"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <mustSupport value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.what[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target  OR  ./participation[isNo
        rmalParticipation() and typeCode=SBJ]/role  OR  ./participation[isNormalParticipation()
         and typeCode=SBJ]/role[isNormalRole()]/player"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.entity.reference"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Entity Created/Updated"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="what"/> 
      </mapping> 
    </element> 
    <element id="Provenance.occurred[x]">
      <path value="Provenance.occurred[x]"/> 
      <short value="When the activity occurred"/> 
      <definition value="This indicates the time the resource action (creation, revision, deletion, etc.) occurred."/> 
      <comment value="Both low and high will be set to the time the record event occurred.  (In a future version,
       this element will likely be a choice with dateTime so that multiple values aren't needed.)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.occurred[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Period"/> 
      </type> 
      <type> 
        <code value="dateTime"/> 
      </type> 
      <mustSupport value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.done[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./effectiveTime[type=IVL_TS]"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.startTime &amp; Activity.endTime"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.done"/> 
      </mapping> 
    </element> 
    <element id="Provenance.recorded">
      <path value="Provenance.recorded"/> 
      <short value="When the activity was recorded / updated"/> 
      <definition value="The instant of time at which the activity was recorded."/> 
      <comment value="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."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.recorded"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="instant"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS])"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.recorded"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.when"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="when.recorded"/> 
      </mapping> 
    </element> 
    <element id="Provenance.policy">
      <path value="Provenance.policy"/> 
      <short value="Policy or plan the activity was defined by"/> 
      <definition value="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 value="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 value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.policy"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="uri"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./inboundRelationship[isNormalActRelationship() and typeCode=&quot;SUBJ&quot;]/source[isNormalAct
         and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.policy"/> 
      </mapping> 
    </element> 
    <element id="Provenance.location">
      <path value="Provenance.location"/> 
      <short value="Where the activity occurred, if relevant"/> 
      <definition value="Where the activity occurred, if relevant."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.location"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Location"/> 
      </type> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.where[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and
         subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode=&quot;LOC&quot; and determinerCode=&
        quot;INST&quot;]"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.location"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.location"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="where"/> 
      </mapping> 
    </element> 
    <element id="Provenance.reason">
      <path value="Provenance.reason"/> 
      <short value="Reason the activity is occurring"/> 
      <definition value="The reason that the activity was taking place."/> 
      <comment value="Plain text reasons can be sent in the &quot;text&quot; component with no codings.  Domains
       may wish to define a constrained terminology.  The reason for the resource's existence
       of the resource itself will be maintained on the resource, not here."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.reason"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceReason"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The reason the activity took place."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/v3-PurposeOfUse"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="unique(./reasonCode)"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.purposeOfEvent"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.Activity"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="Provenance.activity">
      <path value="Provenance.activity"/> 
      <short value="Record activity"/> 
      <definition value="Indicates what action occurred to the referenced resource."/> 
      <comment value="This should be captured at a sufficiently useful level of granularity.  For example &quot;suspended&
      quot; is more useful than &quot;updated&quot;.  Domains will need to map the listed codes
       to their own state transitions and may wish to define additional domain-specific fine-grained
       codes."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.activity"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceHistoryRecordActivity"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Types of activities that are relevant for tracking event history using Provenance"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/provenance-history-record-activity"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.why[x]"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Act.code"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.purposeOfEvent"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Activity.Activity"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="why"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent">
      <path value="Provenance.agent"/> 
      <short value="Who was involved with change"/> 
      <definition value="Who was involved with change."/> 
      <comment value="Generally the author will be specified.  Others are optional."/> 
      <requirements value="An agent can be a person, an organization, software, device, or other entities that may
       be ascribed responsibility."/> 
      <min value="1"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.agent"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./participation[isNormalParticipation()]  OR  ./outboundRelationship[isNormalActRelationship()
