Atrius India Core FHIR Implementation Guide - Local Development build (v0.1.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
Resource Profile: Atrius India Core Consent Provenance
| Official URL: https://atrius.in/fhir/r4/atrius-in/StructureDefinition/atrius-in-consent-provenance | Version: 0.1.0 | ||||
| Draft as of 2026-08-30 | Computable Name: AtriusInConsentProvenance | ||||
| Other Identifiers: OID:1.3.6.1.4.1.66219.1.42.204 | |||||
Attribution and signatures for a clinical/procedure Consent (roadmap D10d).
R4 Consent has no signature element. This Provenance targets the Consent, optionally points at the signed PDF DocumentReference as entity, and carries:
- Consenter Signature (ISO ASTM Consent Signature) — PKCS#7 when Aadhaar eSign succeeded
- Staff witness Signature (Signature Witness Signature)
- Second-physician Verification Signature on the emergency two-physician path
Never store an Aadhaar number here; the ESP transaction id belongs on RelatedPerson.identifier[esignTxn].
Usages:
- This Profile is not used by any profiles in this Specification
You can also check for usages in the FHIR IG Statistics
Formal Views of Profile Content
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Provenance |
0..* | Provenance(4.0.1) | Who, What, When for a set of resources | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
 target |
SΣ | 1..1 | Reference(Atrius India Core Consent(0.1.0)) | Target Reference(s) (usually version specific) |
| recorded |
SΣ | 1..1 | instant | When the activity was recorded / updated |
  agent |
S | 1..* | BackboneElement | Actor involved |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
 who |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who participated |
| entity |
S | 0..* | BackboneElement | An entity used in this activity |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| 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(Atrius India Core DocumentReference(0.1.0)) | Identity of entity |
| signature |
S | 0..* | Signature | Signature on target |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| 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 | Provenance.implicitRules, Provenance.modifierExtension, Provenance.target, Provenance.recorded, Provenance.agent, Provenance.agent.modifierExtension, Provenance.agent.who, Provenance.entity, Provenance.entity.modifierExtension, Provenance.entity.role, Provenance.entity.what, Provenance.signature | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Provenance.modifierExtension, Provenance.agent.modifierExtension, Provenance.entity.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Provenance |
0..* | Provenance(4.0.1) | Who, What, When for a set of resources | |
| target |
S | 1..1 | Reference(Atrius India Core Consent(0.1.0)) | Target Reference(s) (usually version specific) |
 recorded |
S | 1..1 | instant | When the activity was recorded / updated |
| agent |
S | 1..* | BackboneElement | Actor involved |
| entity |
S | 0..* | BackboneElement | An entity used in this activity |
| what |
1..1 | Reference(Atrius India Core DocumentReference(0.1.0)) | Identity of entity | |
| signature |
S | 0..* | Signature | Signature on target |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Provenance |
0..* | Provenance(4.0.1) | 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 | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| target |
SΣ | 1..1 | Reference(Atrius India Core Consent(0.1.0)) | 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 (3.1.0) (extensible): The reason the activity took place. | |||||
| activity |
0..1 | CodeableConcept | Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place. | |||||
| agent |
S | 1..* | BackboneElement | Actor involved | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
Σ | 0..1 | CodeableConcept | How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. | ||||
| role |
0..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity. | |||||
| who |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who participated | ||||
| onBehalfOf |
0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who the agent is representing | |||||
| entity |
S | 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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(Atrius India Core DocumentReference(0.1.0)) | Identity of entity | ||||
| agent |
0..* | See agent (Provenance) | Entity is attributed to this agent | |||||
| signature |
S | 0..* | Signature | Signature on target | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Provenance.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Provenance.reason | Base | extensible | PurposeOfUse | 📍3.1.0 | THO v7.2 |
| Provenance.activity | Base | 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. |
| 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 | Provenance.meta, Provenance.implicitRules, Provenance.language, Provenance.text, Provenance.extension, Provenance.modifierExtension, Provenance.target, Provenance.occurred[x], Provenance.recorded, Provenance.policy, Provenance.location, Provenance.reason, Provenance.activity, Provenance.agent, Provenance.agent.extension, Provenance.agent.modifierExtension, Provenance.agent.type, Provenance.agent.role, Provenance.agent.who, Provenance.agent.onBehalfOf, Provenance.entity, Provenance.entity.extension, Provenance.entity.modifierExtension, Provenance.entity.role, Provenance.entity.what, Provenance.entity.agent, Provenance.signature | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Provenance.extension, Provenance.modifierExtension, Provenance.agent.extension, Provenance.agent.modifierExtension, Provenance.entity.extension, Provenance.entity.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Provenance |
