Da Vinci Payer Data Exchange
2.1.1 - STU 2.1

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 2.1.1 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

## : BundleWithProvenance - XML Representation

Raw xml | Download

    <Bundle xmlns="http://hl7.org/fhir">
      <id value="3000002"/>
      <meta>
        <profile value="http://hl7.org/fhir/StructureDefinition/Bundle"/>
      </meta>
      <type value="searchset"/>
      <timestamp value="2020-09-28T23:26:23.217+00:00"/>
      <total value="1"/>
      <link>
        <relation value="self"/>
        <url
             value="https://example.com/base/fhir/MedicationDispense?ct=W3sidG9rZW4iOiIrUklEOn53MThjQUk5RlVPZ0lEQUFBQUFBQU"/>
      </link>
      <entry>
        <fullUrl value="https://example.com/base/MedicationDispense/1000001"/>
        <resource>
          <MedicationDispense>
            <id value="1000001"/>
            <text>
              <status value="generated"/>
              <div xmlns="http://www.w3.org/1999/xhtml"><a name="MedicationDispense_1000001"> </a><p class="res-header-id"><b>Generated Narrative: MedicationDispense 1000001</b></p><a name="1000001"> </a><a name="hc1000001"> </a><p><b>status</b>: Completed</p><p><b>medication</b>: <span title="Codes:{http://hl7.org/fhir/sid/ndc 54458-872-10}">Lisinopril, 30 TABLET in 1 BLISTER PACK (54458-872-10) (package)</span></p><p><b>subject</b>: <a href="Patient-1.html">Johnny Appleseed  Male, DoB: 1986-01-01 ( Member Number)</a></p><h3>Performers</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Actor</b></td></tr><tr><td style="display: none">*</td><td><a href="Practitioner-4.html">Practitioner Susan Smith </a></td></tr></table><p><b>location</b>: <a href="Location-5.html">Location MyFavorite Pharmacy</a></p><p><b>type</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode RF}">Refill</span></p><p><b>quantity</b>: 60</p><p><b>daysSupply</b>: 30</p></div>
            </text>
            <status value="completed"/>
            <medicationCodeableConcept>
              <coding>
                <system value="http://hl7.org/fhir/sid/ndc"/>
                <code value="54458-872-10"/>
              </coding>
            </medicationCodeableConcept>
            <subject>🔗
              <reference value="Patient/1"/>
            </subject>
            <performer>
              <actor>🔗
                <reference value="Practitioner/4"/>
              </actor>
            </performer>
            <location>🔗
              <reference value="Location/5"/>
            </location>
            <type>
              <coding>
                <system value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
                <code value="RF"/>
              </coding>
            </type>
            <quantity>
              <value value="60"/>
            </quantity>
            <daysSupply>
              <value value="30"/>
            </daysSupply>
          </MedicationDispense>
        </resource>
        <search>
          <mode value="match"/>
        </search>
      </entry>
      <entry>
        <fullUrl value="https://example.com/base/Provenance/321000001"/>
        <resource>
          <Provenance>
            <id value="321000001"/>
            <meta>
              <versionId value="1"/>
              <lastUpdated value="2020-09-28T23:26:23.217+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_321000001"> </a><p class="res-header-id"><b>Generated Narrative: Provenance 321000001</b></p><a name="321000001"> </a><a name="hc321000001"> </a><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">version: 1; Last updated: 2020-09-28 23:26:23+0000</p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-pdex-provenance.html">PDex Provenance</a></p></div><p>Provenance for <a href="MedicationDispense-1000001.html">MedicationDispense: extension = 1; status = completed; medication[x] = Lisinopril, 30 TABLET in 1 BLISTER PACK (54458-872-10) (package); type = Refill; quantity = 60; daysSupply = 30; whenHandedOver = 2024-04-15 09:00:23+0000</a></p><p>Summary</p><table class="grid"><tr><td>Recorded</td><td>2020-07-12 18:26:23+0000</td></tr></table><p><b>Agents</b></p><table class="grid"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title="Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type transmitter}">Transmitter</span></td><td><a href="Organization-Payer1.html">Organization Payer 1</a></td></tr></table></div>
            </text>
            <target>🔗
              <reference value="MedicationDispense/1000001"/>
            </target>
            <recorded value="2020-07-12T18:26:23.217+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>
              <who>🔗
                <reference value="Organization/Payer1"/>
              </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>
        <search>
          <mode value="include"/>
        </search>
      </entry>
    </Bundle>