dental-clinical-provenance
type: StructureDefinition
node role: treeRoot
resource.id:
  value: dental-clinical-provenance
domain resource.text:
  narrative.status:
    value: extensions
  narrative.div: Generated Narrative: StructureDefinition dental-clinical-provenance Name Flags Card. Type Description & Constraints<img src="[binary]" alt="doco" style="background-color: inherit"/> Provenance 0..* Provenance Who, What, When for a set of resources #xD; target S 1..* Reference(Resource) Target Reference(s) (usually version specific) #xD; recorded S 1..1 instant When the activity was recorded / updated #xD; activity S 0..1 CodeableConcept Activity that occurred Binding: Dental Provenance Activities (required) #xD; agent S 1..* BackboneElement Actor involved #xD; <img src="[binary]" alt="doco" style="background-color: inherit"/> Documentation for this format
structure definition.url:
  value: https://fhir.cognovis.de/dental-core/StructureDefinition/dental-clinical-provenance
structure definition.identifier:
  index: 0
  identifier.system:
    value: urn:ietf:rfc:3986
  identifier.value:
    value: urn:oid:2.16.840.1.113883.3.7985.2.42.7
structure definition.version:
  value: 0.3.0
structure definition.name:
  value: DentalClinicalProvenance
structure definition.title:
  value: Dental Clinical Provenance
structure definition.status:
  value: draft
structure definition.experimental:
  value: true
structure definition.date:
  value: 2026-08-14T17:00:31+02:00
structure definition.publisher:
  value: cognovis GmbH
structure definition.contact:
  index: 0
  contact detail.name:
    value: cognovis GmbH
  contact detail.telecom:
    index: 0
    contact point.system:
      value: url
    contact point.value:
      value: https://www.cognovis.de
  contact detail.telecom:
    index: 1
    contact point.system:
      value: email
structure definition.description:
  value: Provenance for dental clinical resources, including whether a final diagnosis or classification was derived or explicitly selected by a clinician.
structure definition.copyright:
  value: 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.
structure definition.fhir version:
  value: 4.0.1
structure definition.mapping:
  index: 0
  structure definition.mapping.identity:
    value: workflow
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/workflow
  structure definition.mapping.name:
    value: Workflow Pattern
structure definition.mapping:
  index: 1
  structure definition.mapping.identity:
    value: rim
  structure definition.mapping.uri:
    value: http://hl7.org/v3
  structure definition.mapping.name:
    value: RIM Mapping
structure definition.mapping:
  index: 2
  structure definition.mapping.identity:
    value: w3c.prov
  structure definition.mapping.uri:
    value: http://www.w3.org/ns/prov
  structure definition.mapping.name:
    value: W3C PROV
structure definition.mapping:
  index: 3
  structure definition.mapping.identity:
    value: w5
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/fivews
  structure definition.mapping.name:
    value: FiveWs Pattern Mapping
structure definition.mapping:
  index: 4
  structure definition.mapping.identity:
    value: fhirauditevent
  structure definition.mapping.uri:
    value: http://hl7.org/fhir/auditevent
  structure definition.mapping.name:
    value: FHIR AuditEvent Mapping
structure definition.kind:
  value: resource
structure definition.abstract:
  value: false
structure definition.type:
  value: Provenance
structure definition.base definition:
  value: http://hl7.org/fhir/StructureDefinition/Provenance
  link: http://hl7.org/fhir/StructureDefinition/Provenance
structure definition.derivation:
  value: constraint
structure definition.snapshot:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/tools/StructureDefinition/snapshot-base-version
    extension.value string:
      value: 4.0.1
  structure definition.snapshot.element:
    index: 0
    element.id:
      value: Provenance
    element definition.path:
      value: Provenance
    element definition.short:
      value: Who, What, When for a set of resources
    element definition.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.
    element definition.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.
    element definition.alias:
      value: History
      index: 0
    element definition.alias:
      value: Event
      index: 1
    element definition.alias:
      value: Activity
      index: 2
    element definition.min:
      value: 0
    element definition.max:
      value: *
    element definition.base:
      element definition.base.path:
        value: Provenance
      element definition.base.min:
        value: 0
      element definition.base.max:
        value: *
    element definition.constraint:
      index: 0
      element definition.constraint.key:
        value: dom-2
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If the resource is contained in another resource, it SHALL NOT contain nested Resources
      element definition.constraint.expression:
        value: contained.contained.empty()
      element definition.constraint.xpath:
        value: not(parent::f:contained and f:contained)
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 1
      element definition.constraint.key:
        value: dom-3
      element definition.constraint.severity:
        value: error
      element definition.constraint.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
      element definition.constraint.expression:
        value: 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()
      element definition.constraint.xpath:
        value: not(exists(for $id in f:contained/*/f:id/@value return $contained[not(parent::*/descendant::f:reference/@value=concat('#', $contained/*/id/@value) or descendant::f:reference[@value='#'])]))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 2
      element definition.constraint.key:
        value: dom-4
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
      element definition.constraint.expression:
        value: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 3
      element definition.constraint.key:
        value: dom-5
      element definition.constraint.severity:
        value: error
      element definition.constraint.human:
        value: If a resource is contained in another resource, it SHALL NOT have a security label
      element definition.constraint.expression:
        value: contained.meta.security.empty()
      element definition.constraint.xpath:
        value: not(exists(f:contained/*/f:meta/f:security))
      element definition.constraint.source:
        value: http://hl7.org/fhir/StructureDefinition/DomainResource
        link: http://hl7.org/fhir/StructureDefinition/DomainResource
    element definition.constraint:
      index: 4
      element.extension:
        index: 0

