This page is part of the Da Vinci Health Record Exchange (v1.1.0: STU 1.1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

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: HRex Provenance full example - JSON Representation

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{
  "resourceType" : "Provenance",
  "id" : "full",
  "meta" : {
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-provenance"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Provenance full</b></p><a name=\"full\"> </a><a name=\"hcfull\"> </a><a name=\"full-en-US\"> </a><p>Provenance for <a href=\"Coverage-full.html\">Coverage: extension = http://somepayer.org/.well-known/davinci-configuration; identifier = Member Number; status = active; type = MEDICAID; subscriberId = 97531; relationship = Self; period = 2021-01-01 --&gt; 2021-12-31</a></p><p>Summary</p><table class=\"grid\"><tr><td>Occurrence</td><td>2020-07-28</td></tr><tr><td>Recorded</td><td>2020-07-30 20:07:15-0600</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td><td><b>On Behalf Of</b></td></tr><tr><td><span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type transmitter}\">Transmitter</span></td><td><a href=\"Organization-full.html\">Organization New Health Plan</a></td><td/></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"https://simplifier.net/resolve?scope=hl7.fhir.us.core.v610@6.1.0&amp;canonical=http://example.org/new-payer/fhir/Practitioner/pract1\">??</a></td><td><a href=\"Organization-full.html\">Organization New Health Plan</a></td></tr></table></div>"
  },
  "target" : [
    {
      🔗 "reference" : "Coverage/full"
    }
  ],
  "occurredDateTime" : "2020-07-28",
  "recorded" : "2020-07-30T20:07:15-06:00",
  "agent" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
            "code" : "transmitter"
          }
        ]
      },
      "who" : {
        🔗 "reference" : "Organization/full"
      }
    },
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code" : "author"
          }
        ]
      },
      "who" : {
        "reference" : "http://example.org/new-payer/fhir/Practitioner/pract1"
      },
      "onBehalfOf" : {
        🔗 "reference" : "Organization/full"
      }
    }
  ],
  "signature" : [
    {
      "type" : [
        {
          "system" : "urn:iso-astm:E1762-95:2013",
          "code" : "1.2.840.10065.1.12.1.1"
        }
      ],
      "when" : "2020-07-30T20:07:16.3831-06:00",
      "who" : {
        "reference" : "http://example.org/new-payer/Organization/57"
      },
      "data" : "12345678"
    },
    {
      "type" : [
        {
          "system" : "urn:iso-astm:E1762-95:2013",
          "code" : "1.2.840.10065.1.12.1.5"
        }
      ],
      "when" : "2020-07-30T20:07:16.3847-06:00",
      "who" : {
        "reference" : "http://example.org/new-payer/Organization/57"
      },
      "data" : "98765432"
    }
  ]
}