This is the Continuous Integration Build of FHIR (will be incorrect/inconsistent at times).
See the Directory of published versions
Example Provenance/example-advanced (XML)
Raw XML (canonical form + also see XML Format Specification)
Advanced Provenance of a create with all elements filled including patient, encounter, authorization, baseOn, and jpeg signature (id = "example-advanced")
<?xml version="1.0" encoding="UTF-8"?>
<Provenance xmlns="http://hl7.org/fhir">
<id value="example-advanced"/>
<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>
<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="/9j/4AAQSkZJRgABAQEAYABgAAD/4QAiRXhpZgAATU0AKgAAAAgAAQESAAMAAAABAAEAAAAAAAD/2wBDAAIBAQIBAQICA
gICAgICAwUDAwMDAwYEBAMFBwYHBwcGBwcICQsJCAgKCAcHCg0KCgsMDAwMBwkODw0MDgsMDAz/2wBDAQICAgMDAwYDAwY
MCAcIDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAwMDAz/wAARCAAXACQDASIAAhEBA
xEB/8QAHwAAAQUBAQEBAQEAAAAAAAAAAAECAwQFBgcICQoL/8QAtRAAAgEDAwIEAwUFBAQAAAF9AQIDAAQRBRIhMUEGE1F
hByJxFDKBkaEII0KxwRVS0fAkM2JyggkKFhcYGRolJicoKSo0NTY3ODk6Q0RFRkdISUpTVFVWV1hZWmNkZWZnaGlqc3R1d
nd4eXqDhIWGh4iJipKTlJWWl5iZmqKjpKWmp6ipqrKztLW2t7i5usLDxMXGx8jJytLT1NXW19jZ2uHi4+Tl5ufo6erx8vP
09fb3+Pn6/8QAHwEAAwEBAQEBAQEBAQAAAAAAAAECAwQFBgcICQoL/8QAtREAAgECBAQDBAcFBAQAAQJ3AAECAxEEBSExB
hJBUQdhcRMiMoEIFEKRobHBCSMzUvAVYnLRChYkNOEl8RcYGRomJygpKjU2Nzg5OkNERUZHSElKU1RVVldYWVpjZGVmZ2h
panN0dXZ3eHl6goOEhYaHiImKkpOUlZaXmJmaoqOkpaanqKmqsrO0tba3uLm6wsPExcbHyMnK0tPU1dbX2Nna4uPk5ebn6
Onq8vP09fb3+Pn6/9oADAMBAAIRAxEAPwD92rfxVJqU6vDIq/6SIUtNgaSSPeAZiQT8pQh1IxgEbuTtFq51y6t7u6k225s
7OdIZQQQ6qVRjJuzjCh+QR0UnPasfwUxspoJF/wCXx4bWQH0WyWRSPcEMPfd7CneNtUms7u7tLG0k1GTUoljniiIVbfBAd
3PJ5jkUfKrOAqfK2QKAOuorDfxRqFraxSz6HdjcmXSGRZX3bGYKoH+6FJbYAzDkjJEmi+JptTvLaCaxktXltTNIWLAJICg
ZFDKrMBv+/gA8cc8AGxRRRQBzvhvQrq2WzjmhMP2KVpZJXK5nIjMSBVUngIRknB+QcHcSNLQ9C/sfzXaXzp5j8z7dowGZg
MZPOWYk9yx6DCgooA0Kr2mnJaXE026SSa4PzO55CjO1R2CjJwPck5JJJRQBYooooA//2Q=="/>
</signature>
</Provenance>
Usage note: every effort has been made to ensure that the
examples are correct and useful, but they are not a normative part
of the specification.