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 - XML Representation

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<Provenance xmlns="http://hl7.org/fhir">
  <id value="1000004"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-07-11T17:26:23.217+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="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>
  </text>
  <target>🔗 
    <reference value="Encounter/7"/>
  </target>
  <recorded value="2020-07-11T17:26:23.217+00:00"/>
  <agent>
    <type>
      <coding>
        <system
                value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
        <code value="author"/>
        <display value="Author"/>
      </coding>
    </type>
    <who>🔗 
      <reference value="Practitioner/4"/>
    </who>
    <onBehalfOf>🔗 
      <reference value="Organization/ProviderOrg1"/>
    </onBehalfOf>
  </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="x12837"/>
          <display value="837 claim"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <role value="source"/>
    <what>
      <display value="No reference available"/>
    </what>
  </entity>
</Provenance>