馃嚚馃嚤 EMA Health Chile Implementation Guide
0.1.0 - ci-build

馃嚚馃嚤 EMA Health Chile Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7庐 FHIR庐 Standard) Build Tools. See the Directory of published versions

Resource Profile: EMA Provenance

Official URL: https://emahealth.io/fhir/cl/StructureDefinition/ema-provenance Version: 0.1.0
Draft as of 2026-06-30 Computable Name: EmaProvenance

Registro de procedencia y autor铆a de recursos cl铆nicos en EMA Clinic, basado en ProvenanceCl de CLCore.

Descripci贸n

EmaProvenance registra la procedencia y autor铆a de recursos cl铆nicos en EMA Clinic. Extiende el perfil ProvenanceCl de CLCore, que define la estructura est谩ndar de trazabilidad para el ecosistema FHIR chileno.

Herencia CLCore

Este perfil hereda de ProvenanceCl de CLCore v1.9.3, que establece los requisitos base de registro de autor铆a y timestamp.

Uso

  • target: Obligatorio. Recursos cuya procedencia se registra.
  • recorded: Obligatorio. Momento del registro.
  • agent.who: Autor de la acci贸n (EmaPractitioner, EmaPractitionerRole, EmaOrganization o EmaPatient).

Relaci贸n con otros perfiles

Permite rastrear qui茅n cre贸 o modific贸 cualquier recurso cl铆nico: diagn贸sticos, observaciones, prescripciones, etc.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* ProvenanceCL Who, What, When for a set of resources
... implicitRules ?!危 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target S危 1..* Reference(Resource) Recurso que se desea validar
... location S 0..1 Reference(CL Localizaci贸n) Referencia o identificaci贸n de la localizaci贸n de donde ocurri贸 la actividad
... activity S 0..1 CodeableConcept Actividad que ocurri贸
Binding: ProvenanceActivityType (extensible): VS HL7 FHIR
... agent S 1..* BackboneElement El actor que genera el recuso
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type S危 0..1 CodeableConcept Referencia a lo que ejecuta el actor
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
.... role S 0..1 CodeableConcept El rol especifico del agente
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
.... who S危 1..1 Reference(EMA Practitioner | EMA PractitionerRole | EMA Organization | EMA Patient) Quien emite el recurso
... signature S 0..* Signature Signature on target

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 example SecurityRoleType 📦4.0.1 FHIR Std.

Constraints

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

This structure is derived from ProvenanceCL

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* ProvenanceCL Who, What, When for a set of resources
... agent
.... who 1..1 Reference(EMA Practitioner | EMA PractitionerRole | EMA Organization | EMA Patient) Quien emite el recurso

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* ProvenanceCL Who, What, When for a set of resources
... id 危 0..1 id Logical id of this artifact
... meta 危 0..1 Meta Metadata about the resource
... implicitRules ?!危 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 S危 1..* Reference(Resource) Recurso que se desea validar
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference 危C 0..1 string URL absoluta del Recurso a validar
.... type 危 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier 危 0..1 Identifier Logical reference, when literal reference is not known
.... display 危 0..1 string Text alternative for the resource
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded S危 1..1 instant Cuando se desarroll贸 el env铆o o actualizaci贸n del Recurso
... policy 0..* uri Policy or plan the activity was defined by
... location S 0..1 Reference(CL Localizaci贸n) Referencia o identificaci贸n de la localizaci贸n de donde ocurri贸 la actividad
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.
... activity S 0..1 CodeableConcept Actividad que ocurri贸
Binding: ProvenanceActivityType (extensible): VS HL7 FHIR
... agent S 1..* BackboneElement El actor que genera el recuso
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type S危 0..1 CodeableConcept Referencia a lo que ejecuta el actor
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding 危 0..* Coding Code defined by a terminology system
Binding: ProvenanceParticipantType (extensible): VS HL7 FHIR, tipo de agente
..... text 危 0..1 string Plain text representation of the concept
.... role S 0..1 CodeableConcept El rol especifico del agente
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding 危 0..* Coding Code defined by a terminology system
Binding: SecurityRoleType (example): VS HL7 FHIR, tipo de c贸digo
..... text 危 0..1 string Plain text representation of the concept
.... who S危 1..1 Reference(EMA Practitioner | EMA PractitionerRole | EMA Organization | EMA Patient) Quien emite el recurso
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference 危C 0..1 string Referencia al emisor del recurso
..... type 危 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier 危 0..1 Identifier Logical reference, when literal reference is not known
..... display 危 0..1 string Text alternative for the resource
.... onBehalfOf 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who the agent is representing
... entity 0..* BackboneElement An entity used in this activity
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role 危 1..1 code derivation | revision | quotation | source | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
.... what 危 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature S 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.target.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Provenance.reason Base extensible PurposeOfUse 📦3.1.0 THO v6.5
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.type.鈥媍oding Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.agent.role Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.agent.role.鈥媍oding Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.agent.who.鈥媡ype Base extensible ResourceType 📦4.0.1 FHIR Std.
Provenance.entity.role Base required ProvenanceEntityRole 📍4.0.1 FHIR Std.

