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  1. Provenance
  • Getting Started
    • Introduction
    • Supported Standards, Frameworks & API Versions
    • Standardized API Details – Patient and Population Services
    • Environment Endpoints
    • Errors and Exceptions
  • Authentication & Authorization
    • Overview – Authorization & Security Standards
    • Authorization
      • Well-known configuration
      • Authorize
      • Request
      • Introspect
  • Developer Onboarding
    • App Registration & Credentials
  • API Usage Guidelines
    • FHIR API Interaction Conventions
  • US Core & USCDI Mapping
    • Overview
  • APIs
    • Allergies and Intolerances
      • By Patient ID
      • By Resource ID
      • Create an AllergyIntolerance
      • Update an AllergyIntolerance
    • Assessment and Plan of Treatment
      • By Patient and Category
      • Create a CarePlan
      • Update a CarePlan
    • Care Team Members
      • Care Teams
        • By Patient and Status
        • By Patient and Role
        • Create a CareTeam
        • Update a CareTeam
      • Related Person
        • By ID
        • By Patient
        • Create a RelatedPerson
        • Update a RelatedPerson
      • Practitioner
        • By Name
        • By Resource ID
        • By Identifier
        • Create a Practitioner
        • Update a Practitioner
      • Practioner Role
        • By Specialty
        • By Practitioner ID
        • By Practitioner Identifier
        • By Practitioner Name
        • Create a PractitionerRole
        • Update a PractitionerRole
      • Location
        • By Name
        • By Address
        • By City
        • By State
        • By Postal Code
        • Create a Location
        • Update a Location
      • Organization
        • By Name
        • By Address
        • Create an Organization
        • Update an Organization
    • Clinical Notes
      • Document References
        • By ID
        • By Patient
        • By Patient and Category
        • By Patient, Category, and Date
        • By Patient and Type
        • By Patient and Status
        • By Patient, Type, and Period
        • Create a DocumentReference
        • Update a DocumentReference
      • Diagnostic Report
        • By Patient ID
        • By Patient and Category
        • By Patient and Code
        • By Patient, Category, and Date
        • By Patient and Status
    • Goals
      • Get Goals by Patient ID
      • Get Goal by ID
      • Get Goals by Patient and Lifecycle Status
      • Get Goals by Patient and Target Date
      • Get Goals by Patient and Description
      • Get Diagnostic Reports by Patient, Code, and Date
      • Create a Goal
      • Update a Goal
    • Clinical Tests
      • Observation
        • By Patient and Category
        • By Patient and Code
        • By Patient, Code, and Date
        • By Patient, Category, and Date
        • By Patient, Category, and Status
      • Lab Diagnostic Report
        • By Patient
        • By Patient and Code
        • By Patient, Code, and Date
        • By Patient and Category
        • By Patient, Category, and Date
        • By Patient and Status
    • Diagnostic Imaging
      • Imaging Observations
        • By Patient
        • By Patient and Category
        • By Patient, Category, and Date
        • By Patient, Category, and Status
        • By Patient and Code
        • By Patient, Code and Date
      • Create a DiagnosticReport
      • Update a DiagnosticReport
    • Encounter Information
      • Encounter
        • By ID
        • By Patient ID
        • By Patient and Date Range
        • By Identifier
        • By Patient and Class
        • By Patient and Type
        • By Patient and Location
        • By Patient and Status
        • By Patient and Discharge Disposition
        • Create an Encounter
        • Update an Encounter
      • Encounter Diagnosis
        • By Patient ID
        • By Patient ID and Clinical Status
        • By Patient ID and Category
        • By Patient ID and Code
        • By Patient ID and Asserted Date
        • By Patient ID, Category, and Encounter
        • By Patient ID and Onset Date
        • By Patient ID and Recorded Date
        • By Patient ID and Abatement Date
    • Group
      • By ID
      • By $export (Group-level Bulk Export)
      • Create a Group
      • Update a Group
    • Health Concerns
      • By Patient
      • By Patient and Clinical Status
      • By Patient and Category
      • By Patient and Category and Encounter
      • By Patient and Code
      • By Patient and Asserted Date
      • By Patient and Onset Date
      • By Patient and Recorded Date
      • By Patient and Abatement Date
      • Create a Condition
