Da Vinci Payer Data Exchange
2.1.0 - STU2 United States of America flag

Da Vinci Payer Data Exchange, published by HL7 International / Financial Management. This guide is not an authorized publication; it is the continuous build for version 2.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7/davinci-epdx/ and changes regularly. See the Directory of published versions

: BundleExamplePayer2 - XML Representation

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<Bundle xmlns="http://hl7.org/fhir">
  <id value="1000000-2"/>
  <meta>
    <profile value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
  </meta>
  <type value="transaction-response"/>
  <timestamp value="2019-12-31T20:26:23.217+00:00"/>
  <link>
    <relation value="self"/>
    <url
         value="https://example.com/base/fhir/Patient?ct=W4sidG9rZW4iOiIrUklEOn53MThjQUk5RlVPZ0lEQUFBQUFBQU"/>
  </link>
  <entry>
    <fullUrl value="https://example.com/base/Patient/1-2"/>
    <resource>
      <Patient>
        <id value="1-2"/>
        <meta>
          <lastUpdated value="2019-07-07T13:26:22.0314215+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"/>
        </meta>
        <language value="en-US"/>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml" xml:lang="en-US" lang="en-US"><a name="Patient_1-2"> </a><p><b>Generated Narrative: Patient</b><a name="1-2"> </a><a name="hc1-2"> </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">ResourcePatient &quot;1-2&quot; Updated &quot;2019-07-07 13:26:22+0000&quot;  (Language &quot;en-US&quot;) </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-patient.html">US Core Patient Profile</a></p></div><p><b>identifier</b>: Member Number/https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901, Medical record number/1234-234-1243-12345678901m, Health Plan Identifier/1234-234-1243-12345678901u, Patient external identifier/1234-234-1243-12345678901a</p><p><b>active</b>: true</p><p><b>name</b>: Johnny Appleseed </p><p><b>telecom</b>: ph: (443)555-1212, ph: (410)678-2323</p><p><b>gender</b>: male</p><p><b>birthDate</b>: 1986-01-01</p><p><b>address</b>: 123 Main Street Pittsburgh PA 12519 </p><p><b>maritalStatus</b>: unknown <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-NullFlavor.html">NullFlavor</a>#UNK)</span></p></div>
        </text>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MB"/>
            </coding>
          </type>
          <system
                  value="https://www.xxxhealthplan.com/fhir/memberidentifier"/>
          <value
                 value="https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="MR"/>
            </coding>
          </type>
          <system
                  value="https://www.xxxhealthplan.com/fhir/medicalrecordnumber"/>
          <value value="1234-234-1243-12345678901m"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="XV"/>
            </coding>
          </type>
          <system
                  value="https://www.xxxhealthplan.com/fhir/uniquememberidentifier"/>
          <value value="1234-234-1243-12345678901u"/>
        </identifier>
        <identifier>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/v2-0203"/>
              <code value="PT"/>
            </coding>
          </type>
          <system value="https://www.xxxhealthplan.com/fhir/patacctnum"/>
          <value value="1234-234-1243-12345678901a"/>
        </identifier>
        <active value="true"/>
        <name>
          <family value="Appleseed"/>
          <given value="Johnny"/>
        </name>
        <telecom>
          <system value="phone"/>
          <value value="(443)555-1212"/>
          <rank value="1"/>
        </telecom>
        <telecom>
          <system value="phone"/>
          <value value="(410)678-2323"/>
          <rank value="2"/>
        </telecom>
        <gender value="male"/>
        <birthDate value="1986-01-01"/>
        <address>
          <type value="physical"/>
          <line value="123 Main Street"/>
          <city value="Pittsburgh"/>
          <state value="PA"/>
          <postalCode value="12519"/>
        </address>
        <maritalStatus>
          <coding>
            <system
                    value="http://terminology.hl7.org/CodeSystem/v3-NullFlavor"/>
            <code value="UNK"/>
          </coding>
        </maritalStatus>
      </Patient>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
  <entry>
    <fullUrl value="https://example.com/base/Encounter/6-1-2"/>
    <resource>
      <Encounter>
        <id value="6-1-2"/>
        <meta>
