ResMed Core Implementation Guide - Local Development build (v0.37.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: Patient Alert Raised Provenance

Profile for provenance resource used to track alerts being raised

Usage:

• Examples for this Resource Profile: Provenance/alertCleared and Provenance/alertRaised

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from ResMedPatientProvenance

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	ResMedPatientProvenance	Who, What, When for a set of resources
contained		1..1	ResMedContainedIssue	Clinical issue with action
status		1..1	code	registered | preliminary | final | amended + Required Pattern: preliminary
agent
who		1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated Required Pattern: At least the following
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: Device/device-ACE-example
entity		1..1	BackboneElement	An entity used in this activity
role		1..1	code	derivation | revision | quotation | source | removal Required Pattern: source
what		1..1	Reference(DetectedIssue)	Identity of entity
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	ResMedPatientProvenance	Who, What, When for a set of resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		1..1	ResMedContainedIssue	Clinical issue with action
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue. Required Pattern: preliminary
code	Σ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
detail		1..1	string	Description and context
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	Σ	1..1	Reference(Patient)	Target Reference(s) (usually version specific)
recorded	Σ	1..1	instant	When the activity was recorded / updated
Slices for reason		1..*	CodeableConcept	Reason the activity is occurring Slice: Unordered, Open by pattern:$this Binding: PurposeOfUse (extensible): The reason the activity took place.
reason:coordOfCare		1..1	CodeableConcept	Reason the activity is occurring Binding: PurposeOfUse (extensible): The reason the activity took place. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
code		1..1	code	Symbol in syntax defined by the system Fixed Value: COC
activity		1..1	CodeableConcept	Activity that occurred Binding: ResMed Provenance activity type ValueSet (extensible)
agent		1..1	BackboneElement	Actor involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
Slices for role		1..*	CodeableConcept	What the agents role was Slice: Unordered, Open by pattern:$this Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
role:provider		1..1	CodeableConcept	What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleClass
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PROV
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated Required Pattern: At least the following
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: Device/device-ACE-example
entity		1..1	BackboneElement	An entity used in this activity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	Σ	1..1	code	derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: source
what	Σ	1..1	Reference(DetectedIssue)	Identity of entity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Provenance.contained.status	required	Pattern: preliminary
Provenance.contained.code	extensible	ResMedDetectedIssueCodeValueSet
Provenance.reason	extensible	PurposeOfUse
Provenance.reason:coordOfCare	extensible	Pattern: COC
Provenance.activity	extensible	ResMedProvenanceActivityTypeValueSet
Provenance.agent.type	extensible	Pattern: PRF
Provenance.agent.role	example	SecurityRoleType
Provenance.agent.role:provider	example	Pattern: PROV
Provenance.entity.role	required	Pattern: source

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Provenance, Provenance.contained	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Provenance, Provenance.contained	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Provenance, Provenance.contained	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Provenance, Provenance.contained	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Provenance, Provenance.contained	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	ResMedPatientProvenance	Who, What, When for a set of resources
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		1..1	ResMedContainedIssue	Clinical issue with action
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique id for the detected issue
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue. Required Pattern: preliminary
code	Σ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
severity	Σ	0..1	code	high | moderate | low Binding: DetectedIssueSeverity (required): Indicates the potential degree of impact of the identified issue on the patient.
patient	Σ	0..1	Reference(Patient)	Associated patient
identified[x]	Σ	0..1		When identified
identifiedDateTime			dateTime
identifiedPeriod			Period
author	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	The provider or device that identified the issue
implicated	Σ	0..*	Reference(Resource)	Problem resource
evidence		0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue.
detail		0..*	Reference(Resource)	Supporting information
detail		1..1	string	Description and context
reference		0..1	uri	Authority for issue
mitigation		0..*	BackboneElement	Step taken to address
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		1..1	CodeableConcept	What mitigation? Binding: DetectedIssueMitigationAction (preferred): Codes describing steps taken to resolve the issue or other circumstances that mitigate the risk associated with the issue; e.g. 'added concurrent therapy', 'prior therapy documented', etc.
date		0..1	dateTime	Date committed
author		0..1	Reference(Practitioner | PractitionerRole)	Who is committing?
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	Σ	1..1	Reference(Patient)	Target Reference(s) (usually version specific)
occurred[x]		0..1		When the activity occurred
occurredPeriod			Period
occurredDateTime			dateTime
recorded	Σ	1..1	instant	When the activity was recorded / updated
policy		0..*	uri	Policy or plan the activity was defined by
location		0..1	Reference(Location)	Where the activity occurred, if relevant
Slices for reason		1..*	CodeableConcept	Reason the activity is occurring Slice: Unordered, Open by pattern:$this Binding: PurposeOfUse (extensible): The reason the activity took place.
reason:coordOfCare		1..1	CodeableConcept	Reason the activity is occurring Binding: PurposeOfUse (extensible): The reason the activity took place. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: COC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
activity		1..1	CodeableConcept	Activity that occurred Binding: ResMed Provenance activity type ValueSet (extensible)
agent		1..1	BackboneElement	Actor involved
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for role		1..*	CodeableConcept	What the agents role was Slice: Unordered, Open by pattern:$this Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
role:provider		1..1	CodeableConcept	What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleClass
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PROV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: Device/device-ACE-example
type		0..1	uri	Type the reference refers to (e.g. "Patient")
identifier		0..1	Identifier	Logical reference, when literal reference is not known
display		0..1	string	Text alternative for the resource
onBehalfOf		0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
entity		1..1	BackboneElement	An entity used in this activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	Σ	1..1	code	derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: source
what	Σ	1..1	Reference(DetectedIssue)	Identity of entity
agent		0..*	See agent (Provenance)	Entity is attributed to this agent
signature		0..*	Signature	Signature on target
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Provenance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Provenance.contained.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Provenance.contained.status	required	Pattern: preliminary
Provenance.contained.code	extensible	ResMedDetectedIssueCodeValueSet
Provenance.contained.severity	required	DetectedIssueSeverity
Provenance.contained.evidence.code	example	ManifestationAndSymptomCodes
Provenance.contained.mitigation.action	preferred	DetectedIssueMitigationAction
Provenance.reason	extensible	PurposeOfUse
Provenance.reason:coordOfCare	extensible	Pattern: COC
Provenance.activity	extensible	ResMedProvenanceActivityTypeValueSet
Provenance.agent.type	extensible	Pattern: PRF
Provenance.agent.role	example	SecurityRoleType
Provenance.agent.role:provider	example	Pattern: PROV
Provenance.entity.role	required	Pattern: source

