US Veterans Health Administration FHIR Map Set Implementation Guide
1.3.1 - 250401 United States of America flag

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Resource Profile: MedRefillRequestMHV Provenance[review]

Official URL: http://va.gov/fhir/StructureDefinition/MedRefillRequestMHVProvenancereview Version: 1.3.1
Active as of 2025-03-31 Computable Name: MedRefillRequestMHVProvenancereview

This StructureDefinition contains the maps for VistA file PRESCRIPTION REFILL REQUEST (52.43) to Provenance.

See also the FHIR Shorthand.

Use Case Overview

Use Case: MedRefillRequestMHV«FHIR Task»MedRefillRequestMHVTaskforfocusowner«FHIR Provenance»MedRefillRequestMHVProvenancereviewtarget«FHIR Provenance»MedRefillRequestMHVProvenancecreatetargetPatientMedicationDispenseRefillOrganization

Usage:

  • CapabilityStatements using this Resource Profile: AMPL GUI
  • This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... target SΣ 1..* Reference(MedRefillRequestMHV Task) Target Reference(s) (usually version specific)
ele-1: All FHIR elements must have a @value or children
... activity S 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (extensible): The activity that took place.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REV
... agent 1..* BackboneElement Actor involved
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated
ele-1: All FHIR elements must have a @value or children
..... type SΣ 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).


ele-1: All FHIR elements must have a @value or children
Required Pattern: http://hl7.org/fhir/StructureDefinition/Organization
..... display SΣ 0..1 string Text alternative for the resource
ele-1: All FHIR elements must have a @value or children
Required Pattern: VA

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.activityextensiblePattern: REV
http://hl7.org/fhir/ValueSet/provenance-activity-type
from the FHIR Standard
Provenance.agent.who.typeextensiblePattern: http://hl7.org/fhir/StructureDefinition/Organization
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProvenanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProvenanceIf 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-4errorProvenanceIf 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-5errorProvenanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProvenanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... target S 1..* Reference(MedRefillRequestMHV Task) Target Reference(s) (usually version specific)
... recorded S 1..1 instant When the activity was recorded / updated
... activity S 0..1 CodeableConcept Activity that occurred
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REV
.... who
..... type S 0..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: http://hl7.org/fhir/StructureDefinition/Organization
..... display S 0..1 string Text alternative for the resource
Required Pattern: VA

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(MedRefillRequestMHV Task) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded SΣ 1..1 instant When the activity was recorded / updated
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(Location) Where the activity occurred, if relevant
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.


... activity S 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (extensible): The activity that took place.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REV
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... 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 0..1 CodeableConcept How the agent participated
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.

.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.


.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated
..... 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 ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type SΣ 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).


Required Pattern: http://hl7.org/fhir/StructureDefinition/Organization
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display SΣ 0..1 string Text alternative for the resource
Required Pattern: VA
.... onBehalfOf 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who the agent is representing
... entity 0..* BackboneElement An entity used in this activity
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role Σ 1..1 code derivation | revision | quotation | source | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.

.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature 0..* Signature Signature on target

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Provenance.reasonextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Provenance.activityextensiblePattern: REV
http://hl7.org/fhir/ValueSet/provenance-activity-type
from the FHIR Standard
Provenance.agent.typeextensibleProvenanceParticipantType
http://hl7.org/fhir/ValueSet/provenance-agent-type
from the FHIR Standard
Provenance.agent.roleexampleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Provenance.agent.who.typeextensiblePattern: http://hl7.org/fhir/StructureDefinition/Organization
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Provenance.entity.rolerequiredProvenanceEntityRole
http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProvenanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProvenanceIf 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-4errorProvenanceIf 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-5errorProvenanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProvenanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Provenance

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources
dom-3: 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
dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
dom-6: A resource should have narrative for robust management
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
ele-1: All FHIR elements must have a @value or children
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
... target SΣ 1..* Reference(MedRefillRequestMHV Task) Target Reference(s) (usually version specific)
ele-1: All FHIR elements must have a @value or children
... activity S 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (extensible): The activity that took place.


ele-1: All FHIR elements must have a @value or children
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REV
... agent 1..* BackboneElement Actor involved
ele-1: All FHIR elements must have a @value or children
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
ele-1: All FHIR elements must have a @value or children
ext-1: Must have either extensions or value[x], not both
.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated
ele-1: All FHIR elements must have a @value or children
..... type SΣ 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).


