Da Vinci Health Record Exchange (HRex)
0.2.0 - STU R1 - 2nd ballot

This page is part of the Da Vinci Health Record Exchange (v0.2.0: STU1 Ballot 1) based on FHIR R4. The current version which supercedes this version is 1.0.0. For a full list of available versions, see the Directory of published versions

: HRex Provenance full example - XML Representation

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<Provenance xmlns="http://hl7.org/fhir">
  <id value="full"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative</b></p><p><b>id</b>: full</p><p><b>target</b>: <a href="Coverage-full.html">Generated Summary: id: full; id: 1039399818, id: 234567; status: active; subscriberId: 97531</a></p><p><b>occurred</b>: 2020-07-28</p><p><b>recorded</b>: Jul 31, 2020 2:07:15 AM</p><blockquote><p><b>agent</b></p><p><b>type</b>: <span title="Codes: {http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type transmitter}">Transmitter</span></p><p><b>who</b>: <a href="Organization-full.html">Generated Summary: id: full; id: 11223344, id: 11223344, id: 55566667, id: 0123456789, id: 918273645; active; name: New Health Plan; ph: 1-800-123-4567, ph: 1-234-567-8901, info@newhealthplan.org</a></p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: <span title="Codes: {http://terminology.hl7.org/CodeSystem/provenance-participant-type author}">Author</span></p><p><b>who</b>: <a href="PractitionerRole-full.html">Generated Summary: id: full; <span title="Codes: {http://nucc.org/provider-taxonomy 111N00000X}">111N00000X</span>, <span title="Codes: {http://nucc.org/provider-taxonomy 122300000X}">122300000X</span>; <span title="Codes: {http://nucc.org/provider-taxonomy 103TE1100X}">103TE1100X</span>, <span title="Codes: {http://nucc.org/provider-taxonomy 103TF0000X}">103TF0000X</span>; ph: 1-222-333-4444, ronald.bone@newpayor.com, 1(111)-1111111 - after 5pm</a></p></blockquote><p><b>signature</b>: , </p></div>
  </text>
  <target>
    <reference value="Coverage/full"/>
  </target>
  <occurredDateTime value="2020-07-28"/>
  <recorded value="2020-07-30T20:07:15-06:00"/>
  <agent>
    <type>
      <coding>
        <system
                value="http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"/>
        <code value="transmitter"/>
      </coding>
    </type>
    <who>
      <reference value="Organization/full"/>
    </who>
  </agent>
  <agent>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
        <code value="author"/>
      </coding>
    </type>
    <who>
      <reference value="PractitionerRole/full"/>
    </who>
  </agent>
  <signature>
    <type>
      <system value="urn:iso-astm:E1762-95:2013"/>
      <code value="1.2.840.10065.1.12.1.1"/>
    </type>
    <when value="2020-07-30T20:07:16.3831-06:00"/>
    <who>
      <reference value="http://example.org/new-payer/Organization/57"/>
    </who>
    <data value="12345678"/>
  </signature>
  <signature>
    <type>
      <system value="urn:iso-astm:E1762-95:2013"/>
      <code value="1.2.840.10065.1.12.1.5"/>
    </type>
    <when value="2020-07-30T20:07:16.3847-06:00"/>
    <who>
      <reference value="http://example.org/new-payer/Organization/57"/>
    </who>
    <data value="98765432"/>
  </signature>
</Provenance>