value: true

index: 1
extension.url:
  value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation
extension.value markdown:
  value: When a resource has no narrative, only systems that fully understand the data can display the resource to a human safely. Including a human readable representation in the resource makes for a much more robust eco-system and cheaper handling of resources by intermediary systems. Some ecosystems restrict distribution of resources to only those systems that do fully understand the resources, and as a consequence implementers may believe that the narrative is superfluous. However experience shows that such eco-systems often open up to new participants over time.

value: dom-6

value: warning

value: A resource should have narrative for robust management

value: text.`div`.exists()

value: exists(f:text/h:div)

value: false

value: false

index: 0
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: Entity. Role, or Act

index: 1
element definition.mapping.identity:
  value: workflow
element definition.mapping.map:
  value: Event

index: 2
element definition.mapping.identity:
  value: rim
element definition.mapping.map:
  value: ControlAct[isNormalAct() and subsumes(CACT, classCode) and moodCode=EVN]

index: 3
element definition.mapping.identity:
  value: w3c.prov
element definition.mapping.map:
  value: Activity

index: 1
element.id:
  value: Provenance.id
element definition.path:
  value: Provenance.id
element definition.short:
  value: Logical id of this artifact
element definition.definition:
  value: The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.
element definition.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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: id
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 2
element.id:
  value: Provenance.meta
element definition.path:
  value: Provenance.meta
element definition.short:
  value: Metadata about the resource
element definition.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.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.meta
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Meta
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true

index: 3
element.id:
  value: Provenance.implicitRules
element definition.path:
  value: Provenance.implicitRules
element definition.short:
  value: A set of rules under which this content was created
element definition.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. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.
element definition.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. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.implicitRules
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
element definition.is summary:
  value: true

index: 4
element.id:
  value: Provenance.language
element definition.path:
  value: Provenance.language
element definition.short:
  value: Language of the resource content
element definition.definition:
  value: The base language in which the resource is written.
element definition.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).
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Resource.language
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet
    extension.value canonical:
      value: http://hl7.org/fhir/ValueSet/all-languages
      link: http://hl7.org/fhir/ValueSet/all-languages
  element.extension:
    index: 1
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: Language
  element definition.binding.strength:
    value: preferred
  element definition.binding.description:
    value: A human language.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/languages|4.0.1
    link: 4.0
    link: .1

index: 5
element.id:
  value: Provenance.text
element definition.path:
  value: Provenance.text
element definition.short:
  value: Text summary of the resource, for human interpretation
element definition.definition:
  value: A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.
element definition.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 "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
element definition.alias:
  value: narrative
  index: 0
element definition.alias:
  value: html
  index: 1
element definition.alias:
  value: xhtml
  index: 2
element definition.alias:
  value: display
  index: 3
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: DomainResource.text
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Narrative
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.text?

