German Practice Management FHIR Profiles (R4)
0.71.0 - STU1 DE

German Practice Management FHIR Profiles (R4) - Local Development build (v0.71.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: Praxis Proposal Provenance

Official URL: https://fhir.cognovis.de/praxis/StructureDefinition/praxis-proposal-provenance Version: 0.71.0
Active as of 2026-05-30 Computable Name: PraxisProposalProvenance
Other Identifiers: OID:2.16.840.1.113883.3.7985.42.195

Vendor-neutral Provenance profile for clinical proposal lifecycles: software or LLM suggestions, clinician confirmations, links to existing clinical records, and direct manual entries.

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 C 0..* Provenance Who, What, When for a set of resources
Constraints: provenance-source-required-for-derived
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target Σ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... activity 1..1 CodeableConcept FHIR DataOperation for this proposal provenance event
Binding: ProvenanceActivityType (extensible): The activity that took place.
... agent 1..* BackboneElement Actor involved
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 CodeableConcept Standard FHIR provenance participant type
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
.... role 1..* CodeableConcept Proposal contribution role
Binding: Proposal Contribution Role (required)
.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated
... entity 0..* BackboneElement Source or revision input for derived proposal events
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.activity Base extensible Provenance activity type 📍4.0.1 FHIR Std.
Provenance.agent.type Base extensible Provenance participant type 📍4.0.1 FHIR Std.
Provenance.agent.role Base required Proposal Contribution Role 📦0.71.0 This IG
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()
provenance-source-required-for-derived error Provenance If agent.role contains software-suggested, llm-suggested, or linked-existing, then entity must be present. agent.role.coding.where(system = 'https://fhir.cognovis.de/praxis/CodeSystem/proposal-contribution-role' and (code = 'software-suggested' or code = 'llm-suggested' or code = 'linked-existing')).exists() implies entity.exists()

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance C 0..* Provenance Who, What, When for a set of resources
Constraints: provenance-source-required-for-derived
... activity 1..1 CodeableConcept FHIR DataOperation for this proposal provenance event
... agent
.... type 1..1 CodeableConcept Standard FHIR provenance participant type
.... role 1..* CodeableConcept Proposal contribution role
Binding: Proposal Contribution Role (required)
... entity 0..* BackboneElement Source or revision input for derived proposal events

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Provenance.agent.role Base required Proposal Contribution Role 📦0.71.0 This IG

Constraints

Id Grade Path(s) Description Expression
provenance-source-required-for-derived error Provenance If agent.role contains software-suggested, llm-suggested, or linked-existing, then entity must be present. agent.role.coding.where(system = 'https://fhir.cognovis.de/praxis/CodeSystem/proposal-contribution-role' and (code = 'software-suggested' or code = 'llm-suggested' or code = 'linked-existing')).exists() implies entity.exists()
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance C 0..* Provenance Who, What, When for a set of resources
Constraints: provenance-source-required-for-derived
... 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 Σ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded Σ 1..1 instant When the activity was recorded / updated
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(Location) Where the activity occurred, if relevant
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.
... activity 1..1 CodeableConcept FHIR DataOperation for this proposal provenance event
Binding: ProvenanceActivityType (extensible): The activity that took place.
... agent 1..* BackboneElement Actor involved
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 CodeableConcept Standard FHIR provenance participant type
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
.... role 1..* CodeableConcept Proposal contribution role
Binding: Proposal Contribution Role (required)
.... 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 Source or revision input for derived proposal events
.... 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 v7.1
Provenance.activity Base extensible Provenance activity type 📍4.0.1 FHIR Std.
Provenance.agent.type Base extensible Provenance participant type 📍4.0.1 FHIR Std.
Provenance.agent.role Base required Proposal Contribution Role 📦0.71.0 This IG
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()
provenance-source-required-for-derived error Provenance If agent.role contains software-suggested, llm-suggested, or linked-existing, then entity must be present. agent.role.coding.where(system = 'https://fhir.cognovis.de/praxis/CodeSystem/proposal-contribution-role' and (code = 'software-suggested' or code = 'llm-suggested' or code = 'linked-existing')).exists() implies entity.exists()