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Provenance, Provenance.contained	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Provenance, Provenance.contained	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Provenance, Provenance.contained	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Provenance, Provenance.contained	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Provenance, Provenance.contained	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ResMedPatientProvenance

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• ResMed Detected Issue (http://resmed.com/fhir/core/StructureDefinition/contained-detected-issue)

Differential View

This structure is derived from ResMedPatientProvenance

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	ResMedPatientProvenance	Who, What, When for a set of resources
contained		1..1	ResMedContainedIssue	Clinical issue with action
status		1..1	code	registered | preliminary | final | amended + Required Pattern: preliminary
agent
who		1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated Required Pattern: At least the following
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: Device/device-ACE-example
entity		1..1	BackboneElement	An entity used in this activity
role		1..1	code	derivation | revision | quotation | source | removal Required Pattern: source
what		1..1	Reference(DetectedIssue)	Identity of entity
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	ResMedPatientProvenance	Who, What, When for a set of resources
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
contained		1..1	ResMedContainedIssue	Clinical issue with action
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue. Required Pattern: preliminary
code	Σ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
detail		1..1	string	Description and context
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	Σ	1..1	Reference(Patient)	Target Reference(s) (usually version specific)
recorded	Σ	1..1	instant	When the activity was recorded / updated
Slices for reason		1..*	CodeableConcept	Reason the activity is occurring Slice: Unordered, Open by pattern:$this Binding: PurposeOfUse (extensible): The reason the activity took place.
reason:coordOfCare		1..1	CodeableConcept	Reason the activity is occurring Binding: PurposeOfUse (extensible): The reason the activity took place. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
code		1..1	code	Symbol in syntax defined by the system Fixed Value: COC
activity		1..1	CodeableConcept	Activity that occurred Binding: ResMed Provenance activity type ValueSet (extensible)
agent		1..1	BackboneElement	Actor involved
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
Slices for role		1..*	CodeableConcept	What the agents role was Slice: Unordered, Open by pattern:$this Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
role:provider		1..1	CodeableConcept	What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity. Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleClass
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PROV
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated Required Pattern: At least the following
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: Device/device-ACE-example
entity		1..1	BackboneElement	An entity used in this activity
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	Σ	1..1	code	derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: source
what	Σ	1..1	Reference(DetectedIssue)	Identity of entity
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Provenance.contained.status	required	Pattern: preliminary
Provenance.contained.code	extensible	ResMedDetectedIssueCodeValueSet
Provenance.reason	extensible	PurposeOfUse
Provenance.reason:coordOfCare	extensible	Pattern: COC
Provenance.activity	extensible	ResMedProvenanceActivityTypeValueSet
Provenance.agent.type	extensible	Pattern: PRF
Provenance.agent.role	example	SecurityRoleType
Provenance.agent.role:provider	example	Pattern: PROV
Provenance.entity.role	required	Pattern: source

