Cross Border Data Exchange IG
1.0.0 - CI Build International flag

Cross Border Data Exchange IG, published by IEHR-Workgroup. This guide is not an authorized publication; it is the continuous build for version 1.0.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/InteropEHRate-project/cross-border-data-exchange/ and changes regularly. See the Directory of published versions

: Visit Example - Past Visit - Bundle - JSON Representation

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{
  "resourceType" : "Bundle",
  "id" : "125482",
  "meta" : {
    "profile" : [
      🔗 "http://interopehrate.eu/fhir/StructureDefinition/Bundle-IEHR"
    ]
  },
  "type" : "collection",
  "timestamp" : "2022-05-16T16:24:43.968+02:00",
  "entry" : [
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/Composition/3970941",
      "resource" : {
        "resourceType" : "Composition",
        "id" : "3970941",
        "meta" : {
          "profile" : [
            🔗 "http://interopehrate.eu/fhir/StructureDefinition/Composition-IEHR"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Composition_3970941\"> </a><p><b>Generated Narrative: Composition</b><a name=\"3970941\"> </a><a name=\"hc3970941\"> </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\">Resource Composition &quot;3970941&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Composition-IEHR.html\">Composition-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/12</p><p><b>status</b>: final</p><p><b>type</b>: Summary of episode note <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"https://loinc.org/\">LOINC</a>#34133-9)</span></p><p><b>encounter</b>: See on this page: Encounter/363534</p><p><b>date</b>: 2021-10-18</p><p><b>author</b>: See on this page: Organization/34432</p><p><b>title</b>: Visit Report MS01, 18.10.2021</p><p><b>confidentiality</b>: N</p></div>"
        },
        "extension" : [
          {
            "url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
            "valueReference" : {
              🔗 "reference" : "Provenance/12"
            }
          }
        ],
        "status" : "final",
        "type" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "34133-9",
              "display" : "Summary of episode note"
            }
          ]
        },
        "encounter" : {
          🔗 "reference" : "Encounter/363534"
        },
        "date" : "2021-10-18",
        "author" : [
          {
            🔗 "reference" : "Organization/34432"
          }
        ],
        "title" : "Visit Report MS01, 18.10.2021",
        "confidentiality" : "N",
        "section" : [
          {
            "extension" : [
              {
                "url" : "http://interopehrate.eu/fhir/StructureDefinition/ConfidentialityExtension-IEHR",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                      "code" : "N",
                      "display" : "normal"
                    }
                  ]
                }
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "11450-4",
                  "display" : "Problem list - Reported"
                }
              ]
            },
            "entry" : [
              {
                🔗 "reference" : "Condition/48239"
              },
              {
                🔗 "reference" : "Condition/482343"
              }
            ]
          },
          {
            "extension" : [
              {
                "url" : "http://interopehrate.eu/fhir/StructureDefinition/ConfidentialityExtension-IEHR",
                "valueCodeableConcept" : {
                  "coding" : [
                    {
                      "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
                      "code" : "N",
                      "display" : "normal"
                    }
                  ]
                }
              }
            ],
            "code" : {
              "coding" : [
                {
                  "system" : "http://loinc.org",
                  "code" : "29549-3",
                  "display" : "Medication administered"
                }
              ]
            },
            "entry" : [
              {
                🔗 "reference" : "MedicationAdministration/733813"
              },
              {
                🔗 "reference" : "MedicationAdministration/733864"
              }
            ]
          }
        ]
      }
    },
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/Patient/3466",
      "resource" : {
        "resourceType" : "Patient",
        "id" : "3466",
        "meta" : {
          "profile" : [
            🔗 "http://interopehrate.eu/fhir/StructureDefinition/Patient-IEHR"
          ]
        },
