{"resourceType":"Provenance","id":"anon0","meta":{"security":[{"system":"http://terminology.hl7.org/CodeSystem/v3-Confidentiality","code":"V"},{"system":"http://terminology.hl7.org/CodeSystem/v3-ObservationValue","code":"PSEUDED"}]},"text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\u003cp class\u003d\"res-header-id\"\u003e\u003cb\u003eGenerated Narrative: Provenance anon0\u003c/b\u003e\u003c/p\u003e\u003ca name\u003d\"anon0\"\u003e \u003c/a\u003e\u003ca name\u003d\"hcanon0\"\u003e \u003c/a\u003e\u003cdiv style\u003d\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"\u003e\u003cp style\u003d\"margin-bottom: 0px\"/\u003e\u003cp style\u003d\"margin-bottom: 0px\"\u003eSecurity Labels: \u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-Confidentiality.html\"\u003every restricted (Details: Confidentiality code V \u003d \u0027very restricted\u0027)\u003c/a\u003e, \u003ca href\u003d\"http://terminology.hl7.org/7.2.0/CodeSystem-v3-ObservationValue.html\"\u003epseudonymized (Details: ObservationValue code PSEUDED \u003d \u0027pseudonymized\u0027)\u003c/a\u003e\u003c/p\u003e\u003c/div\u003e\u003cp\u003eProvenance for \u003ca href\u003d\"broken-link.html\"\u003ehttp://example.org/fhir/Patient/anon0\u003c/a\u003e\u003c/p\u003e\u003cp\u003eSummary\u003c/p\u003e\u003ctable class\u003d\"grid\"\u003e\u003ctr\u003e\u003ctd\u003eRecorded\u003c/td\u003e\u003ctd\u003e2015-06-27T08:39:24+10:00\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003ePolicy\u003c/td\u003e\u003ctd\u003e\u003ca href\u003d\"broken-link.html\"\u003ehttp://example.org/policies/666\u003c/a\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003eActivity\u003c/td\u003e\u003ctd\u003e\u003cspan title\u003d\"Codes:{http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle deidentify}\"\u003eDe-Identify (Anononymize) Record Lifecycle Event\u003c/span\u003e\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003cp\u003e\u003cb\u003eAgents\u003c/b\u003e\u003c/p\u003e\u003ctable class\u003d\"grid\"\u003e\u003ctr\u003e\u003ctd\u003e\u003cb\u003eType\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003ewho\u003c/b\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003cspan title\u003d\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type assembler}\"\u003eAssembler\u003c/span\u003e\u003c/td\u003e\u003ctd\u003eDevice/software\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003c/div\u003e"},"target":[{"reference":"http://example.org/fhir/Patient/anon0"}],"recorded":"2015-06-27T08:39:24+10:00","policy":["http://example.org/policies/666"],"activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle","code":"deidentify"}]},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"assembler"}]},"who":{"display":"Device/software"}}],"entity":[{"role":"source","what":{"reference":"Patient/example"}}]}
{"resourceType":"Provenance","id":"example-diagnosticreport-sig","target":[{"reference":"DiagnosticReport/101"}],"recorded":"2011-03-04T08:30:00+11:00","policy":["http://example.org/policy/Reviewed"],"activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle","code":"verify"}]},"patient":{"reference":"Patient/pat2"},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"verifier","display":"Verifier"}]},"who":{"reference":"Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"}}],"signature":[{"type":[{"system":"http://uri.etsi.org/01903/v1.2.2","code":"ProofOfapproval","display":"Proof of approval"}],"when":"2011-03-04T08:30:00+11:00","who":{"reference":"Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"}}]}
{"resourceType":"Provenance","id":"example4","target":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/targetPath","valueString":"Patient.extension(\u0027http://hl7.org/fhir/us/core/StructureDefinition/us-core-race\u0027)"}],"reference":"Patient/pat3/_history/1"}],"recorded":"2021-12-08T16:54:24+11:00","agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"ADM"}]},"who":{"reference":"Practitioner/f007"}}]}