          <lastUpdated value="2019-07-14T19:26:23.217+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_6-1-2"> </a><p><b>Generated Narrative: Encounter</b><a name="6-1-2"> </a><a name="hc6-1-2"> </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">ResourceEncounter &quot;6-1-2&quot; Updated &quot;2019-07-14 19:26:23+0000&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: Ambulatory (Details: ActCode code AMB = 'ambulatory', stated as 'Ambulatory')</p><p><b>type</b>: Consultation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT[US]</a>#11429006)</span></p><p><b>subject</b>: See on this page: Patient/1-2</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="Ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/731000124108"/>
            <code value="11429006"/>
            <display value="Consultation"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/1-2"/>
        </subject>
      </Encounter>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
  <entry>
    <fullUrl value="https://example.com/base/Encounter/7-1-2"/>
    <resource>
      <Encounter>
        <id value="7-1-2"/>
        <meta>
          <lastUpdated value="2019-10-15T20:26:23.217+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_7-1-2"> </a><p><b>Generated Narrative: Encounter</b><a name="7-1-2"> </a><a name="hc7-1-2"> </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">ResourceEncounter &quot;7-1-2&quot; Updated &quot;2019-10-15 20:26:23+0000&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: Ambulatory (Details: ActCode code AMB = 'ambulatory', stated as 'Ambulatory')</p><p><b>type</b>: Consultation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT[US]</a>#11429006)</span></p><p><b>subject</b>: See on this page: Patient/1-2</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="Ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/731000124108"/>
            <code value="11429006"/>
            <display value="Consultation"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/1-2"/>
        </subject>
      </Encounter>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
  <entry>
    <fullUrl value="https://example.com/base/Encounter/8-2"/>
    <resource>
      <Encounter>
        <id value="8-2"/>
        <meta>
          <lastUpdated value="2020-06-15T20:26:23.217+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Encounter_8-2"> </a><p><b>Generated Narrative: Encounter</b><a name="8-2"> </a><a name="hc8-2"> </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">ResourceEncounter &quot;8-2&quot; Updated &quot;2020-06-15 20:26:23+0000&quot; </p><p style="margin-bottom: 0px">Profile: <a href="http://hl7.org/fhir/us/core/STU6.1/StructureDefinition-us-core-encounter.html">US Core Encounter Profile</a></p></div><p><b>status</b>: finished</p><p><b>class</b>: Ambulatory (Details: ActCode code AMB = 'ambulatory', stated as 'Ambulatory')</p><p><b>type</b>: Consultation <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT[US]</a>#11429006)</span></p><p><b>subject</b>: See on this page: Patient/1-2</p></div>
        </text>
        <status value="finished"/>
        <class>
          <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
          <code value="AMB"/>
          <display value="Ambulatory"/>
        </class>
        <type>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/731000124108"/>
            <code value="11429006"/>
            <display value="Consultation"/>
          </coding>
        </type>
        <subject>🔗 
          <reference value="Patient/1-2"/>
        </subject>
      </Encounter>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
  <entry>
    <fullUrl value="https://example.com/base/Provenance/1000002-1-2"/>
    <resource>
      <Provenance>
        <id value="1000002-1-2"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2019-07-14T19:26:23.217+00:00"/>
          <profile
                   value="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_1000002-1-2"> </a><p><b>Generated Narrative: Provenance</b><a name="1000002-1-2"> </a><a name="hc1000002-1-2"> </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">ResourceProvenance &quot;1000002-1-2&quot; Version &quot;1&quot; Updated &quot;2019-07-14 19:26:23+0000&quot; </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-pdex-provenance.html">PDex Provenance</a></p></div><p><b>target</b>: See on this page: https://example.com/base/Encounter/6-1-2</p><p><b>recorded</b>: Jul 10, 2020, 4:26:23 PM</p><h3>Agents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td style="display: none">*</td><td>Author <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-provenance-participant-type.html">Provenance participant type</a>#author)</span></td><td><a href="Organization-ProviderOrg1.html">Organization/ProviderOrg1</a> &quot;Provider 1&quot;</td></tr></table><h3>Entities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style="display: none">*</td><td/><td>source</td><td><span>: No reference available</span></td></tr></table></div>
        </text>
        <target>
          <reference value="https://example.com/base/Encounter/6-1-2"/>
        </target>
        <recorded value="2020-07-10T16:26:23.217+00:00"/>
        <agent>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
