This page is part of the Da Vinci Payer Data Exchange (v2.0.0: STU2) 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
: BundleWithProvenance - XML Representation
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<Bundle xmlns="http://hl7.org/fhir">
<id value="3000002"/>
<meta>
<profile value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
</meta>
<type value="searchset"/>
<timestamp value="2020-09-28T23:26:23.217+00:00"/>
<total value="1"/>
<link>
<relation value="self"/>
<url
value="https://example.com/base/fhir/MedicationDispense?ct=W3sidG9rZW4iOiIrUklEOn53MThjQUk5RlVPZ0lEQUFBQUFBQU"/>
</link>
<entry>
<fullUrl value="https://example.com/base/MedicationDispense/1000001"/>
<resource>
<MedicationDispense>
<id value="1000001"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: MedicationDispense</b><a name="1000001"> </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 MedicationDispense "1000001" </p></div><p><b>status</b>: completed</p><p><b>medication</b>: Lisinopril, 30 TABLET in 1 BLISTER PACK (54458-872-10) (package) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.0.0/CodeSystem-v3-ndc.html">National drug codes</a>#54458-872-10)</span></p><p><b>subject</b>: <a href="Patient-1.html">Patient/1</a> " APPLESEED"</p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-4.html">Practitioner/4</a> " SMITH"</td></tr></table><p><b>location</b>: <a href="Location-5.html">Location/5</a> "MyFavorite Pharmacy"</p><p><b>type</b>: Refill <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.3.0/CodeSystem-v3-ActCode.html">ActCode</a>#RF)</span></p><p><b>quantity</b>: 60</p><p><b>daysSupply</b>: 30</p></div>
</text>
<status value="completed"/>
<medicationCodeableConcept>
<coding>
<system value="http://hl7.org/fhir/sid/ndc"/>
<code value="54458-872-10"/>
</coding>
</medicationCodeableConcept>
<subject>🔗
<reference value="Patient/1"/>
</subject>
<performer>
<actor>🔗
<reference value="Practitioner/4"/>
</actor>
</performer>
<location>🔗
<reference value="Location/5"/>
</location>
<type>
<coding>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="RF"/>
</coding>
</type>
<quantity>
<value value="60"/>
</quantity>
<daysSupply>
<value value="30"/>
</daysSupply>
</MedicationDispense>
</resource>
<search>
<mode value="match"/>
</search>
</entry>
<entry>
<fullUrl value="https://example.com/base/Provenance/321000001"/>
<resource>
<Provenance>
<id value="321000001"/>
<meta>
<versionId value="1"/>
<lastUpdated value="2020-09-28T23:26:23.217+00:00"/>
<profile
value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><p><b>Generated Narrative: Provenance</b><a name="321000001"> </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 "321000001" Version "1" Updated "2020-09-28 23:26:23+0000" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-pdex-provenance.html">PDex Provenance</a></p></div><p><b>target</b>: <a href="#MedicationDispense_1000001">See above (MedicationDispense/1000001)</a></p><p><b>recorded</b>: Jul 12, 2020, 6:26:23 PM</p><h3>Agents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td style="display: none">*</td><td>Transmitter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/core/STU3.1.1/CodeSystem-us-core-provenance-participant-type.html">US Core Provenance Participant Type Extension Codes</a>#transmitter)</span></td><td><a href="Organization-Payer1.html">Organization/Payer1</a> "Payer 1"</td></tr></table><h3>Entities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style="display: none">*</td><td/><td>source</td><td><span>: No reference available</span></td></tr></table></div>
</text>
<target>🔗
<reference value="MedicationDispense/1000001"/>
</target>
<recorded value="2020-07-12T18:26:23.217+00:00"/>
<agent>
<type>
<coding>
<system
value="http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"/>
<code value="transmitter"/>
<display value="Transmitter"/>
</coding>
</type>
<who>🔗
<reference value="Organization/Payer1"/>
</who>
</agent>
<entity>
<extension
url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom">
<valueCodeableConcept>
<coding>
<system
value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource"/>
<code value="hl7ccda"/>
<display value="HL7 C-CDA"/>
</coding>
</valueCodeableConcept>
</extension>
<role value="source"/>
<what>
<display value="No reference available"/>
</what>
</entity>
</Provenance>
</resource>
<search>
<mode value="include"/>
</search>
</entry>
</Bundle>
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