{"resourceType":"Provenance","id":"example5","target":[{"reference":"Procedure/example/_history/1"}],"recorded":"2021-12-08T16:54:24+11:00","agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"AUT"}]},"who":{"reference":"Practitioner/f007"}}],"entity":[{"role":"instantiates","what":{"reference":"AuditEvent/example-consent-permit-authz"}}]}
{"resourceType":"Provenance","id":"example1","target":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/targetElement","valueUri":"n1"}],"reference":"Patient/pat3/_history/1"}],"recorded":"2021-12-07T12:23:45+11:00","agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"INF"}]},"who":{"reference":"Patient/pat3"}}]}
{"resourceType":"Provenance","id":"consent-signature","target":[{"reference":"Consent/consent-example-basic/_history/1"}],"recorded":"2016-05-26T00:41:10-04:00","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion","code":"AU","display":"authenticated"}]},"patient":{"reference":"Patient/example"},"agent":[{"role":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"AUT"}]}],"who":{"reference":"Patient/72"}}],"signature":[{"type":[{"system":"urn:iso-astm:E1762-95:2013","code":"1.2.840.10065.1.12.1.1","display":"Author\u0027s Signature"}],"when":"2016-05-26T00:41:10-04:00","who":{"reference":"Patient/72"},"targetFormat":"application/fhir+xml","sigFormat":"application/signature+xml","data":"dGhpcyBibG9iIGlzIHNuaXBwZWQ\u003d"}]}
{"resourceType":"Provenance","id":"example-advanced","target":[{"reference":"List/example"}],"occurredDateTime":"2020-04-29T09:49:00.000Z","recorded":"2020-04-29T09:49:00.000Z","policy":["http://example.org/policy/1234"],"location":{"reference":"Location/1/_history/1"},"authorization":[null],"activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle","code":"originate"}]},"basedOn":[{"reference":"CarePlan/example"}],"patient":{"reference":"Patient/example"},"encounter":{"reference":"Encounter/home"},"agent":[{"type":{"coding":[{"system":"http://dicom.nema.org/resources/ontology/DCM","code":"110153","display":"Source Role ID"}]},"who":{"display":"myMachine.example.org"}},{"type":{"coding":[{"system":"http://dicom.nema.org/resources/ontology/DCM","code":"110152","display":"Destination Role ID"}]},"who":{"reference":"Device/example"}},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"INF","display":"Informant"}]},"who":{"display":"Betty Jones"}}],"signature":[{"type":[{"system":"urn:iso-astm:E1762-95:2013","code":"1.2.840.10065.1.12.1.5","display":"Verification Signature"}],"when":"2020-04-29T09:49:00.000Z","who":{"display":"Betty Jones"},"sigFormat":"image/jpeg","data":"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\u003d\u003d"}]}
{"resourceType":"Provenance","id":"example2","target":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/targetElement","valueUri":"n2"}],"reference":"Patient/pat3/_history/1"}],"recorded":"2021-12-08T16:54:24+11:00","agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"INF"}]},"who":{"reference":"RelatedPerson/f001"}}]}
{"resourceType":"Provenance","id":"example-delete","target":[{"reference":"http://terminology.hl7.org/CodeSystem/location-physical-type/_history/3"}],"recorded":"2015-06-27T08:39:24+10:00","authorization":[null],"activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-DataOperation","code":"DELETE"}]},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"author"}]},"who":{"display":"Brian Postlethwaite"}}],"entity":[{"role":"removal","what":{"reference":"http://terminology.hl7.org/CodeSystem/location-physical-type/_history/3"}}]}
