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 (XML)

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

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

Jump past Narrative

Advanced Provenance of a create with all elements filled including patient, encounter, authorization, baseOn, and jpeg signature (id = "example-advanced")

<?xml version="1.0" encoding="UTF-8"?>

<Provenance xmlns="http://hl7.org/fhir">
  <id value="example-advanced"/> 
  <!--    
    an example Provenance fully populated
     -->
  <text> <status value="generated"/> <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="  
    an example Provenance fully populated
   "><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> /9j/4AAQSkZJRgABAQEAYABgAAD/4QAiRXhpZgAATU0AKgAAAAgAAQESAAMAAAABAAEAAAAAAAD/2wBDAAIBAQIBAQICAgICAgIC
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    <reference value="List/example"/> 
  </target> 
  <occurredDateTime value="2020-04-29T09:49:00.000Z"/> 
  <recorded value="2020-04-29T09:49:00.000Z"/> 
  <policy value="http://example.org/policy/1234"/> 
  <location> 
    <reference value="Location/1/_history/1"/> 
  </location> 
  <authorization> 
    <concept> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/> 
        <code value="TREAT"/> 
      </coding> 
    </concept> 
  </authorization> 
  <activity> 
    <coding> 
      <system value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"/> 
      <code value="originate"/> 
    </coding> 
  </activity> 
  <basedOn> 
    <reference value="CarePlan/example"/> 
  </basedOn> 
  <patient> 
    <reference value="Patient/example"/> 
  </patient> 
  <encounter> 
    <reference value="Encounter/home"/> 
  </encounter> 
  <agent> 
    <type> 
      <coding> 
        <system value="http://dicom.nema.org/resources/ontology/DCM"/> 
        <code value="110153"/> 
        <display value="Source Role ID"/> 
      </coding> 
    </type> 
    <who> 
      <display value="myMachine.example.org"/> 
    </who> 
  </agent> 
  <agent> 
    <type> 
      <coding> 
        <system value="http://dicom.nema.org/resources/ontology/DCM"/> 
        <code value="110152"/> 
        <display value="Destination Role ID"/> 
      </coding> 
    </type> 
    <who> 
      <reference value="Device/example"/> 
    </who> 
  </agent> 
  <agent> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
        <code value="INF"/> 
        <display value="Informant"/> 
      </coding> 
    </type> 
    <who> 
      <display value="Betty Jones"/> 
    </who> 
  </agent> 
  <signature> 
    <!--    verification signature    -->
    <type> 
      <system value="urn:iso-astm:E1762-95:2013"/> 
      <code value="1.2.840.10065.1.12.1.5"/> 
      <display value="Verification Signature"/> 
    </type> 
    <when value="2020-04-29T09:49:00.000Z"/> 
    <who> 
      <display value="Betty Jones"/> 
    </who> 
    <sigFormat value="image/jpeg"/> 
    <data value="/9j/4AAQSkZJRgABAQEAYABgAAD/4QAiRXhpZgAATU0AKgAAAAgAAQESAAMAAAABAAEAAAAAAAD/2wBDAAIBAQIBAQICAgICAgIC
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  </signature> 
</Provenance> 

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.