index: 6
element.id:
  value: Provenance.contained
element definition.path:
  value: Provenance.contained
element definition.short:
  value: Contained, inline Resources
element definition.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.
element definition.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. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
element definition.alias:
  value: inline resources
  index: 0
element definition.alias:
  value: anonymous resources
  index: 1
element definition.alias:
  value: contained resources
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.contained
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Resource
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 7
element.id:
  value: Provenance.extension
element definition.path:
  value: Provenance.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 8
element.id:
  value: Provenance.modifierExtension
element definition.path:
  value: Provenance.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored
element definition.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 and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: DomainResource.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 9
element.id:
  value: Provenance.target
element definition.path:
  value: Provenance.target
element definition.short:
  value: Target Reference(s) (usually version specific)
element definition.definition:
  value: The Reference(s) that were generated or updated by the activity described in this resource. A provenance can point to more than one target if multiple resources were created/updated by the same activity.
element definition.comment:
  value: Target references are usually version specific, but might not be, if a version has not been assigned or if the provenance information is part of the set of resources being maintained (i.e. a document). When using the RESTful API, the identity of the resource might not be known (especially not the version specific one); the client may either submit the resource first, and then the provenance, or it may submit both using a single transaction. See the notes on transaction for further discussion.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Provenance.target
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    index: 0
    link: 4.0
    link: .1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.what[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./outboundRelationship[isNormalActRelationship() and typeCode=SUBJ]/target OR ./participation[isNormalParticipation() and typeCode=SBJ]/role OR ./participation[isNormalParticipation() and typeCode=SBJ]/role[isNormalRole()]/player
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.entity.reference
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Entity Created/Updated

index: 10
element.id:
  value: Provenance.occurred[x]
element definition.path:
  value: Provenance.occurred[x]
element definition.short:
  value: When the activity occurred
element definition.definition:
  value: The period during which the activity occurred.
element definition.comment:
  value: The period can be a little arbitrary; where possible, the time should correspond to human assessment of the activity time.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.occurred[x]
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Period
element definition.type:
  index: 1
  element definition.type.code:
    value: dateTime
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.occurred[x]
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.done[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./effectiveTime[type=IVL_TS]
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Activity.startTime & Activity.endTime

index: 11
element.id:
  value: Provenance.recorded
element definition.path:
  value: Provenance.recorded
element definition.short:
  value: When the activity was recorded / updated
element definition.definition:
  value: The instant of time at which the activity was recorded.
element definition.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.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.recorded
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: instant
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.recorded
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: unique(./participation[isNormalParticipation() and typeCode=AUT]/time[type=TS])
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.recorded
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Activity.when

index: 12
element.id:
  value: Provenance.policy
element definition.path:
  value: Provenance.policy
element definition.short:
  value: Policy or plan the activity was defined by
element definition.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.
element definition.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.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Provenance.policy
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: uri
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./inboundRelationship[isNormalActRelationship() and typeCode="SUBJ"]/source[isNormalAct and subsumes(POLICY, classCode) and moodCode=EVN]/text[typeCode='ED'/tel
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.agent.policy

