Release 5 Ballot

This page is part of the FHIR Specification (v5.0.0-ballot: FHIR R5 Ballot Preview). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

Example Provenance/example-advanced (JSON)

Security Work GroupMaturity Level: N/AStandards Status: InformativeCompartments: Device, Patient, Practitioner, RelatedPerson

Raw JSON (canonical form + also see JSON Format Specification)

Advanced Provenance of a create with all elements filled including patient, encounter, authorization, baseOn, and jpeg signature

{
  "resourceType": "Provenance",
  "id": "example-advanced",
  "text": {
    "status": "generated",
    "div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"example-advanced\"> </a></p><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Resource Provenance &quot;example-advanced&quot; </p></div><p><b>target</b>: <span title=\"  \n    an example Provenance fully populated\n   \"><a href=\"list-example.html\">List/example</a></span></p><p><b>occurred</b>: 2020-04-29T09:49:00Z</p><p><b>recorded</b>: 29/04/2020 7:49:00 PM</p><p><b>policy</b>: <a href=\"http://example.org/policy/1234\">http://example.org/policy/1234</a></p><p><b>location</b>: <a href=\"location-example.html\">Location/1/_history/1</a> &quot;South Wing, second floor&quot;</p><h3>Authorizations</h3><table class=\"grid\"><tr><td>-</td><td><b>Concept</b></td></tr><tr><td>*</td><td>treatment <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ActReason.html\">ActReason</a>#TREAT)</span></td></tr></table><p><b>activity</b>: Originate/Retain Record Lifecycle Event <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-iso-21089-lifecycle.html\">Iso_21089_2017_Health_Record_Lifecycle_Events</a>#originate)</span></p><p><b>basedOn</b>: <a href=\"careplan-example.html\">CarePlan/example</a></p><p><b>patient</b>: <a href=\"patient-example.html\">Patient/example</a> &quot;Peter CHALMERS&quot;</p><p><b>encounter</b>: <a href=\"encounter-example-home.html\">Encounter/home</a></p><blockquote><p><b>agent</b></p><p><b>type</b>: Source Role ID <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://dicom.nema.org/resources/ontology/DCM\">DICOM</a>#110153)</span></p><p><b>who</b>: <span>: myMachine.example.org</span></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: Destination Role ID <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://dicom.nema.org/resources/ontology/DCM\">DICOM</a>#110152)</span></p><p><b>who</b>: <a href=\"device-example.html\">Device/example</a></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: Informant <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/3.1.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#INF)</span></p><p><b>who</b>: <span>: Betty Jones</span></p></blockquote><h3>Signatures</h3><table class=\"grid\"><tr><td>-</td><td><b>Type</b></td><td><b>When</b></td><td><b>Who</b></td><td><b>SigFormat</b></td><td><b>Data</b></td></tr><tr><td>*</td><td><span title=\"  verification signature  \">Verification Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.5 = 'Verification Signature', stated as 'Verification Signature')</span></td><td>29/04/2020 7:49:00 PM</td><td><span>: Betty Jones</span></td><td>image/jpeg</td><td>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</td></tr></table></div>"
  },
  "target": [
    {
      "reference": "List/example"
    }
  ],
  "occurredDateTime": "2020-04-29T09:49:00.000Z",
  "recorded": "2020-04-29T09:49:00.000Z",
  "policy": [
    "http://example.org/policy/1234"
  ],
  "location": {
    "reference": "Location/1/_history/1"
  },
  "authorization": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
            "code": "TREAT"
          }
        ]
      }
    }
  ],
  "activity": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle",
        "code": "originate"
      }
    ]
  },
  "basedOn": [
    {
      "reference": "CarePlan/example"
    }
  ],
  "patient": {
    "reference": "Patient/example"
  },
  "encounter": {
    "reference": "Encounter/home"
  },
  "agent": [
    {
      "type": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "110153",
            "display": "Source Role ID"
          }
        ]
      },
      "who": {
        "display": "myMachine.example.org"
      }
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://dicom.nema.org/resources/ontology/DCM",
            "code": "110152",
            "display": "Destination Role ID"
          }
        ]
      },
      "who": {
        "reference": "Device/example"
      }
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code": "INF",
            "display": "Informant"
          }
        ]
      },
      "who": {
        "display": "Betty Jones"
      }
    }
  ],
  "signature": [
    {
      "type": [
        {
          "system": "urn:iso-astm:E1762-95:2013",
          "code": "1.2.840.10065.1.12.1.5",
          "display": "Verification Signature"
        }
      ],
      "when": "2020-04-29T09:49:00.000Z",
      "who": {
        "display": "Betty Jones"
      },
      "sigFormat": "image/jpeg",
      "data": "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"
    }
  ]
}

Usage note: every effort has been made to ensure that the examples are correct and useful, but they are not a normative part of the specification.