              <code value="author"/>
              <display value="Author"/>
            </coding>
          </type>
          <who>🔗 
            <reference value="Organization/ProviderOrg1"/>
          </who>
        </agent>
        <entity>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource"/>
                <code value="hl7ccda"/>
                <display value="HL7 C-CDA"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <role value="source"/>
          <what>
            <display value="No reference available"/>
          </what>
        </entity>
      </Provenance>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
  <entry>
    <fullUrl value="https://example.com/base/Provenance/1000003-1-2"/>
    <resource>
      <Provenance>
        <id value="1000003-1-2"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2019-10-15T20:26:23.217+00:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_1000003-1-2"> </a><p><b>Generated Narrative: Provenance</b><a name="1000003-1-2"> </a><a name="hc1000003-1-2"> </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">ResourceProvenance &quot;1000003-1-2&quot; Version &quot;1&quot; Updated &quot;2019-10-15 20:26:23+0000&quot; </p></div><p><b>target</b>: See on this page: Encounter/7-1-2</p><p><b>recorded</b>: Jul 10, 2020, 4:26:23 PM</p><h3>Agents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td style="display: none">*</td><td>Author <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-provenance-participant-type.html">Provenance participant type</a>#author)</span></td><td><a href="Organization-ProviderOrg1.html">Organization/ProviderOrg1</a> &quot;Provider 1&quot;</td></tr></table><h3>Entities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style="display: none">*</td><td/><td>source</td><td><span>: No reference available</span></td></tr></table></div>
        </text>
        <target>
          <reference value="Encounter/7-1-2"/>
        </target>
        <recorded value="2020-07-10T16:26:23.217+00:00"/>
        <agent>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
              <code value="author"/>
              <display value="Author"/>
            </coding>
          </type>
          <who>🔗 
            <reference value="Organization/ProviderOrg1"/>
          </who>
        </agent>
        <entity>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource"/>
                <code value="hl7ccda"/>
                <display value="HL7 C-CDA"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <role value="source"/>
          <what>
            <display value="No reference available"/>
          </what>
        </entity>
      </Provenance>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
  <entry>
    <fullUrl value="https://example.com/base/Provenance/1000004-1-2"/>
    <resource>
      <Provenance>
        <id value="1000004-1-2"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2019-12-31T20:26:23.217+00:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_1000004-1-2"> </a><p><b>Generated Narrative: Provenance</b><a name="1000004-1-2"> </a><a name="hc1000004-1-2"> </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">ResourceProvenance &quot;1000004-1-2&quot; Version &quot;1&quot; Updated &quot;2019-12-31 20:26:23+0000&quot; </p></div><p><b>target</b>: </p><ul><li>See on this page: Patient/1-2</li><li>See on this page: Encounter/6-1-2</li><li>See on this page: Encounter/7-1-2</li><li>See on this page: Provenance/1000002-1-2</li><li>See on this page: Provenance/1000003-1-2</li></ul><p><b>recorded</b>: Dec 31, 2019, 8:26:23 PM</p><h3>Agents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td style="display: none">*</td><td>Transmitter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/core/STU6.1/CodeSystem-us-core-provenance-participant-type.html">US Core Provenance Participant Type Extension Codes</a>#transmitter)</span></td><td>Transcriber <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-contractsignertypecodes.html">Contract Signer Type Codes</a>#TRANS)</span></td><td><a href="Organization-Payer1.html">Organization/Payer1</a> &quot;Payer 1&quot;</td></tr></table></div>
        </text>
        <target>🔗 
          <reference value="Patient/1-2"/>
        </target>
        <target>
          <reference value="Encounter/6-1-2"/>
        </target>
        <target>
          <reference value="Encounter/7-1-2"/>
        </target>
        <target>
          <reference value="Provenance/1000002-1-2"/>
        </target>
        <target>
          <reference value="Provenance/1000003-1-2"/>
        </target>
        <recorded value="2019-12-31T20:26:23.217+00:00"/>
        <agent>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"/>
              <code value="transmitter"/>
              <display value="Transmitter"/>
            </coding>
          </type>
          <role>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
