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 - XML Representation

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<Provenance xmlns="http://hl7.org/fhir">
  <id value="full"/>
  <meta>
    <profile
             value="http://hl7.org/fhir/us/davinci-hrex/StructureDefinition/hrex-provenance"/>
  </meta>
  <text>
    <status value="generated"/>
    <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>
  </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="http://example.org/new-payer/fhir/Practitioner/pract1"/>
    </who>
    <onBehalfOf>🔗 
      <reference value="Organization/full"/>
    </onBehalfOf>
  </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>