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Type:
Change Request
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Resolution: Persuasive with Modification
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Priority:
High
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FHIR Core (FHIR)
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DSTU1 [deprecated]
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Security
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Provenance
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6.5
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Enhancement
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Non-substantive
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DSTU1 [deprecated]
Existing Wording
Provenance information that describes the activity that led to the creation of a set of resources. This information can be used to help determine their reliability or trace where the information in them came from. The focus of the provenance resource is record keeping, audit and traceability, and not explicit statements of clinical significance.
Proposed Wording
Replace FHIR author definition which is limited to"activity that led to the creation of a set of resources", with the more comprehensive and "standard" W3C PROV working definition at http://www.w3.org/2005/Incubator/prov/XGR-prov-20101214/#What_is_provenance. In addition, the HL7 Control Acts, HL7 DPROV CDA IG and HL7 HCS Guide as well as a number of HL7 EHR artifcats inidcate and/or assert that provenance indicates clinical significance in terms of confidence in authenticity, reliability, and trustworthiness, integrity, and stage in lifecycle (e.g., Document Completion - has the artifact been legally authenticated), all of which may impact Security, Privacy, and Trust policies.
Grahame's Comments
Kathleen to propose actual replacemnet wording for word smithing
- is voted on by
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BALLOT-273 Negative - Kathleen Connor : 2015-Jan-FHIR R1
- Balloted