{"resourceType":"Provenance","id":"79614","text":{"status":"generated","div":"\u003cdiv xmlns\u003d\"http://www.w3.org/1999/xhtml\"\u003e\u003cp class\u003d\"res-header-id\"\u003e\u003cb\u003eGenerated Narrative: Provenance 79614\u003c/b\u003e\u003c/p\u003e\u003ca name\u003d\"79614\"\u003e \u003c/a\u003e\u003ca name\u003d\"hc79614\"\u003e \u003c/a\u003e\u003cp\u003eProvenance for \u003ca href\u003d\"broken-link.html\"\u003eAllergyIntolerance/79613\u003c/a\u003e\u003c/p\u003e\u003cp\u003eSummary\u003c/p\u003e\u003ctable class\u003d\"grid\"\u003e\u003ctr\u003e\u003ctd\u003eRecorded\u003c/td\u003e\u003ctd\u003e2019-07-09T15:26:23.217Z\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003cp\u003e\u003cb\u003eAgents\u003c/b\u003e\u003c/p\u003e\u003ctable class\u003d\"grid\"\u003e\u003ctr\u003e\u003ctd\u003e\u003cb\u003eType\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003ewho\u003c/b\u003e\u003c/td\u003e\u003ctd\u003e\u003cb\u003eOn Behalf Of\u003c/b\u003e\u003c/td\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003cspan title\u003d\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\"\u003eCustodian\u003c/span\u003e\u003c/td\u003e\u003ctd\u003e\u003ca href\u003d\"organization-example.html\"\u003eOrganization ACME Health\u003c/a\u003e\u003c/td\u003e\u003ctd/\u003e\u003c/tr\u003e\u003ctr\u003e\u003ctd\u003e\u003cspan title\u003d\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\"\u003eAuthor\u003c/span\u003e\u003c/td\u003e\u003ctd\u003e\u003ca href\u003d\"practitioner-example-f004-rb.html\"\u003ePractitioner Ronald Briet (official)\u003c/a\u003e\u003c/td\u003e\u003ctd\u003e\u003ca href\u003d\"organization-example.html\"\u003eOrganization ACME Health\u003c/a\u003e\u003c/td\u003e\u003c/tr\u003e\u003c/table\u003e\u003c/div\u003e"},"target":[{"reference":"AllergyIntolerance/79613/_history/1"}],"recorded":"2019-07-09T15:26:23.217+00:00","agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"custodian","display":"Custodian"}]},"who":{"reference":"Organization/example"}},{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"author","display":"Author"}]},"who":{"reference":"Practitioner/f004"},"onBehalfOf":{"reference":"Organization/example"}}]}
{"resourceType":"Provenance","id":"ex-patient-merged","target":[{"reference":"Patient/example-merge-survivor"},{"reference":"Patient/example-merge-subsumed"},{"reference":"Observation/body-height-merged"}],"recorded":"2024-06-01T19:00:00Z","authorization":[null],"why":"Merge Patient Records that were matched by SSN and confirmed by review, with the data linked to the non-surviving patient is also fixed up to point at the surviving patient.","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason","code":"MDATA"}]},"patient":{"reference":"Patient/example-merge-survivor"},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"author"}]},"who":{"reference":"http://example.org/Practitioner/ex-practitioner"}}],"entity":[{"role":"removal","what":{"reference":"Patient/example-merge-subsumed","identifier":{"system":"http://example.org/mrn","value":"MRN-002"},"display":"Removed Duplicate Patient Record"}},{"role":"revision","what":{"reference":"Patient/example-merge-survivor","identifier":{"system":"http://example.org/mrn","value":"MRN-001"},"display":"Surviving Patient Record after Merge"}},{"role":"revision","what":{"reference":"Observation/body-height-merged","display":"Body Height Observation from previous Patient is fixed to point at the surviving Patient after Merge"}}]}
{"resourceType":"Provenance","id":"example-create-consent","target":[{"reference":"Consent/consent-example-basic/_history/1"}],"recorded":"2021-09-10T07:08:21.722+00:00","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-DataOperation","code":"CREATE","display":"create"}]},"patient":{"reference":"Patient/example"},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"assembler","display":"Assembler"}]},"who":{"display":"LEAP Consent Management Service"}}],"entity":[{"role":"source","what":{"reference":"http://example.org/fhir/QuestionnaireResponse/some-questionnaire-response"}}]}
{"resourceType":"Provenance","id":"example-onbehalf-sister","target":[{"reference":"Patient/example"}],"occurredDateTime":"2024-06-01T12:00:00Z","recorded":"2024-06-01T12:00:00Z","authorization":[{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason","code":"FAMRQT"}]}],"why":"Updated the Patient resource demographics by big Brother acting on behalf of sister to change demographics in Patient resource","patient":{"reference":"Patient/example"},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"INF"}]},"who":{"reference":"http://example.org/fhir/RelatedPerson/brother"},"onBehalfOf":{"reference":"http://example.org/fhir/RelatedPerson/sister"}}],"entity":[{"role":"source","what":{"reference":"http://example.org/fhir/DocumentReference/example","display":"Document created by brother on behalf of sister"}},{"role":"source","what":{"reference":"Patient/example","display":"Original Patient resource"}}]}
