Dental Core FHIR Profiles (R4)
Version 0.3.0 - ci-build

Resource Profile: Dental Clinical Provenance ( Experimental )

Official URL: https://fhir.cognovis.de/dental-core/StructureDefinition/dental-clinical-provenance Version: 0.3.0
Draft as of 2026-08-14 Computable Name: DentalClinicalProvenance
Other Identifiers: OID:2.16.840.1.113883.3.7985.2.42.7

Copyright/Legal: Copyright 2026+ cognovis GmbH. Cognovis-authored Dental Core material is licensed under Apache-2.0; third-party material retains its own terms as documented in the Third-Party Notices.

Provenance for dental clinical resources, including whether a final diagnosis or classification was derived or explicitly selected by a clinician.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... activity S 0..1 CodeableConcept Activity that occurred
Binding: Dental Provenance Activities (required)
... agent S 1..* BackboneElement Actor involved
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.activity Base required Dental Provenance Activities 📦0.3.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Provenance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Provenance 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 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 If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Provenance 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 Provenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... target S 1..* Reference(Resource) Target Reference(s) (usually version specific)
... recorded S 1..1 instant When the activity was recorded / updated
... activity S 0..1 CodeableConcept Activity that occurred
Binding: Dental Provenance Activities (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Provenance.activity Base required Dental Provenance Activities 📦0.3.0 This IG
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded SΣ 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
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.
... activity S 0..1 CodeableConcept Activity that occurred
Binding: Dental Provenance Activities (required)
... agent S 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 0..1 CodeableConcept How the agent participated
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated
.... onBehalfOf 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who the agent is representing
... entity 0..* 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.
.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature 0..* Signature Signature on target

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Provenance.reason Base extensible PurposeOfUse 📦3.1.0 THO v7.2
Provenance.activity Base required Dental Provenance Activities 📦0.3.0 This IG
Provenance.agent.type Base extensible Provenance participant type 📍4.0.1 FHIR Std.
Provenance.agent.role Base example SecurityRoleType 📍4.0.1 FHIR Std.
Provenance.entity.role Base required ProvenanceEntityRole 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Provenance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Provenance 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 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 If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Provenance 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 Provenance

Summary

Must-Support: 4 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... activity S 0..1 CodeableConcept Activity that occurred
Binding: Dental Provenance Activities (required)
... agent S 1..* BackboneElement Actor involved
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.activity Base required Dental Provenance Activities 📦0.3.0 This IG

Constraints

Id Grade Path(s) Description Expression
dom-2 error Provenance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Provenance 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 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 If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Provenance 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()

Differential View

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... target S 1..* Reference(Resource) Target Reference(s) (usually version specific)
... recorded S 1..1 instant When the activity was recorded / updated
... activity S 0..1 CodeableConcept Activity that occurred
Binding: Dental Provenance Activities (required)

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Provenance.activity Base required Dental Provenance Activities 📦0.3.0 This IG

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* Provenance 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
... text 0..1 Narrative Text summary of the resource, for human interpretation
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded SΣ 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
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.
... activity S 0..1 CodeableConcept Activity that occurred
Binding: Dental Provenance Activities (required)
... agent S 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 0..1 CodeableConcept How the agent participated
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated
.... onBehalfOf 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who the agent is representing
... entity 0..* 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.
.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature 0..* Signature Signature on target

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.language Base preferred Common Languages 📍4.0.1 FHIR Std.
Provenance.reason Base extensible PurposeOfUse 📦3.1.0 THO v7.2
Provenance.activity Base required Dental Provenance Activities 📦0.3.0 This IG
Provenance.agent.type Base extensible Provenance participant type 📍4.0.1 FHIR Std.
Provenance.agent.role Base example SecurityRoleType 📍4.0.1 FHIR Std.
Provenance.entity.role Base required ProvenanceEntityRole 📍4.0.1 FHIR Std.

Constraints

Id Grade Path(s) Description Expression
dom-2 error Provenance If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error Provenance 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 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 If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice Provenance 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 Provenance

Summary

Must-Support: 4 elements

 

Other representations of profile: CSV, Excel, Schematron