Da Vinci Payer Data Exchange
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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

: ExampleProvenanceSoloPractitioner - JSON Representation

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{
  "resourceType" : "Provenance",
  "id" : "1000004",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2020-07-11T17:26:23.217+00:00",
    "profile" : [
      🔗 "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"1000004\"> </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;1000004&quot; Version &quot;1&quot; Updated &quot;2020-07-11 17:26:23+0000&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pdex-provenance.html\">PDex Provenance</a></p></div><p><b>target</b>: <a href=\"Encounter-7.html\">Encounter/7</a></p><p><b>recorded</b>: Jul 11, 2020, 5:26:23 PM</p><h3>Agents</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Type</b></td><td><b>Who</b></td><td><b>OnBehalfOf</b></td></tr><tr><td style=\"display: none\">*</td><td>Author <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#author)</span></td><td><a href=\"Practitioner-4.html\">Practitioner/4</a> &quot; SMITH&quot;</td><td><a href=\"Organization-ProviderOrg1.html\">Organization/ProviderOrg1</a> &quot;Provider 1&quot;</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>"
  },
  "target" : [
    {
      🔗 "reference" : "Encounter/7"
    }
  ],
  "recorded" : "2020-07-11T17:26:23.217+00:00",
  "agent" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code" : "author",
            "display" : "Author"
          }
        ]
      },
      "who" : {
        🔗 "reference" : "Practitioner/4"
      },
      "onBehalfOf" : {
        🔗 "reference" : "Organization/ProviderOrg1"
      }
    }
  ],
  "entity" : [
    {
      "extension" : [
        {
          "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom",
          "valueCodeableConcept" : {
            "coding" : [
              {
                "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
                "code" : "x12837",
                "display" : "837 claim"
              }
            ]
          }
        }
      ],
      "role" : "source",
      "what" : {
        "display" : "No reference available"
      }
    }
  ]
}