index: 13
element.id:
  value: Provenance.location
element definition.path:
  value: Provenance.location
element definition.short:
  value: Where the activity occurred, if relevant
element definition.definition:
  value: Where the activity occurred, if relevant.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.location
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Location|4.0.1
    index: 0
    link: 4.0
    link: .1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.location
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.where[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: unique(./participation[isNormalParticipation() and typeCode=LOC]/role[isNormalRole() and subsumes(SDLOC, classCode)]/player[isNormalEntity and classCode="LOC" and determinerCode="INST"]
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.agent.location
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Activity.location

index: 14
element.id:
  value: Provenance.reason
element definition.path:
  value: Provenance.reason
element definition.short:
  value: Reason the activity is occurring
element definition.definition:
  value: The reason that the activity was taking place.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Provenance.reason
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProvenanceReason
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: The reason the activity took place.
  element definition.binding.value set:
    value: http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
    link: http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.reasonCode
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.why[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: unique(./reasonCode)
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.purposeOfEvent
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Activity.Activity

index: 15
element.id:
  value: Provenance.activity
element definition.path:
  value: Provenance.activity
element definition.short:
  value: Activity that occurred
element definition.definition:
  value: An activity is something that occurs over a period of time and acts upon or with entities; it may include consuming, processing, transforming, modifying, relocating, using, or generating entities.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.activity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element definition.binding.strength:
    value: required
  element definition.binding.value set:
    value: https://fhir.cognovis.de/dental-core/ValueSet/dental-provenance-activity
    link: https://fhir.cognovis.de/dental-core/ValueSet/dental-provenance-activity
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.code
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.why[x]
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Act.code
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Activity.Activity

index: 16
element.id:
  value: Provenance.agent
element definition.path:
  value: Provenance.agent
element definition.short:
  value: Actor involved
element definition.definition:
  value: An actor taking a role in an activity for which it can be assigned some degree of responsibility for the activity taking place.
element definition.comment:
  value: Several agents may be associated (i.e. has some responsibility for an activity) with an activity and vice-versa.
element definition.requirements:
  value: An agent can be a person, an organization, software, device, or other entities that may be ascribed responsibility.
element definition.min:
  value: 1
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Provenance.agent
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.must support:
  value: true
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.who
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./participation[isNormalParticipation()] OR ./outboundRelationship[isNormalActRelationship() and typeCode='DRIV']
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.agent
element definition.mapping:
  index: 4
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Agent

index: 17
element.id:
  value: Provenance.agent.id
element definition.path:
  value: Provenance.agent.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 18
element.id:
  value: Provenance.agent.extension
element definition.path:
  value: Provenance.agent.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 19
element.id:
  value: Provenance.agent.modifierExtension
element definition.path:
  value: Provenance.agent.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 20
element.id:
  value: Provenance.agent.type
element definition.path:
  value: Provenance.agent.type
element definition.short:
  value: How the agent participated
element definition.definition:
  value: The participation the agent had with respect to the activity.
element definition.comment:
  value: For example: author, performer, enterer, attester, etc.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.agent.type
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProvenanceAgentType
  element definition.binding.strength:
    value: extensible
  element definition.binding.description:
    value: The type of participation that a provenance agent played with respect to the activity.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/provenance-agent-type|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer.function
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .role
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.agent.type
element definition.mapping:
  index: 3
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Agent.Attribution

index: 21
element.id:
  value: Provenance.agent.role
element definition.path:
  value: Provenance.agent.role
element definition.short:
  value: What the agents role was
element definition.definition:
  value: The function of the agent with respect to the activity. The security role enabling the agent with respect to the activity.
element definition.comment:
  value: For example: doctor, nurse, clerk, etc.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Provenance.agent.role
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: CodeableConcept
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProvenanceAgentRole
  element definition.binding.strength:
    value: example
  element definition.binding.description:
    value: The role that a provenance agent played with respect to the activity.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/security-role-type|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .typecode
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.agent.role