ele-1: All FHIR elements must have a @value or children
Required Pattern: http://hl7.org/fhir/StructureDefinition/Organization
..... display SΣ 0..1 string Text alternative for the resource
ele-1: All FHIR elements must have a @value or children
Required Pattern: VA

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.activityextensiblePattern: REV
http://hl7.org/fhir/ValueSet/provenance-activity-type
from the FHIR Standard
Provenance.agent.who.typeextensiblePattern: http://hl7.org/fhir/StructureDefinition/Organization
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProvenanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProvenanceIf 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-4errorProvenanceIf 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-5errorProvenanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProvenanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

Differential View

This structure is derived from Provenance

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... target S 1..* Reference(MedRefillRequestMHV Task) Target Reference(s) (usually version specific)
... recorded S 1..1 instant When the activity was recorded / updated
... activity S 0..1 CodeableConcept Activity that occurred
Required Pattern: At least the following
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REV
.... who
..... type S 0..1 uri Type the reference refers to (e.g. "Patient")
Required Pattern: http://hl7.org/fhir/StructureDefinition/Organization
..... display S 0..1 string Text alternative for the resource
Required Pattern: VA

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. Provenance 0..* Provenance Who, What, When for a set of resources
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... target SΣ 1..* Reference(MedRefillRequestMHV Task) Target Reference(s) (usually version specific)
... occurred[x] 0..1 When the activity occurred
.... occurredPeriod Period
.... occurredDateTime dateTime
... recorded SΣ 1..1 instant When the activity was recorded / updated
... policy 0..* uri Policy or plan the activity was defined by
... location 0..1 Reference(Location) Where the activity occurred, if relevant
... reason 0..* CodeableConcept Reason the activity is occurring
Binding: PurposeOfUse (extensible): The reason the activity took place.


... activity S 0..1 CodeableConcept Activity that occurred
Binding: ProvenanceActivityType (extensible): The activity that took place.


Required Pattern: At least the following
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... coding 1..* Coding Code defined by a terminology system
Fixed Value: (complex)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
..... system 1..1 uri Identity of the terminology system
Fixed Value: http://terminology.hl7.org/CodeSystem/v3-ActClass
..... version 0..1 string Version of the system - if relevant
..... code 1..1 code Symbol in syntax defined by the system
Fixed Value: REV
..... display 0..1 string Representation defined by the system
..... userSelected 0..1 boolean If this coding was chosen directly by the user
.... text 0..1 string Plain text representation of the concept
... 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 0..1 CodeableConcept How the agent participated
Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity.

.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.


.... who Σ 1..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who participated
..... 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 ΣC 0..1 string Literal reference, Relative, internal or absolute URL
..... type SΣ 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).


Required Pattern: http://hl7.org/fhir/StructureDefinition/Organization
..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display SΣ 0..1 string Text alternative for the resource
Required Pattern: VA
.... onBehalfOf 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) Who the agent is representing
... entity 0..* BackboneElement An entity used in this activity
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... role Σ 1..1 code derivation | revision | quotation | source | removal
Binding: ProvenanceEntityRole (required): How an entity was used in an activity.

.... what Σ 1..1 Reference(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature 0..* Signature Signature on target

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
Provenance.languagepreferredCommonLanguages
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
Additional Bindings Purpose
AllLanguages Max Binding
Provenance.reasonextensiblePurposeOfUse
http://terminology.hl7.org/ValueSet/v3-PurposeOfUse
Provenance.activityextensiblePattern: REV
http://hl7.org/fhir/ValueSet/provenance-activity-type
from the FHIR Standard
Provenance.agent.typeextensibleProvenanceParticipantType
http://hl7.org/fhir/ValueSet/provenance-agent-type
from the FHIR Standard
Provenance.agent.roleexampleSecurityRoleType
http://hl7.org/fhir/ValueSet/security-role-type
from the FHIR Standard
Provenance.agent.who.typeextensiblePattern: http://hl7.org/fhir/StructureDefinition/Organization
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
Provenance.entity.rolerequiredProvenanceEntityRole
http://hl7.org/fhir/ValueSet/provenance-entity-role|4.0.1
from the FHIR Standard

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorProvenanceIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorProvenanceIf 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-4errorProvenanceIf 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-5errorProvenanceIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceProvenanceA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()

This structure is derived from Provenance

Summary

Must-Support: 5 elements

Structures

This structure refers to these other structures:

 

Other representations of profile: CSV, Excel, Schematron