      • Update a Condition
    • Implantable Devices
      • By Patient
      • By ID
      • By Patient and Type
      • Create a Device
      • Update a Device
    • Immunizations
      • By ID
      • By Patient
      • By Patient and Date
      • By Patient and Status
      • Create an Immunization
      • Update an Immunization
    • Laboratory
      • Laboratory Result Observation
        • By ID
        • By Patient and Category
        • By Patient, Category, and Date
        • By Patient, Category, and Status
        • By Patient and Code
        • By Patient, Code, and Date
        • Create an Observation
        • Update an Observation
    • Medications
      • Medications
        • By ID
        • By Patient
        • Create a Medication
        • Update a Medication
      • Medication Request
        • Get MedicationRequests by Patient
        • Get MedicationRequest by ID
        • Get MedicationRequests by Patient and Intent
        • Get MedicationRequests by Patient, Intent, and Encounter
        • Get MedicationRequests by Patient, Intent, and AuthoredOn Date
        • Create a MedicationRequest
        • Update a MedicationRequest
    • Patient Demographics
      • Patient
        • Get Patient by ID
        • Get Patient by Identifier
        • Get Patient by Name
        • Get Patient by Birthdate and Name
        • Get Patient by Gender and Name
        • Get Patient by Birthdate and Family Name
        • Create a Patient
        • Update a Patient
      • Observation Sexual Orientation
        • Get Observations by Patient ID
        • Get Observation by ID
        • Get Observations by Patient and Code
        • Get Observations by Patient, Code, and Date
        • Get Observations by Patient, Code, and Date
    • Procedures
      • Procedure
        • Get Procedures by Patient
        • Get Procedure by ID
        • Get Procedures by Patient and Date
        • Get Procedures by Patient and Status
        • Get Procedures by Patient, Code, and Date
        • Create a Procedure
        • Update a Procedure
      • Service Request
        • Get ServiceRequests by Patient
        • Get ServiceRequest by ID
        • Get ServiceRequests by Patient and Category
        • Get ServiceRequests by Patient and Code
        • Get ServiceRequests by Patient, Category, and Authored Date
        • Get ServiceRequests by Patient, Code, and Authored Date
        • Get ServiceRequests by Patient and Status
        • Create a ServiceRequest
        • Update a ServiceRequest
    • Provenance
      • Provenance
        • Get Provenance by ID
        • Get resource and Provenance using _revinclude
      • Create a Provenance
        POST
      • Update a Provenance
        PUT
    • Smoking Status
      • Smoking Status
        • Get Observation by ID
        • Get Observations by Patient
        • Get Smoking Status by Patient and Code
    • Vital Signs
      • Vital Signs
        • Get Observation by ID
        • Get Observations by Patient and Category
        • Get Observations by Patient and Code
        • Get Observations by Patient, Category, and Date
        • Get Observations by Patient, Category, and Status
        • Get Observations by Patient, Code, and Date
  • Legal & Compliance
    • API Terms of Use
  1. Provenance

Provenance

Overview#

The Provenance resource documents the history of a resource — including who created, updated, or transmitted it, when, and on whose behalf. It is essential for establishing the authenticity and reliability of clinical data.
Provenance is required for various US Core resources, such as:
Patient
Observation
Procedure
ServiceRequest
MedicationRequest
DiagnosticReport
Responses are provided in FHIR R4 JSON format, conforming to the US Core Provenance Profile.

Must Support Elements#

USCDI ElementFHIR Field
Author Time StampProvenance.recorded
Author OrganizationProvenance.agent.who
Target ResourceProvenance.target.reference

Supported Search Capabilities#

These combinations are required to be supported:

Get Provenance by ID#

Method: GET
Endpoint: /Provenance/{id}
Description: Retrieve a specific Provenance record using its unique ID.

Get Resource by ID and Associated Provenance#

Method: GET
Endpoint: /{Resource}?_id={id}&_revinclude=Provenance:target
Description: Fetch a resource by ID along with its associated Provenance.

Notes#

{Resource} can be any US Core profile resource type (e.g., Patient, Observation).
_revinclude=Provenance:target ensures the Provenance resources linked to the main resources are included in the response.
Authorization: Bearer <token> header is required for all API requests.
Modified at 2026-08-27 21:18:26
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