0..* | Provenance(4.0.1) | Who, What, When for a set of resources | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 |
| target |
SΣ | 1..1 | Reference(Atrius India Core Consent(0.1.0)) | Target Reference(s) (usually version specific) |
| recorded |
SΣ | 1..1 | instant | When the activity was recorded / updated |
| agent |
S | 1..* | BackboneElement | Actor involved |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| who |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who participated |
| entity |
S | 0..* | BackboneElement | An entity used in this activity |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 |
| 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(Atrius India Core DocumentReference(0.1.0)) | Identity of entity |
| signature |
S | 0..* | Signature | Signature on target |
| Documentation for this format | ||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| 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 | Provenance.implicitRules, Provenance.modifierExtension, Provenance.target, Provenance.recorded, Provenance.agent, Provenance.agent.modifierExtension, Provenance.agent.who, Provenance.entity, Provenance.entity.modifierExtension, Provenance.entity.role, Provenance.entity.what, Provenance.signature | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Provenance.modifierExtension, Provenance.agent.modifierExtension, Provenance.entity.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Provenance |
0..* | Provenance(4.0.1) | Who, What, When for a set of resources | |
| target |
S | 1..1 | Reference(Atrius India Core Consent(0.1.0)) | Target Reference(s) (usually version specific) |
| recorded |
S | 1..1 | instant | When the activity was recorded / updated |
| agent |
S | 1..* | BackboneElement | Actor involved |
| entity |
S | 0..* | BackboneElement | An entity used in this activity |
| what |
1..1 | Reference(Atrius India Core DocumentReference(0.1.0)) | Identity of entity | |
| signature |
S | 0..* | Signature | Signature on target |
| Documentation for this format | ||||
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| Provenance |
0..* | Provenance(4.0.1) | 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 | ||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| 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 Constraints: ext-1 | |||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored Constraints: ext-1 | ||||
| target |
SΣ | 1..1 | Reference(Atrius India Core Consent(0.1.0)) | 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 (3.1.0) (extensible): The reason the activity took place. | |||||
| activity |
0..1 | CodeableConcept | Activity that occurred Binding: ProvenanceActivityType (extensible): The activity that took place. | |||||
| agent |
S | 1..* | BackboneElement | Actor involved | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| type |
Σ | 0..1 | CodeableConcept | How the agent participated Binding: ProvenanceParticipantType (extensible): The type of participation that a provenance agent played with respect to the activity. | ||||
| role |
0..* | CodeableConcept | What the agents role was Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity. | |||||
| who |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who participated | ||||
| onBehalfOf |
0..1 | Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) | Who the agent is representing | |||||
| entity |
S | 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 Constraints: ext-1 | |||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized Constraints: ext-1 | ||||
| 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(Atrius India Core DocumentReference(0.1.0)) | Identity of entity | ||||
| agent |
0..* | See agent (Provenance) | Entity is attributed to this agent | |||||
| signature |
S | 0..* | Signature | Signature on target | ||||
| Documentation for this format | ||||||||
Terminology Bindings
| Path | Status | Usage | ValueSet | Version | Source |
| Provenance.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| Provenance.reason | Base | extensible | PurposeOfUse | 📍3.1.0 | THO v7.2 |
| Provenance.activity | Base | 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. |
| 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 | Provenance.meta, Provenance.implicitRules, Provenance.language, Provenance.text, Provenance.extension, Provenance.modifierExtension, Provenance.target, Provenance.occurred[x], Provenance.recorded, Provenance.policy, Provenance.location, Provenance.reason, Provenance.activity, Provenance.agent, Provenance.agent.extension, Provenance.agent.modifierExtension, Provenance.agent.type, Provenance.agent.role, Provenance.agent.who, Provenance.agent.onBehalfOf, Provenance.entity, Provenance.entity.extension, Provenance.entity.modifierExtension, Provenance.entity.role, Provenance.entity.what, Provenance.entity.agent, Provenance.signature | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | Provenance.extension, Provenance.modifierExtension, Provenance.agent.extension, Provenance.agent.modifierExtension, Provenance.entity.extension, Provenance.entity.modifierExtension | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
Other representations of profile: CSV, Excel, Schematron