{"resourceType":"Provenance","id":"example6","target":[{"reference":"Procedure/example/_history/1"}],"recorded":"2021-12-08T16:54:24+11:00","agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"AUT"}]},"who":{"reference":"Practitioner/f007"}}],"entity":[{"role":"instantiates","what":{"reference":"Consent/consent-example-basic"}}]}
{"resourceType":"Provenance","id":"example-correction-replacement","target":[{"reference":"Immunization/example"}],"recorded":"2024-06-01T13:00:00Z","authorization":[null],"why":"Corrected immunization record to reflect accurate vaccine information.","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ActReason","code":"FIXDATA"}]},"patient":{"reference":"Patient/example"},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"author"}]},"who":{"reference":"Practitioner/example"}}],"entity":[{"role":"removal","what":{"reference":"Immunization/historical","identifier":{"system":"urn:ietf:rfc:3986","value":"urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"},"display":"Historic Immunization Record with Errors"}}]}
{"resourceType":"Provenance","id":"example-verify","target":[{"reference":"Observation/body-height-merged"}],"recorded":"2026-04-25T19:00:00Z","authorization":[null],"why":"Data verification. The data was properly changed to be associated with the primary patient record.","activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle","code":"verify"}]},"patient":{"reference":"Patient/example-merge-survivor"},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"verifier"}]},"who":{"reference":"http://example.org/Practitioner/ex-practitioner"}}],"entity":[{"role":"source","what":{"reference":"Observation/body-height-merged"}}]}
{"resourceType":"Provenance","id":"example3","target":[{"extension":[{"url":"http://hl7.org/fhir/StructureDefinition/targetPath","valueString":"Procedure.followUp.text"}],"reference":"Procedure/example/_history/1"}],"recorded":"2021-12-08T16:54:24+11:00","agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-ParticipationType","code":"AUT"}]},"who":{"reference":"Practitioner/f007"}}]}
{"resourceType":"Provenance","id":"example-import","target":[{"reference":"Condition/example"},{"reference":"Condition/example2"},{"reference":"Encounter/example"},{"reference":"Immunization/example"}],"recorded":"2015-06-27T08:39:24+10:00","policy":["urn:ihe:pcc:qedm:2017:document-provenance-policy"],"activity":{"coding":[{"system":"http://hl7.org/fhir/w3c-provenance-activity-type","code":"Derivation"}]},"patient":{"reference":"Patient/example"},"agent":[{"id":"a1","type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/provenance-participant-type","code":"assembler"}]},"who":{"display":"Device/software"}}],"entity":[{"role":"source","what":{"reference":"DocumentReference/example"}}]}
{"resourceType":"Provenance","id":"example","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"}}]}
{"resourceType":"Provenance","id":"signature","target":[{"reference":"DocumentReference/example/_history/4"}],"recorded":"2015-08-27T08:39:24+10:00","authorization":[null],"activity":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion","code":"AU","display":"authenticated"}]},"agent":[{"type":{"coding":[{"system":"http://terminology.hl7.org/CodeSystem/contractsignertypecodes","code":"VERF"}]},"who":{"identifier":{"system":"urn:ietf:rfc:3986","value":"mailto://hhd@ssa.gov"}}}],"signature":[{"type":[{"system":"urn:iso-astm:E1762-95:2013","code":"1.2.840.10065.1.12.1.5","display":"Verification Signature"}],"when":"2015-08-27T08:39:24+10:00","who":{"reference":"Practitioner/xcda-author"},"targetFormat":"application/fhir+xml","sigFormat":"application/signature+xml","data":"Li4u"}]}