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Provenance, Provenance.contained	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Provenance, Provenance.contained	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Provenance, Provenance.contained	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Provenance, Provenance.contained	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Provenance, Provenance.contained	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
Provenance		0..*	ResMedPatientProvenance	Who, What, When for a set of resources
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		1..1	ResMedContainedIssue	Clinical issue with action
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	Σ	0..*	Identifier	Unique id for the detected issue
status	?!Σ	1..1	code	registered | preliminary | final | amended + Binding: ObservationStatus (required): Indicates the status of the identified issue. Required Pattern: preliminary
code	Σ	1..1	CodeableConcept	Issue Category, e.g. drug-drug, duplicate therapy, etc. Binding: ResMed DetectedIssue code ValueSet (extensible)
severity	Σ	0..1	code	high | moderate | low Binding: DetectedIssueSeverity (required): Indicates the potential degree of impact of the identified issue on the patient.
patient	Σ	0..1	Reference(Patient)	Associated patient
identified[x]	Σ	0..1		When identified
identifiedDateTime			dateTime
identifiedPeriod			Period
author	Σ	0..1	Reference(Practitioner | PractitionerRole | Device)	The provider or device that identified the issue
implicated	Σ	0..*	Reference(Resource)	Problem resource
evidence		0..*	BackboneElement	Supporting evidence
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
code		0..*	CodeableConcept	Manifestation Binding: ManifestationAndSymptomCodes (example): Codes that describes the types of evidence for a detected issue.
detail		0..*	Reference(Resource)	Supporting information
detail		1..1	string	Description and context
reference		0..1	uri	Authority for issue
mitigation		0..*	BackboneElement	Step taken to address
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
action		1..1	CodeableConcept	What mitigation? Binding: DetectedIssueMitigationAction (preferred): Codes describing steps taken to resolve the issue or other circumstances that mitigate the risk associated with the issue; e.g. 'added concurrent therapy', 'prior therapy documented', etc.
date		0..1	dateTime	Date committed
author		0..1	Reference(Practitioner | PractitionerRole)	Who is committing?
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
target	Σ	1..1	Reference(Patient)	Target Reference(s) (usually version specific)
occurred[x]		0..1		When the activity occurred
occurredPeriod			Period
occurredDateTime			dateTime
recorded	Σ	1..1	instant	When the activity was recorded / updated
policy		0..*	uri	Policy or plan the activity was defined by
location		0..1	Reference(Location)	Where the activity occurred, if relevant
Slices for reason		1..*	CodeableConcept	Reason the activity is occurring Slice: Unordered, Open by pattern:$this Binding: PurposeOfUse (extensible): The reason the activity took place.
reason:coordOfCare		1..1	CodeableConcept	Reason the activity is occurring Binding: PurposeOfUse (extensible): The reason the activity took place. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActReason
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: COC
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
activity		1..1	CodeableConcept	Activity that occurred Binding: ResMed Provenance activity type ValueSet (extensible)
agent		1..1	BackboneElement	Actor involved
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
type	Σ	1..1	CodeableConcept	How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ParticipationType
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PRF
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
Slices for role		1..*	CodeableConcept	What the agents role was Slice: Unordered, Open by pattern:$this Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
role:provider		1..1	CodeableConcept	What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-RoleClass
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: PROV
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
who	Σ	1..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who participated Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
reference		1..1	string	Literal reference, Relative, internal or absolute URL Fixed Value: Device/device-ACE-example
type		0..1	uri	Type the reference refers to (e.g. "Patient")
identifier		0..1	Identifier	Logical reference, when literal reference is not known
display		0..1	string	Text alternative for the resource
onBehalfOf		0..1	Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization)	Who the agent is representing
entity		1..1	BackboneElement	An entity used in this activity
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
role	Σ	1..1	code	derivation | revision | quotation | source | removal Binding: ProvenanceEntityRole (required): How an entity was used in an activity. Required Pattern: source
what	Σ	1..1	Reference(DetectedIssue)	Identity of entity
agent		0..*	See agent (Provenance)	Entity is attributed to this agent
signature		0..*	Signature	Signature on target
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
Provenance.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Provenance.contained.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
Provenance.contained.status	required	Pattern: preliminary
Provenance.contained.code	extensible	ResMedDetectedIssueCodeValueSet
Provenance.contained.severity	required	DetectedIssueSeverity
Provenance.contained.evidence.code	example	ManifestationAndSymptomCodes
Provenance.contained.mitigation.action	preferred	DetectedIssueMitigationAction
Provenance.reason	extensible	PurposeOfUse
Provenance.reason:coordOfCare	extensible	Pattern: COC
Provenance.activity	extensible	ResMedProvenanceActivityTypeValueSet
Provenance.agent.type	extensible	Pattern: PRF
Provenance.agent.role	example	SecurityRoleType
Provenance.agent.role:provider	example	Pattern: PROV
Provenance.entity.role	required	Pattern: source

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	Provenance, Provenance.contained	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	Provenance, Provenance.contained	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4	error	Provenance, Provenance.contained	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5	error	Provenance, Provenance.contained	If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty()
dom-6	best practice	Provenance, Provenance.contained	A resource should have narrative for robust management : text.`div`.exists()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()

This structure is derived from ResMedPatientProvenance

Summary

Mandatory: 1 element

Structures

This structure refers to these other structures:

• ResMed Detected Issue (http://resmed.com/fhir/core/StructureDefinition/contained-detected-issue)

Other representations of profile: CSV, Excel, Schematron