         and typeCode='DRIV']"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Agent"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.id">
      <path value="Provenance.agent.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.extension">
      <path value="Provenance.agent.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.modifierExtension">
      <path value="Provenance.agent.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.type">
      <path value="Provenance.agent.type"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="type"/> 
        </discriminator> 
        <ordered value="false"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="How the agent participated"/> 
      <definition value="The participation the agent had with respect to the activity."/> 
      <comment value="For example: author, performer, enterer, attester, etc."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.type"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <mustSupport value="true"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceHistoryAgentType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Types of roles that agents can play when tracking event history using Provenance"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/provenance-history-agent-type"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".role"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.type"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Agent.Attribution"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.role">
      <path value="Provenance.agent.role"/> 
      <short value="What the agents role was"/> 
      <definition value="The function of the agent with respect to the activity. The security role enabling the
       agent with respect to the activity."/> 
      <comment value="For example: doctor, nurse, clerk, etc."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.agent.role"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceAgentRole"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The role that a provenance agent played with respect to the activity."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/security-role-type"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".typecode"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.role"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.who[x]">
      <path value="Provenance.agent.who[x]"/> 
      <short value="Who participated"/> 
      <definition value="The individual, device or organization that participated in the event."/> 
      <comment value="whoIdentity should be used when the agent is not a Resource type."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.who[x]"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.actor"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent.onBehalfOf[x]">
      <path value="Provenance.agent.onBehalfOf[x]"/> 
      <short value="Who the agent is representing"/> 
      <definition value="The individual, device, or organization for whom the change was made."/> 
      <comment value="onBehalfOfIdentity should be used when the agent is not a Resource type."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.onBehalfOf[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship;
         role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent:author">
      <path value="Provenance.agent"/> 
      <sliceName value="Author"/> 
      <short value="Author"/> 
      <definition value="Author."/> 
      <comment value="Several agents may be associated (i.e. has some responsibility for an activity) with an
       activity and vice-versa."/> 
      <requirements value="An agent can be a person, an organization, software, device, or other entities that may
       be ascribed responsibility."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent"/> 
        <min value="1"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mustSupport value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.who"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./participation[isNormalParticipation()]  OR  ./outboundRelationship[isNormalActRelationship()
         and typeCode='DRIV']"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Agent"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent:author.id">
      <path value="Provenance.agent.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent:author.extension">
      <path value="Provenance.agent.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent:author.modifierExtension">
      <path value="Provenance.agent.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent:author.type">
      <path value="Provenance.agent.type"/> 
      <short value="How the agent participated"/> 
      <definition value="The participation the agent had with respect to the activity."/> 
      <comment value="For example: author, performer, enterer, attester, etc."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.type"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <patternCodeableConcept> 
        <coding> 
          <system value="http://hl7.org/fhir/v3/ParticipationType"/> 
          <code value="AUT"/> 
        </coding> 
      </patternCodeableConcept> 
      <mustSupport value="true"/> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceAgentType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="The type of participation that a provenance agent played with respect to the activity."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/participation-role-type"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".role"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.type"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Agent.Attribution"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent:author.role">
      <path value="Provenance.agent.role"/> 
      <short value="What the agents role was"/> 
      <definition value="The function of the agent with respect to the activity. The security role enabling the
       agent with respect to the activity."/> 
      <comment value="For example: doctor, nurse, clerk, etc."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.agent.role"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceAgentRole"/> 
        </extension> 
        <strength value="example"/> 
        <description value="The role that a provenance agent played with respect to the activity."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/security-role-type"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".typecode"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.agent.role"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent:author.who[x]">
      <path value="Provenance.agent.who[x]"/> 