This structure is derived from Provenance

Summary

Mandatory: 3 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance C 0..* Provenance Who, What, When for a set of resources
Constraints: provenance-source-required-for-derived
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target Σ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... activity 1..1 CodeableConcept FHIR DataOperation for this proposal provenance event
Binding: ProvenanceActivityType (extensible): The activity that took place.
... agent 1..* BackboneElement Actor involved
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 CodeableConcept Standard FHIR provenance participant type
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
.... role 1..* CodeableConcept Proposal contribution role
Binding: Proposal Contribution Role (required)
.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated
... entity 0..* BackboneElement Source or revision input for derived proposal events
.... 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

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.activity Base extensible Provenance activity type 📍4.0.1 FHIR Std.
Provenance.agent.type Base extensible Provenance participant type 📍4.0.1 FHIR Std.
Provenance.agent.role Base required Proposal Contribution Role 📦0.71.0 This IG
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()
provenance-source-required-for-derived error Provenance If agent.role contains software-suggested, llm-suggested, or linked-existing, then entity must be present. agent.role.coding.where(system = 'https://fhir.cognovis.de/praxis/CodeSystem/proposal-contribution-role' and (code = 'software-suggested' or code = 'llm-suggested' or code = 'linked-existing')).exists() implies entity.exists()

Differential View

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance C 0..* Provenance Who, What, When for a set of resources
Constraints: provenance-source-required-for-derived
... activity 1..1 CodeableConcept FHIR DataOperation for this proposal provenance event
... agent
.... type 1..1 CodeableConcept Standard FHIR provenance participant type
.... role 1..* CodeableConcept Proposal contribution role
Binding: Proposal Contribution Role (required)
... entity 0..* BackboneElement Source or revision input for derived proposal events

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
Provenance.agent.role Base required Proposal Contribution Role 📦0.71.0 This IG

Constraints

Id Grade Path(s) Description Expression
provenance-source-required-for-derived error Provenance If agent.role contains software-suggested, llm-suggested, or linked-existing, then entity must be present. agent.role.coding.where(system = 'https://fhir.cognovis.de/praxis/CodeSystem/proposal-contribution-role' and (code = 'software-suggested' or code = 'llm-suggested' or code = 'linked-existing')).exists() implies entity.exists()

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance C 0..* Provenance Who, What, When for a set of resources
Constraints: provenance-source-required-for-derived
... 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 Σ 1..* Reference(Resource) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded Σ 1..1 instant When the activity was recorded / updated
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(Location) Where the activity occurred, if relevant
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.
... activity 1..1 CodeableConcept FHIR DataOperation for this proposal provenance event
Binding: ProvenanceActivityType (extensible): The activity that took place.
... agent 1..* BackboneElement Actor involved
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type Σ 1..1 CodeableConcept Standard FHIR provenance participant type
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
.... role 1..* CodeableConcept Proposal contribution role
Binding: Proposal Contribution Role (required)
.... 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 Source or revision input for derived proposal events
.... 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 v7.1
Provenance.activity Base extensible Provenance activity type 📍4.0.1 FHIR Std.
Provenance.agent.type Base extensible Provenance participant type 📍4.0.1 FHIR Std.
Provenance.agent.role Base required Proposal Contribution Role 📦0.71.0 This IG
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()
provenance-source-required-for-derived error Provenance If agent.role contains software-suggested, llm-suggested, or linked-existing, then entity must be present. agent.role.coding.where(system = 'https://fhir.cognovis.de/praxis/CodeSystem/proposal-contribution-role' and (code = 'software-suggested' or code = 'llm-suggested' or code = 'linked-existing')).exists() implies entity.exists()

This structure is derived from Provenance

Summary

Mandatory: 3 elements

 

Other representations of profile: CSV, Excel, Schematron