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Section 3: Implementation Guides

HL7 Guidance: Basic Provenance for C-CDA and FHIR, Release 1 - US Realm

DESCRIPTION

The Basic Provenance Informative guide provides the functional and technical guidance for communicating ‘Minimum Viable Provenance’ in CDA, and FHIR, when information is exchanged.

This informative guide is a prioritized first step towards including more robust provenance in clinical data exchange.

ALTERNATIVE NAMES

HL7 Guidance: Basic Provenance for C-CDA and FHIR, Release 1 - US Realm may also go by the following names or acronyms:

"HL7 Guidance: Provenance Basics for C-CDA and FHIR, Release 1 - US Realm", Provenance

BENEFITS

Allows systems to trace the history of a clinical data element

IMPLEMENTATIONS/CASE STUDIES

Developed and testing in collaboration with HL7 Security and Privacy work group, FHIR connecthaton testing, and the Argonaut community.

DEVELOPMENT BACKGROUND

ONC published the U.S. Core Data for Interoperability (USCDI) v1 February 2020 , which specifies Provenance alongside data many other data classes and data elements. While many of those data classes have already been defined within the CDA and FHIR standards, “provenance” has not been. For interoperability to be achieved with this data class, functional and technical guidance are needed regarding what details constitute “provenance”, how provenance information should be represented technically in the CDA and FHIR standards, and the best practices around that representation.