              <code value="TRANS"/>
            </coding>
          </role>
          <who>🔗 
            <reference value="Organization/Payer1"/>
          </who>
        </agent>
      </Provenance>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
  <entry>
    <fullUrl value="https://example.com/base/Provenance/1000004-2"/>
    <resource>
      <Provenance>
        <id value="1000004-2"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2020-06-15T20:26:23.217+00:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_1000004-2"> </a><p><b>Generated Narrative: Provenance</b><a name="1000004-2"> </a><a name="hc1000004-2"> </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">ResourceProvenance &quot;1000004-2&quot; Version &quot;1&quot; Updated &quot;2020-06-15 20:26:23+0000&quot; </p></div><p><b>target</b>: See on this page: Encounter/8-2</p><p><b>recorded</b>: Jun 15, 2020, 8:26:23 PM</p><h3>Agents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td style="display: none">*</td><td>Author <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-provenance-participant-type.html">Provenance participant type</a>#author)</span></td><td><a href="Organization-ProviderOrg1.html">Organization/ProviderOrg1</a> &quot;Provider 1&quot;</td></tr></table><h3>Entities</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style="display: none">*</td><td/><td>source</td><td><span>: No reference available</span></td></tr></table></div>
        </text>
        <target>
          <reference value="Encounter/8-2"/>
        </target>
        <recorded value="2020-06-15T20:26:23.217+00:00"/>
        <agent>
          <type>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
              <code value="author"/>
              <display value="Author"/>
            </coding>
          </type>
          <who>🔗 
            <reference value="Organization/ProviderOrg1"/>
          </who>
        </agent>
        <entity>
          <extension
                     url="http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom">
            <valueCodeableConcept>
              <coding>
                <system
                        value="http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource"/>
                <code value="hl7ccda"/>
                <display value="HL7 C-CDA"/>
              </coding>
            </valueCodeableConcept>
          </extension>
          <role value="source"/>
          <what>
            <display value="No reference available"/>
          </what>
        </entity>
      </Provenance>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
  <entry>
    <fullUrl value="https://example.com/base/Provenance/1000005-2"/>
    <resource>
      <Provenance>
        <id value="1000005-2"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2020-12-31T20:26:23.217+00:00"/>
        </meta>
        <text>
          <status value="generated"/>
          <div xmlns="http://www.w3.org/1999/xhtml"><a name="Provenance_1000005-2"> </a><p><b>Generated Narrative: Provenance</b><a name="1000005-2"> </a><a name="hc1000005-2"> </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">ResourceProvenance &quot;1000005-2&quot; Version &quot;1&quot; Updated &quot;2020-12-31 20:26:23+0000&quot; </p></div><p><b>target</b>: <a href="Bundle-1000000-2.html">Bundle/1000000-2</a></p><p><b>recorded</b>: Dec 31, 2019, 8:26:23 PM</p><h3>Agents</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Type</b></td><td><b>Role</b></td><td><b>Who</b></td></tr><tr><td style="display: none">*</td><td>Transmitter <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://hl7.org/fhir/us/core/STU6.1/CodeSystem-us-core-provenance-participant-type.html">US Core Provenance Participant Type Extension Codes</a>#transmitter)</span></td><td>Transcriber <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-contractsignertypecodes.html">Contract Signer Type Codes</a>#TRANS)</span></td><td><a href="Organization-Payer1.html">Organization/Payer1</a> &quot;Payer 1&quot;</td></tr></table></div>
        </text>
        <target>🔗 
          <reference value="Bundle/1000000-2"/>
        </target>
        <recorded value="2019-12-31T20:26:23.217+00:00"/>
        <agent>
          <type>
            <coding>
              <system
                      value="http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type"/>
              <code value="transmitter"/>
              <display value="Transmitter"/>
            </coding>
          </type>
          <role>
            <coding>
              <system
                      value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
              <code value="TRANS"/>
            </coding>
          </role>
          <who>🔗 
            <reference value="Organization/Payer1"/>
          </who>
        </agent>
      </Provenance>
    </resource>
    <response>
      <status value="200"/>
    </response>
  </entry>
</Bundle>