IE Medication Events Implementation Guide
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IE Medication Events 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: IE MPD Provenance (ePrescription signature)

Official URL: https://hl7-ie.github.io/medication-events/fhir/StructureDefinition/ie-mpd-provenance-eprescription-signature Version: 0.1.0
Draft as of 2026-09-28 Computable Name: IEMpdProvenanceEPrescriptionSignature

The prescriber's electronic signature over the prescription items (HIQA EP 2.13 Signature). A Provenance signature is used rather than Bundle.signature so that the signature survives storage in NePS and re-bundling for cross-border exchange (IE Core ADR-003). The signature format and eIDAS assurance level are Requires Clarification (IE Core OI-009).

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* IEMpdProvenance(0.1.0) 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..* Reference(IE MPD MedicationRequest (ePrescription)(0.1.0)) Target Reference(s) (usually version specific)
... agent S 1..1 BackboneElement Actor involved
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type SΣ 0..1 CodeableConcept How the agent participated
Binding: IEMpdProvenanceParticipantType (0.1.0) (extensible)
.... who SΣ 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who participated
.... onBehalfOf S 0..1 Reference(IE MPD Organization(0.1.0)) Who the agent is representing
... signature S 1..* Signature Signature on target
.... type SΣ 1..* Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
.... when SΣ 1..1 instant When the signature was created
.... who SΣ 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who signed
.... data S 0..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.agent.type Base extensible IE MPD Provenance Participant Type 📍0.1.0 This IG
Provenance.signature.​type Base preferred Signature Type Codes 📍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.type, Provenance.agent.who, Provenance.agent.onBehalfOf, Provenance.signature, Provenance.signature.type, Provenance.signature.when, Provenance.signature.who, Provenance.signature.data All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Provenance.modifierExtension, Provenance.agent.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

This structure is derived from IEMpdProvenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance IEMpdProvenance(0.1.0)
... target 1..* Reference(IE MPD MedicationRequest (ePrescription)(0.1.0)) Target Reference(s) (usually version specific)
... agent 1..1 BackboneElement Actor involved
.... who 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who participated
... signature S 1..* Signature Signature on target
.... type S 1..* Coding Indication of the reason the entity signed the object(s)
.... when S 1..1 instant When the signature was created
.... who S 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who signed
.... data S 0..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* IEMpdProvenance(0.1.0) 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
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..* Reference(IE MPD MedicationRequest (ePrescription)(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..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 SΣ 0..1 CodeableConcept How the agent participated
Binding: IEMpdProvenanceParticipantType (0.1.0) (extensible)
.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
.... who SΣ 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who participated
.... onBehalfOf S 0..1 Reference(IE MPD Organization(0.1.0)) 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
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(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature S 1..* Signature Signature on target
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... type SΣ 1..* Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
.... when SΣ 1..1 instant When the signature was created
.... who SΣ 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who signed
.... onBehalfOf Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) The party represented
.... targetFormat 0..1 code The technical format of the signed resources
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... sigFormat 0..1 code The technical format of the signature
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... data S 0..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco 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 v7.4
Provenance.activity Base extensible Provenance activity type 📍4.0.1 FHIR Std.
Provenance.agent.type Base extensible IE MPD Provenance Participant Type 📍0.1.0 This IG
Provenance.agent.role Base example SecurityRoleType 📍4.0.1 FHIR Std.
Provenance.entity.role Base required ProvenanceEntityRole 📍4.0.1 FHIR Std.
Provenance.signature.​type Base preferred Signature Type Codes 📍4.0.1 FHIR Std.
Provenance.signature.​targetFormat Base required MimeType 📍4.0.1 FHIR Std.
Provenance.signature.​sigFormat Base required MimeType 📍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, Provenance.signature.extension, Provenance.signature.type, Provenance.signature.when, Provenance.signature.who, Provenance.signature.onBehalfOf, Provenance.signature.targetFormat, Provenance.signature.sigFormat, Provenance.signature.data 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, Provenance.signature.extension Must have either extensions or value[x], not both extension.exists() != value.exists()

