The FHIR Provenance Resource tracks information about the activity about a version of a resource, describing the entities and agents involved. FHIR resources also contain elements that represent "small-p provenance" information about how the resource was obtained which overlap with the functionality of the Provenance resource.

​This page is divided into two section documenting how the US Core Provenance Profile records changes at the organizational level, and how the US Core Profiles' "small-p provenance" elements record changes at the individual level. The US Core Provenance Profile asserts where the data came from at an organizational or system level. Because systems typically do not use the Provenance Resource to represent this information at an individual level (in other words, activities by the patient or provider), various FHIR resource elements are identified that track the "small p provenance" information at the individual level. The baseline rules and guidance here do not preclude more advanced use cases such as Using Provenance To Target Resource Elements.

US Core Profiles contain elements that represent "small-p provenance" information about how the resource was obtained, which overlaps with the functionality of the Provenance resource discussed above. The table below identifies the author and author roles that meet the U.S. Core Data for Interoperability (USCDI) Provenance Author and Author Role Data Elements requirements for individuals. In addition, they are listed in each US Core Profile page's "Profile Specific Implementation Guidance" section. The author is communicated by the elements and the author's role by the target resource type referenced by it (for example, Patient, Practitioner/PractitionerRole, RelatedPerson, Device). Details about the author's role are contained in the target resource's contents. The bold font indicates the elements and target resources that are labeled as Must Support in the respective US Core Profiles. Elements and target resources not labeled as Must Support SHOULD be supported in the profiles when the system captures the data.

Author and Author Role Data Elements

This table excludes these US Core Profiles, which are not typically associated with individual authorship:

• US Core Encounter
• US Core Location
• US Core Organization
• US Core Practitioner
• US Core PractitionerRole
• US Core RelatedPerson
• US Core Medication
• US Core Provenance
• US Core CareTeam
• US Core Coverage
• US Core Specimen

Red text indicates proposed new Must Support elements and targets

​This information is also available as a csv or excel file:

* US Core Must Support or Additional USCDI element

** US Core Must Support Target Resource Type