General Provenance Example - data extracted from CDA document from XDS (id = "example")

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

<Provenance xmlns="http://hl7.org/fhir">
  <id value="example"/> 
  <!--  <text>
    <status value="additional"/>
    <div xmlns="http://www.w3.org/1999/xhtml">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.</div>
  </text>  -->
  <!--  where possible, provenance targets SHOULD be version specific,
    so that there is no ambiguity about which version of the 
    record this relates to  -->
  <target> 
    <reference value="Procedure/example/_history/1"/> 
  </target> 
  <occurredPeriod> 
    <start value="2015-06-27"/> 
    <end value="2015-06-28"/> 
  </occurredPeriod> 
  <recorded value="2015-06-27T08:39:24+10:00"/> 
  <!--  reference to a patient consent to share inforamtion  -->
  <policy value="http://acme.com/fhir/Consent/25"/> 
  <location> 
    <reference value="Location/1"/> 
  </location> 
  <activity> 
    <coding> 
      <system value="http://snomed.info/sct"/> 
      <code value="3457005"/> 
      <display value="Referral"/> 
    </coding> 
  </activity> 
  <!--  author = Harold Hippocrates  -->
  <!--  reference to other agent defined within  -->
  <!--  removed as unclear how to do this now     <onBehalfOf value="#a1"/>  -->
  <!--  <onBehalfOf>
      <reference value="Practitioner/xcda-author"/>
    </onBehalfOf>>  -->
  <agent> 
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
        <code value="AUT"/> 
      </coding> 
    </type> 
    <who> 
      <reference value="Practitioner/xcda-author"/> 
    </who> 
  </agent> 
  <!--  device = software Harold used  -->
  <agent id="a1">
    <type> 
      <coding> 
        <system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/> 
        <code value="DEV"/> 
      </coding> 
    </type> 
    <who> 
      <display value="Device/software"/> 
    </who> 
  </agent> 
  <!--  information extract from a CCDA referral document  -->
  <entity> 
    <role value="source"/> 
    <!--  the document is in an XDS repository. 
      as a source, we're going to give an MHD 
      reference. (easier than XDS.b call with parameters!)
    Given the reference is to a FHIR DocumentReference, that resource describes
     the kind of content  -->
    <what> 
      <reference value="DocumentReference/example"/> 
      <display value="CDA Document in XDS repository"/> 
    </what> 
  </entity> 
</Provenance>