{
  "resourceType" : "Provenance",
  "id" : "provenance-claim-submission-001",
  "meta" : {
    "profile" : ["https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-provenance"],
    "tag" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/common-tags",
      "code" : "actionable",
      "display" : "Actionable"
    }]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Provenance provenance-claim-submission-001</b></p><a name=\"provenance-claim-submission-001\"> </a><a name=\"hcprovenance-claim-submission-001\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ke-eclaims-provenance.html\">eClaims Provenance Profile</a></p><p style=\"margin-bottom: 0px\">Tag: <a href=\"http://hl7.org/fhir/R4/codesystem-common-tags.html\">Actionable (Details: Common Tags code actionable = 'Actionable')</a></p></div><p>Provenance for <a href=\"Claim-ae044c1d-9ecb-4294-be9b-0702e7892596.html\">Claim: status = active; type = Institutional; use = claim; created = 2025-10-01; priority = Normal</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2025-10-07 18:47:22+0000</td></tr><tr><td>Activity</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-DataOperation CREATE}\">Claim Submission</span></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://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Submitting Provider</span></td><td><a href=\"Organization-ORG-001.html\">Nairobi General Hospital</a></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type custodian}\">SHA Receiving System</span></td><td><a href=\"Organization-sha-insurer.html\">Social Health Authority</a></td></tr></table></div>"
  },
  "target" : [{
    "reference" : "Claim/ae044c1d-9ecb-4294-be9b-0702e7892596"
  }],
  "recorded" : "2025-10-07T18:47:22+00:00",
  "reason" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code" : "TREAT",
      "display" : "treatment"
    }],
    "text" : "Institutional claim submitted for patient treatment"
  }],
  "activity" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
      "code" : "CREATE",
      "display" : "create"
    }],
    "text" : "Claim Submission"
  },
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
        "code" : "author",
        "display" : "Author"
      }],
      "text" : "Submitting Provider"
    },
    "who" : {
      "reference" : "Organization/ORG-001",
      "display" : "Nairobi General Hospital"
    }
  },
  {
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
        "code" : "custodian",
        "display" : "Custodian"
      }],
      "text" : "SHA Receiving System"
    },
    "who" : {
      "reference" : "Organization/sha-insurer",
      "display" : "Social Health Authority"
    }
  }],
  "entity" : [{
    "role" : "source",
    "what" : {
      "reference" : "Patient/example"
    }
  }]
}