Constraints

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

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* ProvenanceCL Who, What, When for a set of resources
... implicitRules ?!危 0..1 uri A set of rules under which this content was created
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target S危 1..* Reference(Resource) Recurso que se desea validar
... location S 0..1 Reference(CL Localizaci贸n) Referencia o identificaci贸n de la localizaci贸n de donde ocurri贸 la actividad
... activity S 0..1 CodeableConcept Actividad que ocurri贸
Binding: ProvenanceActivityType (extensible): VS HL7 FHIR
... agent S 1..* BackboneElement El actor que genera el recuso
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type S危 0..1 CodeableConcept Referencia a lo que ejecuta el actor
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
.... role S 0..1 CodeableConcept El rol especifico del agente
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
.... who S危 1..1 Reference(EMA Practitioner | EMA PractitionerRole | EMA Organization | EMA Patient) Quien emite el recurso
... signature S 0..* Signature Signature on target

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 example SecurityRoleType 📦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()

Differential View

This structure is derived from ProvenanceCL

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* ProvenanceCL Who, What, When for a set of resources
... agent
.... who 1..1 Reference(EMA Practitioner | EMA PractitionerRole | EMA Organization | EMA Patient) Quien emite el recurso

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* ProvenanceCL Who, What, When for a set of resources
... id 危 0..1 id Logical id of this artifact
... meta 危 0..1 Meta Metadata about the resource
... implicitRules ?!危 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 S危 1..* Reference(Resource) Recurso que se desea validar
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference 危C 0..1 string URL absoluta del Recurso a validar
.... type 危 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
.... identifier 危 0..1 Identifier Logical reference, when literal reference is not known
.... display 危 0..1 string Text alternative for the resource
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded S危 1..1 instant Cuando se desarroll贸 el env铆o o actualizaci贸n del Recurso
... policy 0..* uri Policy or plan the activity was defined by
... location S 0..1 Reference(CL Localizaci贸n) Referencia o identificaci贸n de la localizaci贸n de donde ocurri贸 la actividad
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.
... activity S 0..1 CodeableConcept Actividad que ocurri贸
Binding: ProvenanceActivityType (extensible): VS HL7 FHIR
... agent S 1..* BackboneElement El actor que genera el recuso
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... type S危 0..1 CodeableConcept Referencia a lo que ejecuta el actor
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding 危 0..* Coding Code defined by a terminology system
Binding: ProvenanceParticipantType (extensible): VS HL7 FHIR, tipo de agente
..... text 危 0..1 string Plain text representation of the concept
.... role S 0..1 CodeableConcept El rol especifico del agente
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding 危 0..* Coding Code defined by a terminology system
Binding: SecurityRoleType (example): VS HL7 FHIR, tipo de c贸digo
..... text 危 0..1 string Plain text representation of the concept
.... who S危 1..1 Reference(EMA Practitioner | EMA PractitionerRole | EMA Organization | EMA Patient) Quien emite el recurso
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference 危C 0..1 string Referencia al emisor del recurso
..... type 危 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
..... identifier 危 0..1 Identifier Logical reference, when literal reference is not known
..... display 危 0..1 string Text alternative for the resource
.... onBehalfOf 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who the agent is representing
... entity 0..* BackboneElement An entity used in this activity
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!危 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role 危 1..1 code derivation | revision | quotation | source | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.
.... what 危 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature S 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.target.type Base extensible ResourceType 📦4.0.1 FHIR Std.
Provenance.reason Base extensible PurposeOfUse 📦3.1.0 THO v6.5
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.type.鈥媍oding Base extensible Provenance participant type 📦4.0.1 FHIR Std.
Provenance.agent.role Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.agent.role.鈥媍oding Base example SecurityRoleType 📦4.0.1 FHIR Std.
Provenance.agent.who.鈥媡ype Base extensible ResourceType 📦4.0.1 FHIR Std.
Provenance.entity.role Base required ProvenanceEntityRole 📍4.0.1 FHIR Std.

Constraints

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

 

Other representations of profile: CSV, Excel, Schematron