index: 22
element.id:
  value: Provenance.agent.who
element definition.path:
  value: Provenance.agent.who
element definition.short:
  value: Who participated
element definition.definition:
  value: The individual, device or organization that participated in the event.
element definition.comment:
  value: whoIdentity should be used when the agent is not a Resource type.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.agent.who
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    index: 0
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    index: 1
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1
    index: 2
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    index: 3
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device|4.0.1
    index: 4
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    index: 5
    link: 4.0
    link: .1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: workflow
  element definition.mapping.map:
    value: Event.performer.actor
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: w5
  element definition.mapping.map:
    value: FiveWs.actor
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: .id

index: 23
element.id:
  value: Provenance.agent.onBehalfOf
element definition.path:
  value: Provenance.agent.onBehalfOf
element definition.short:
  value: Who the agent is representing
element definition.definition:
  value: The individual, device, or organization for whom the change was made.
element definition.comment:
  value: onBehalfOfIdentity should be used when the agent is not a Resource type.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.agent.onBehalfOf
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Practitioner|4.0.1
    index: 0
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/PractitionerRole|4.0.1
    index: 1
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/RelatedPerson|4.0.1
    index: 2
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Patient|4.0.1
    index: 3
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Device|4.0.1
    index: 4
    link: 4.0
    link: .1
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Organization|4.0.1
    index: 5
    link: 4.0
    link: .1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: Person, Practitioner, Organization, Device :* .role [classCode = RoleClassMutualRelationship; role.code and * .scopes[Role](classCode=IDENT) and *.plays [Role.Code]

index: 24
element.id:
  value: Provenance.entity
element definition.path:
  value: Provenance.entity
element definition.short:
  value: An entity used in this activity
element definition.definition:
  value: An entity used in this activity.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Provenance.entity
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: BackboneElement
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./subjectOf
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.entity
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Entity

index: 25
element.id:
  value: Provenance.entity.id
element definition.path:
  value: Provenance.entity.id
element definition.representation:
  value: xmlAttr
  index: 0
element definition.short:
  value: Unique id for inter-element referencing
element definition.definition:
  value: Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
element definition.min:
  value: 0
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Element.id
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type
    extension.value url:
      value: string
  element definition.type.code:
    value: http://hl7.org/fhirpath/System.String
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 26
element.id:
  value: Provenance.entity.extension
element definition.path:
  value: Provenance.entity.extension
element definition.short:
  value: Additional content defined by implementations
element definition.definition:
  value: May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
element definition.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.
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Element.extension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: n/a

index: 27
element.id:
  value: Provenance.entity.modifierExtension
element definition.path:
  value: Provenance.entity.modifierExtension
element definition.short:
  value: Extensions that cannot be ignored even if unrecognized
element definition.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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
element definition.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.
element definition.requirements:
  value: Modifier extensions allow for extensions that *cannot* be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the [definition of modifier extensions](http://hl7.org/fhir/R4/extensibility.html#modifierExtension).
element definition.alias:
  value: extensions
  index: 0
element definition.alias:
  value: user content
  index: 1
element definition.alias:
  value: modifiers
  index: 2
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: BackboneElement.modifierExtension
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Extension
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.constraint:
  index: 1
  element definition.constraint.key:
    value: ext-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: Must have either extensions or value[x], not both
  element definition.constraint.expression:
    value: extension.exists() != value.exists()
  element definition.constraint.xpath:
    value: exists(f:extension)!=exists(f:*[starts-with(local-name(.), "value")])
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Extension
    link: http://hl7.org/fhir/StructureDefinition/Extension
element definition.is modifier:
  value: true
element definition.is modifier reason:
  value: Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: N/A

index: 28
element.id:
  value: Provenance.entity.role
element definition.path:
  value: Provenance.entity.role
element definition.short:
  value: derivation | revision | quotation | source | removal
element definition.definition:
  value: How the entity was used during the activity.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.entity.role
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: code
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.binding:
  element.extension:
    index: 0
    extension.url:
      value: http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName
    extension.value string:
      value: ProvenanceEntityRole
  element definition.binding.strength:
    value: required
  element definition.binding.description:
    value: How an entity was used in an activity.
  element definition.binding.value set:
    value: http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1
    link: 4.0
    link: .1
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./typeCode
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.entity.lifecycle
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Entity.role

