This page is part of the CCDA: Consolidated CDA Release (v3.0.0: CCDA 3.0) generated with FHIR (HL7® FHIR® Standard) v5.0.0. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
This content is an example of the Provenance - Assembler Participation Logical Model and is not a FHIR Resource
<participant xmlns="urn:hl7-org:v3" xmlns:sdtc="urn:hl7-org:sdtc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" typeCode="DEV">
<templateId root="2.16.840.1.113883.10.20.22.5.7" extension="2020-05-19" />
<functionCode code="assembler" codeSystem="2.16.840.1.113883.4.642.4.1131"
codeSystemName="ProvenanceParticipantType"/>
<time value="20191206011130-0400" />
<associatedEntity classCode="OWN">
<scopingOrganization>
<!-- Represents the Assembler Organization -->
<id root="2.16.840.1.113883.19.5" extension="4"/>
<name use="L">Good Health HIE</name>
<telecom value="tel:+1(202)776-7700" use="WP" />
<addr use="WP">
<streetAddressLine partType="SAL">555 Badger Way</streetAddressLine>
<city partType="CTY">Amherst</city>
<state partType="STA">WI</state>
<postalCode partType="ZIP">01002</postalCode>
<country partType="CNT">US</country>
</addr>
</scopingOrganization>
</associatedEntity>
</participant>