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* IEMpdProvenance(0.1.0) 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..* Reference(IE MPD MedicationRequest (ePrescription)(0.1.0)) Target Reference(s) (usually version specific)
... agent S 1..1 BackboneElement Actor involved
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
Constraints: ext-1
.... type SΣ 0..1 CodeableConcept How the agent participated
Binding: IEMpdProvenanceParticipantType (0.1.0) (extensible)
.... who SΣ 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who participated
.... onBehalfOf S 0..1 Reference(IE MPD Organization(0.1.0)) Who the agent is representing
... signature S 1..* Signature Signature on target
.... type SΣ 1..* Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
.... when SΣ 1..1 instant When the signature was created
.... who SΣ 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who signed
.... data S 0..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
Provenance.agent.type Base extensible IE MPD Provenance Participant Type 📍0.1.0 This IG
Provenance.signature.​type Base preferred Signature Type Codes 📍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.type, Provenance.agent.who, Provenance.agent.onBehalfOf, Provenance.signature, Provenance.signature.type, Provenance.signature.when, Provenance.signature.who, Provenance.signature.data All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error Provenance.modifierExtension, Provenance.agent.modifierExtension Must have either extensions or value[x], not both extension.exists() != value.exists()

Differential View

This structure is derived from IEMpdProvenance

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance IEMpdProvenance(0.1.0)
... target 1..* Reference(IE MPD MedicationRequest (ePrescription)(0.1.0)) Target Reference(s) (usually version specific)
... agent 1..1 BackboneElement Actor involved
.... who 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who participated
... signature S 1..* Signature Signature on target
.... type S 1..* Coding Indication of the reason the entity signed the object(s)
.... when S 1..1 instant When the signature was created
.... who S 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who signed
.... data S 0..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. Provenance 0..* IEMpdProvenance(0.1.0) 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
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..* Reference(IE MPD MedicationRequest (ePrescription)(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..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 SΣ 0..1 CodeableConcept How the agent participated
Binding: IEMpdProvenanceParticipantType (0.1.0) (extensible)
.... role 0..* CodeableConcept What the agents role was
Binding: SecurityRoleType (example): The role that a provenance agent played with respect to the activity.
.... who SΣ 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who participated
.... onBehalfOf S 0..1 Reference(IE MPD Organization(0.1.0)) 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
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(Resource) Identity of entity
.... agent 0..* See agent (Provenance) Entity is attributed to this agent
... signature S 1..* Signature Signature on target
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
Constraints: ext-1
.... type SΣ 1..* Coding Indication of the reason the entity signed the object(s)
Binding: SignatureTypeCodes (preferred): An indication of the reason that an entity signed the object.
.... when SΣ 1..1 instant When the signature was created
.... who SΣ 1..1 Reference(IE MPD PractitionerRole(0.1.0) | IE MPD Practitioner(0.1.0)) Who signed
.... onBehalfOf Σ 0..1 Reference(Practitioner | PractitionerRole | RelatedPerson | Patient | Device | Organization) The party represented
.... targetFormat 0..1 code The technical format of the signed resources
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... sigFormat 0..1 code The technical format of the signature
Binding: Mime Types (required): The mime type of an attachment. Any valid mime type is allowed.
.... data S 0..1 base64Binary The actual signature content (XML DigSig. JWS, picture, etc.)

doco 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 v7.4
Provenance.activity Base extensible Provenance activity type 📍4.0.1 FHIR Std.
Provenance.agent.type Base extensible IE MPD Provenance Participant Type 📍0.1.0 This IG
Provenance.agent.role Base example SecurityRoleType 📍4.0.1 FHIR Std.
Provenance.entity.role Base required ProvenanceEntityRole 📍4.0.1 FHIR Std.
Provenance.signature.​type Base preferred Signature Type Codes 📍4.0.1 FHIR Std.
Provenance.signature.​targetFormat Base required MimeType 📍4.0.1 FHIR Std.
Provenance.signature.​sigFormat Base required MimeType 📍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, Provenance.signature.extension, Provenance.signature.type, Provenance.signature.when, Provenance.signature.who, Provenance.signature.onBehalfOf, Provenance.signature.targetFormat, Provenance.signature.sigFormat, Provenance.signature.data 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, Provenance.signature.extension Must have either extensions or value[x], not both extension.exists() != value.exists()

 

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