index: 29
element.id:
  value: Provenance.entity.what
element definition.path:
  value: Provenance.entity.what
element definition.short:
  value: Identity of entity
element definition.definition:
  value: Identity of the Entity used. May be a logical or physical uri and maybe absolute or relative.
element definition.comment:
  value: whatIdentity should be used for entities that are not a Resource type.
element definition.min:
  value: 1
element definition.max:
  value: 1
element definition.base:
  element definition.base.path:
    value: Provenance.entity.what
  element definition.base.min:
    value: 1
  element definition.base.max:
    value: 1
element definition.type:
  index: 0
  element definition.type.code:
    value: Reference
  element definition.type.target profile:
    value: http://hl7.org/fhir/StructureDefinition/Resource|4.0.1
    index: 0
    link: 4.0
    link: .1
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: true
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./text/reference
element definition.mapping:
  index: 1
  element definition.mapping.identity:
    value: fhirauditevent
  element definition.mapping.map:
    value: AuditEvent.entity.reference
element definition.mapping:
  index: 2
  element definition.mapping.identity:
    value: w3c.prov
  element definition.mapping.map:
    value: Entity.Identity

index: 30
element.id:
  value: Provenance.entity.agent
element definition.path:
  value: Provenance.entity.agent
element definition.short:
  value: Entity is attributed to this agent
element definition.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.
element definition.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.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Provenance.entity.agent
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.content reference:
  value: http://hl7.org/fhir/StructureDefinition/Provenance#Provenance.agent
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./author/role

index: 31
element.id:
  value: Provenance.signature
element definition.path:
  value: Provenance.signature
element definition.short:
  value: Signature on target
element definition.definition:
  value: A digital signature on the target Reference(s). The signer should match a Provenance.agent. The purpose of the signature is indicated.
element definition.min:
  value: 0
element definition.max:
  value: *
element definition.base:
  element definition.base.path:
    value: Provenance.signature
  element definition.base.min:
    value: 0
  element definition.base.max:
    value: *
element definition.type:
  index: 0
  element definition.type.code:
    value: Signature
element definition.constraint:
  index: 0
  element definition.constraint.key:
    value: ele-1
  element definition.constraint.severity:
    value: error
  element definition.constraint.human:
    value: All FHIR elements must have a @value or children
  element definition.constraint.expression:
    value: hasValue() or (children().count() > id.count())
  element definition.constraint.xpath:
    value: @value|f:*|h:div
  element definition.constraint.source:
    value: http://hl7.org/fhir/StructureDefinition/Element
    link: http://hl7.org/fhir/StructureDefinition/Element
element definition.is modifier:
  value: false
element definition.is summary:
  value: false
element definition.mapping:
  index: 0
  element definition.mapping.identity:
    value: rim
  element definition.mapping.map:
    value: ./signatureText

structure definition.differential.element:
  index: 0
  element.id:
    value: Provenance
  element definition.path:
    value: Provenance
structure definition.differential.element:
  index: 1
  element.id:
    value: Provenance.target
  element definition.path:
    value: Provenance.target
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 2
  element.id:
    value: Provenance.recorded
  element definition.path:
    value: Provenance.recorded
  element definition.must support:
    value: true
structure definition.differential.element:
  index: 3
  element.id:
    value: Provenance.activity
  element definition.path:
    value: Provenance.activity
  element definition.must support:
    value: true
  element definition.binding:
    element definition.binding.strength:
      value: required
    element definition.binding.value set:
      value: https://fhir.cognovis.de/dental-core/ValueSet/dental-provenance-activity
      link: https://fhir.cognovis.de/dental-core/ValueSet/dental-provenance-activity
structure definition.differential.element:
  index: 4
  element.id:
    value: Provenance.agent
  element definition.path:
    value: Provenance.agent
  element definition.must support:
    value: true