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

<Provenance xmlns="http://hl7.org/fhir">
  <id value="provenance-claim-submission-001"/>
  <meta>
    <profile value="https://nshr-uat.sha.go.ke/fhir/StructureDefinition/ke-eclaims-provenance"/>
    <tag>
      <system value="http://terminology.hl7.org/CodeSystem/common-tags"/>
      <code value="actionable"/>
      <display value="Actionable"/>
    </tag>
  </meta>
  <text>
    <status value="generated"/><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>
  </text>
  <target>
    <reference value="Claim/ae044c1d-9ecb-4294-be9b-0702e7892596"/>
  </target>
  <recorded value="2025-10-07T18:47:22+00:00"/>
  <reason>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="TREAT"/>
      <display value="treatment"/>
    </coding>
    <text value="Institutional claim submitted for patient treatment"/>
  </reason>
  <activity>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
      <code value="CREATE"/>
      <display value="create"/>
    </coding>
    <text value="Claim Submission"/>
  </activity>
  <agent>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
        <code value="author"/>
        <display value="Author"/>
      </coding>
      <text value="Submitting Provider"/>
    </type>
    <who>
      <reference value="Organization/ORG-001"/>
      <display value="Nairobi General Hospital"/>
    </who>
  </agent>
  <agent>
    <type>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
        <code value="custodian"/>
        <display value="Custodian"/>
      </coding>
      <text value="SHA Receiving System"/>
    </type>
    <who>
      <reference value="Organization/sha-insurer"/>
      <display value="Social Health Authority"/>
    </who>
  </agent>
  <entity>
    <role value="source"/>
    <what>
      <reference value="Patient/example"/>
    </what>
  </entity>
</Provenance>