<?xml version="1.0" encoding="UTF-8"?>

<Provenance xmlns="http://hl7.org/fhir">
  <id value="example-advanced"/>
  <!--  
    an example Provenance fully populated
   -->
  <target>
    <reference value="List/example"/>
  </target>
  <occurredDateTime value="2020-04-29T09:49:00.000Z"/>
  <recorded value="2020-04-29T09:49:00.000Z"/>
  <policy value="http://example.org/policy/1234"/>
  <location>
    <reference value="Location/1/_history/1"/>
  </location>
  <authorization>
    <concept>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
        <code value="TREAT"/>
      </coding>
    </concept>
  </authorization>
  <activity>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"/>
      <code value="originate"/>
    </coding>
  </activity>
  <basedOn>
    <reference value="CarePlan/example"/>
  </basedOn>
  <patient>
    <reference value="Patient/example"/>
  </patient>
  <encounter>
    <reference value="Encounter/home"/>
  </encounter>
  <agent>
    <type>
      <coding>
        <system value="http://dicom.nema.org/resources/ontology/DCM"/>
        <code value="110153"/>
        <display value="Source Role ID"/>
      </coding>
    </type>
    <who>
      <display value="myMachine.example.org"/>
    </who>
  </agent>
  <agent>
    <type>
      <coding>
        <system value="http://dicom.nema.org/resources/ontology/DCM"/>
        <code value="110152"/>
        <display value="Destination Role ID"/>
      </coding>
    </type>
    <who>
      <reference value="Device/example"/>
    </who>
  </agent>
  <agent>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
        <code value="INF"/>
        <display value="Informant"/>
      </coding>
    </type>
    <who>
      <display value="Betty Jones"/>
    </who>
  </agent>
  <signature>
    <!--  verification signature  -->
    <type>
      <system value="urn:iso-astm:E1762-95:2013"/>
      <code value="1.2.840.10065.1.12.1.5"/>
      <display value="Verification Signature"/>
    </type>
    <when value="2020-04-29T09:49:00.000Z"/>
    <who>
      <display value="Betty Jones"/>
    </who>
    <sigFormat value="image/jpeg"/>
    <data value="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"/>
  </signature>
</Provenance>