      <short value="Author Reference"/> 
      <definition value="Author Reference."/> 
      <comment value="whoIdentity should be used when the agent is not a Resource type."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.who[x]"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mustSupport value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="w5"/> 
        <map value="FiveWs.actor"/> 
      </mapping> 
      <mapping> 
        <identity value="rim"/> 
        <map value=".id"/> 
      </mapping> 
      <mapping> 
        <identity value="w5"/> 
        <map value="who.actor"/> 
      </mapping> 
    </element> 
    <element id="Provenance.agent:author.onBehalfOf[x]">
      <path value="Provenance.agent.onBehalfOf[x]"/> 
      <short value="Who the agent is representing"/> 
      <definition value="The individual, device, or organization for whom the change was made."/> 
      <comment value="onBehalfOfIdentity should be used when the agent is not a Resource type."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.agent.onBehalfOf[x]"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship;
         role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity">
      <path value="Provenance.entity"/> 
      <short value="An entity used in this activity"/> 
      <definition value="An entity used in this activity."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.entity"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="BackboneElement"/> 
      </type> 
      <constraint> 
        <key value="ele-1"/> 
        <severity value="error"/> 
        <human value="All FHIR elements must have a @value or children"/> 
        <expression value="hasValue() | (children().count() &gt; id.count())"/> 
        <xpath value="@value|f:*|h:div"/> 
        <source value="Element"/> 
      </constraint> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./subjectOf"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.entity"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Entity"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.id">
      <path value="Provenance.entity.id"/> 
      <representation value="xmlAttr"/> 
      <short value="xml:id (or equivalent in JSON)"/> 
      <definition value="unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces."/> 
      <min value="0"/> 
      <max value="1"/> 
      <base> 
        <path value="Element.id"/> 
        <min value="0"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="string"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.extension">
      <path value="Provenance.entity.extension"/> 
      <short value="Additional Content defined by implementations"/> 
      <definition value="May be used to represent additional information that is not part of the basic definition
       of the element. In order 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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Element.extension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="n/a"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.modifierExtension">
      <path value="Provenance.entity.modifierExtension"/> 
      <short value="Extensions that cannot be ignored"/> 
      <definition value="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 that contains it. Usually
       modifier elements provide negation or qualification. In order 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."/> 
      <comment value="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 value="extensions"/> 
      <alias value="user content"/> 
      <alias value="modifiers"/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="BackboneElement.modifierExtension"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Extension"/> 
      </type> 
      <isModifier value="true"/> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="N/A"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.role">
      <path value="Provenance.entity.role"/> 
      <short value="derivation | revision | quotation | source | removal"/> 
      <definition value="How the entity was used during the activity."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.entity.role"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="code"/> 
      </type> 
      <isSummary value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceEntityRole"/> 
        </extension> 
        <strength value="required"/> 
        <description value="How an entity was used in an activity."/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/provenance-entity-role"/> 
        </valueSetReference> 
      </binding> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./typeCode"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.entity.lifecycle"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Entity.role"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.what[x]">
      <path value="Provenance.entity.what[x]"/> 
      <short value="Identity of entity"/> 
      <definition value="Identity of the  Entity used. May be a logical or physical uri and maybe absolute or relative."/> 
      <comment value="whatIdentity should be used for entities that are not a Resource type."/> 
      <min value="1"/> 
      <max value="1"/> 
      <base> 
        <path value="Provenance.entity.what[x]"/> 
        <min value="1"/> 
        <max value="1"/> 
      </base> 
      <type> 
        <code value="Identifier"/> 
      </type> 
      <type> 
        <code value="Reference"/> 
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> 
      </type> 
      <isSummary value="true"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./text/reference"/> 
      </mapping> 
      <mapping> 
        <identity value="fhirauditevent"/> 
        <map value="AuditEvent.entity.reference"/> 
      </mapping> 
      <mapping> 
        <identity value="w3c.prov"/> 
        <map value="Entity.Identity"/> 
      </mapping> 
    </element> 
    <element id="Provenance.entity.agent">
      <path value="Provenance.entity.agent"/> 
      <short value="Entity is attributed to this agent"/> 
      <definition value="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 value="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 value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.entity.agent"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <contentReference value="#Provenance.agent:author"/> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./author/role"/> 
      </mapping> 
    </element> 
    <element id="Provenance.signature">
      <path value="Provenance.signature"/> 
      <short value="Signature on target"/> 
      <definition value="A digital signature on the target Reference(s). The signer should match a Provenance.agent.
