General Provenance Example - data extracted from CDA document from XDS

{
  "resourceType" : "Provenance",
  "id" : "example",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"example\"> </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;example&quot; </p></div><p><b>target</b>: <span title=\" \n\t&lt;text&gt;\n\t\t&lt;status value=&quot;additional&quot;/&gt;\n\t\t&lt;div xmlns=&quot;http://www.w3.org/1999/xhtml&quot;&gt;procedure record authored on 27-June 2015 by Harold Hippocrates, MD Content extracted from XDS managed CDA Referral received 26-June as authorized by a referenced Consent.&lt;/div&gt;\n\t&lt;/text&gt;\n &amp;#10;  \n    where possible, provenance targets should be version specific,\n    so that there is no ambiguity about which version of the \n    record this relates to\n   \"><a href=\"procedure-example.html\">Procedure/example/_history/1</a></span></p><p><b>occurred</b>: 2015-06-27 --&gt; 2015-06-28</p><p><b>recorded</b>: 27 June 2015, 8:39:24 am</p><p><b>policy</b>: <span title=\"  reference to a patient consent to share inforamtion  \"><a href=\"http://acme.com/fhir/Consent/25\">http://acme.com/fhir/Consent/25</a></span></p><p><b>location</b>: <a href=\"location-example.html\">Location/1</a> &quot;South Wing, second floor&quot;</p><p><b>activity</b>: Referral <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://browser.ihtsdotools.org/\">SNOMED CT</a>#3457005)</span></p><blockquote><p><b>agent</b></p><p><b>type</b>: author (originator) <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#AUT)</span></p><p><b>who</b>: <a href=\"practitioner-example-xcda-author.html\">Practitioner/xcda-author</a> &quot;Harold HIPPOCRATES&quot;</p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: device <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.4.0/CodeSystem-v3-ParticipationType.html\">ParticipationType</a>#DEV)</span></p><p><b>who</b>: <span>: Device/software</span></p></blockquote><h3>Entities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style=\"display: none\">*</td><td>source</td><td><span title=\"  \n      the document is in an XDS repository. \n      as a source, we're going to give an MHD \n      reference. (easier than XDS.b call with parameters!)\n\t  Given the reference is to a FHIR DocumentReference, that resource describes the kind of content\n     \"><a href=\"documentreference-example.html\">DocumentReference/example: CDA Document in XDS repository</a></span></td></tr></table></div>"
  },
  "target" : [{
    "reference" : "Procedure/example/_history/1"
  }],
  "occurredPeriod" : {
    "start" : "2015-06-27",
    "end" : "2015-06-28"
  },
  "recorded" : "2015-06-27T08:39:24+10:00",
  "policy" : ["http://acme.com/fhir/Consent/25"],
  "location" : {
    "reference" : "Location/1"
  },
  "activity" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "3457005",
      "display" : "Referral"
    }]
  },
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
        "code" : "AUT"
      }]
    },
    "who" : {
      "reference" : "Practitioner/xcda-author"
    }
  },
  {
    "id" : "a1",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
        "code" : "DEV"
      }]
    },
    "who" : {
      "display" : "Device/software"
    }
  }],
  "entity" : [{
    "role" : "source",
    "what" : {
      "reference" : "DocumentReference/example",
      "display" : "CDA Document in XDS repository"
    }
  }]
}