Provenance Example: provenance-example-anon0

Example XML

<?xml version="1.0" encoding="UTF-8"?>
<Bundle xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/provenance.xsd">
    <id value="example-anon0"/>
    <!-- a search bundle on anon0 patient by a HIGHLY Priviliaged User that is authorized to see linkage -->
    <meta>
        <lastUpdated value="2014-08-18T01:43:30Z"/>
        <security>
            <!-- Bundle confidentiality at high water mark of most sensitive -->
            <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
            <code value="V"/>
        </security>
        <security>
            <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
            <code value="PSEUDED"/>
        </security>
    </meta> 
    <type value="searchset"/>  
    <link>
        <relation value="self"/>
        <url value="https://example.com/fhir/Patient/anon0/$everything"/>
    </link>

    <entry>
        <fullUrl value="http://example.org/fhir/Provenance/anon0"/>
        <resource>
            <Provenance>
                <!-- This Provenance shows a link between real-world and anon for a given patient -->
                <id value="anon0"/>
                <meta>
                    <security>
                        <!-- Provenance is the link between real-world and anon, so is highest possible confidentiality -->
                        <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
                        <code value="V"/>
                    </security>
                    <security>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
                        <code value="PSEUDED"/>
                    </security>
                </meta>

                <target>
                    <reference value="http://example.org/fhir/Patient/anon0"/>
                </target>
                <recorded value="2015-06-27T08:39:24+10:00"/>
                <!-- policy would indicate the rules used for De-Identification, and appropriate purposes of use of the data -->
                <policy value="http://example.org/policies/666"/>
                <activity>
                    <coding>
                    <system value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle" />
                    <code value="deidentify" />
                    </coding>
                </activity>
                <!-- not identified in original patient compartment as SHOULD NOT show up there (confidentiatltyCode V protected too) -->
                <agent>
                    <type>
                        <coding>
                            <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
                            <code value="assembler"/>
                        </coding>
                    </type>
                    <who>
                        <display  value="Device/software"/>
                    </who>
                </agent>
                <entity>
                    <role value="source"/>
                    <what>
                        <reference value="Patient/example"/>    
                    </what>
                </entity>
            </Provenance>
        </resource>
        <search>
            <mode value="match"/>
        </search>
    </entry>
    <entry>
        <fullUrl value="http://example.org/fhir/Patient/anon0"/>
        <resource>
            <Patient>
                <id value="anon0"/>
                <!-- De-Identifed equivilant, removing all direct identifiers, and keeping only minimally necessary indirect identifiers -->
                <meta>
                    <security>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
                        <code value="L"/>
                    </security>
                    <security>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
                        <code value="PSEUDED"/>
                    </security>
                </meta>

                <name>
                    <!-- some made up name -->
                    <family value="Anon-0"/>
                    <given value="First-0"/>
                </name>
                <!-- male/female gender is needed, and group is big enough.  -->
                <gender value="male"/>
                <!-- birthdate is generalized to 1st of month of the birth year -->
                <birthDate value="1974-12-01"/>
            </Patient>
        </resource>
        <search>
            <mode value="match"/>
        </search>
    </entry>
    <entry>
        <fullUrl value="http://example.org/fhir/Condition/anon0"/>
        <resource>
            <Condition>
                <id value="anon0"/> 
                <!-- De-Identified data, change reference to Patient, eliminate free-text, and fuzz dates -->
                <meta>
                    <security>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
                        <code value="L"/>
                    </security>
                    <security>
                        <system value="http://terminology.hl7.org/CodeSystem/v3-ObservationValue"/>
                        <code value="PSEUDED"/>
                    </security>
                </meta>
                <clinicalStatus> 
                    <coding> 
                        <system value="http://terminology.hl7.org/CodeSystem/condition-clinical"/> 
                        <code value="active"/> 
                    </coding> 
                </clinicalStatus> 

                <verificationStatus> 
                    <coding> 
                        <system value="http://terminology.hl7.org/CodeSystem/condition-ver-status"/> 
                        <code value="confirmed"/> 
                    </coding> 
                </verificationStatus> 
                <category> 
                    <coding> 
                        <system value="http://terminology.hl7.org/CodeSystem/condition-category"/> 
                        <code value="encounter-diagnosis"/> 
                        <display value="Encounter Diagnosis"/> 
                    </coding> 
                    <!--   and also a SNOMED CT coding   -->
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="439401001"/> 
                        <display value="Diagnosis"/> 
                    </coding> 
                </category> 
                <severity> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="24484000"/> 
                        <display value="Severe"/> 
                    </coding> 
                </severity> 
                <code> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="39065001"/> 
                        <display value="Burn of ear"/> 
                    </coding> 
                </code> 
                <bodySite> 
                    <coding> 
                        <system value="http://snomed.info/sct"/> 
                        <code value="49521004"/> 
                        <display value="Left external ear structure"/> 
                    </coding> 
                </bodySite> 
                <subject> 
                    <!-- patient as anon0 id -->
                    <reference value="Patient/anon0"/> 
                </subject> 
                <!-- dates aligned to first of month -->
                <onsetDateTime value="2012-05-01"/> 
            </Condition> 
        </resource>
        <search>
            <mode value="match"/>
        </search>
    </entry>

</Bundle>