       The purpose of the signature is indicated."/> 
      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="Provenance.signature"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Signature"/> 
      </type> 
      <mapping> 
        <identity value="rim"/> 
        <map value="./signatureText"/> 
      </mapping> 
    </element> 
  </snapshot> 
  <differential> 
    <element id="Provenance">
      <path value="Provenance"/> 
      <min value="0"/> 
      <max value="*"/> 
    </element> 
    <element id="Provenance.target">
      <path value="Provenance.target"/> 
      <short value="Resource version"/> 
      <definition value="This points to the version of the resource that was created as a result of this historical
       record action.  Typically only a single resource will be referenced, but if the same action
       is performed to multiple resources in the context of a transaction, some systems may link
       multiple resource instances."/> 
      <comment value="The reference SHALL be version-specific."/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.occurredDateTime">
      <path value="Provenance.occurredDateTime"/> 
      <definition value="This indicates the time the resource action (creation, revision, deletion, etc.) occurred."/> 
      <comment value="Both low and high will be set to the time the record event occurred.  (In a future version,
       this element will likely be a choice with dateTime so that multiple values aren't needed.)."/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.reason">
      <path value="Provenance.reason"/> 
      <comment value="Plain text reasons can be sent in the &quot;text&quot; component with no codings.  Domains
       may wish to define a constrained terminology.  The reason for the resource's existence
       of the resource itself will be maintained on the resource, not here."/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.activity">
      <path value="Provenance.activity"/> 
      <short value="Record activity"/> 
      <definition value="Indicates what action occurred to the referenced resource."/> 
      <comment value="This should be captured at a sufficiently useful level of granularity.  For example &quot;suspended&
      quot; is more useful than &quot;updated&quot;.  Domains will need to map the listed codes
       to their own state transitions and may wish to define additional domain-specific fine-grained
       codes."/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceHistoryRecordActivity"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Types of activities that are relevant for tracking event history using Provenance"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/provenance-history-record-activity"/> 
        </valueSetReference> 
      </binding> 
    </element> 
    <element id="Provenance.agent">
      <path value="Provenance.agent"/> 
      <slicing> 
        <discriminator> 
          <type value="value"/> 
          <path value="type"/> 
        </discriminator> 
        <ordered value="false"/> 
        <rules value="open"/> 
      </slicing> 
      <short value="Who was involved with change"/> 
      <definition value="Who was involved with change."/> 
      <comment value="Generally the author will be specified.  Others are optional."/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.agent.type">
      <path value="Provenance.agent.type"/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
      <binding> 
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="ProvenanceHistoryAgentType"/> 
        </extension> 
        <strength value="extensible"/> 
        <description value="Types of roles that agents can play when tracking event history using Provenance"/> 
        <valueSetReference> 
          <reference value="http://hl7.org/fhir/ValueSet/provenance-history-agent-type"/> 
        </valueSetReference> 
      </binding> 
    </element> 
    <element id="Provenance.agent:author">
      <path value="Provenance.agent"/> 
      <sliceName value="Author"/> 
      <short value="Author"/> 
      <definition value="Author."/> 
      <min value="0"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.agent:author.type">
      <path value="Provenance.agent.type"/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="CodeableConcept"/> 
      </type> 
      <patternCodeableConcept> 
        <coding> 
          <system value="http://hl7.org/fhir/v3/ParticipationType"/> 
          <code value="AUT"/> 
        </coding> 
      </patternCodeableConcept> 
      <mustSupport value="true"/> 
    </element> 
    <element id="Provenance.agent:author.whoReference">
      <path value="Provenance.agent.whoReference"/> 
      <short value="Author Reference"/> 
      <definition value="Author Reference."/> 
      <min value="1"/> 
      <max value="1"/> 
      <mustSupport value="true"/> 
    </element> 
  </differential> 
</StructureDefinition>