        "language" : "it-IT",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"it-IT\" lang=\"it-IT\"><a name=\"Patient_3466\"> </a><p><b>Generated Narrative: Patient</b><a name=\"3466\"> </a><a name=\"hc3466\"> </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\">Resource Patient &quot;3466&quot;  (Language &quot;it-IT&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Patient-IEHR.html\">Patient-IEHR</a></p></div><p><b>identifier</b>: <code>http://interopEHRate.eu/fhir-resource/</code>/Patient/MS01</p><p><b>name</b>: Markus Smith </p><p><b>gender</b>: male</p><p><b>birthDate</b>: 2013-12-05</p><p><b>address</b>: Rome ITA (home)</p><p><b>generalPractitioner</b>: See on this page: Organization/34432</p></div>"
        },
        "identifier" : [
          {
            "system" : "http://interopEHRate.eu/fhir-resource/",
            "value" : "Patient/MS01"
          }
        ],
        "name" : [
          {
            "family" : "Smith",
            "given" : [
              "Markus"
            ]
          }
        ],
        "gender" : "male",
        "birthDate" : "2013-12-05",
        "address" : [
          {
            "use" : "home",
            "type" : "physical",
            "city" : "Rome",
            "country" : "ITA"
          }
        ],
        "generalPractitioner" : [
          {
            🔗 "reference" : "Organization/34432"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/Organization/34432",
      "resource" : {
        "resourceType" : "Organization",
        "id" : "34432",
        "meta" : {
          "profile" : [
            🔗 "http://hl7.org/fhir/uv/ips/StructureDefinition/Organization-uv-ips"
          ]
        },
        "language" : "it-IT",
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"it-IT\" lang=\"it-IT\"><a name=\"Organization_34432\"> </a><p><b>Generated Narrative: Organization</b><a name=\"34432\"> </a><a name=\"hc34432\"> </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\">Resource Organization &quot;34432&quot;  (Language &quot;it-IT&quot;) </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/uv/ips/STU1/StructureDefinition-Organization-uv-ips.html\">Organization (IPS)</a></p></div><p><b>identifier</b>: <code>http://interopEHRate.eu/fhir-resource/</code>/Organization/FTGM01</p><p><b>name</b>: Fondazione Gabriele Monasterio</p><p><b>address</b>: Via Giuseppe Moruzzi 1 Pisa IT </p></div>"
        },
        "identifier" : [
          {
            "system" : "http://interopEHRate.eu/fhir-resource/",
            "value" : "Organization/FTGM01"
          }
        ],
        "name" : "Fondazione Gabriele Monasterio",
        "address" : [
          {
            "line" : [
              "Via Giuseppe Moruzzi 1"
            ],
            "city" : "Pisa",
            "country" : "IT"
          }
        ]
      }
    },
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/Encounter/363534",
      "resource" : {
        "resourceType" : "Encounter",
        "id" : "363534",
        "meta" : {
          "profile" : [
            🔗 "http://interopehrate.eu/fhir/StructureDefinition/Encounter-IEHR"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_363534\"> </a><p><b>Generated Narrative: Encounter</b><a name=\"363534\"> </a><a name=\"hc363534\"> </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\">Resource Encounter &quot;363534&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Encounter-IEHR.html\">Encounter-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/12</p><p><b>status</b>: finished</p><p><b>class</b>: ambulatory (Details: http://terminology.hl7.org/CodeSystem/v3-ActCode code AMB = 'ambulatory', stated as 'ambulatory')</p><p><b>subject</b>: See on this page: Patient/3466</p><p><b>period</b>: 2021-10-18 12:00:00+0000 --&gt; 2021-10-18 14:50:00+0000</p><p><b>serviceProvider</b>: See on this page: Organization/34432</p></div>"
        },
        "extension" : [
          {
            "url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
            "valueReference" : {
              🔗 "reference" : "Provenance/12"
            }
          }
        ],
        "status" : "finished",
        "class" : {
          "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
          "code" : "AMB",
          "display" : "ambulatory"
        },
        "subject" : {
          🔗 "reference" : "Patient/3466"
        },
        "period" : {
          "start" : "2021-10-18T12:00:00Z",
          "end" : "2021-10-18T14:50:00Z"
        },
        "serviceProvider" : {
          🔗 "reference" : "Organization/34432"
        }
      }
    },
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/Condition/48239",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "48239",
        "meta" : {
          "profile" : [
            🔗 "http://interopehrate.eu/fhir/StructureDefinition/Condition-IEHR"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_48239\"> </a><p><b>Generated Narrative: Condition</b><a name=\"48239\"> </a><a name=\"hc48239\"> </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\">Resource Condition &quot;48239&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Condition-IEHR.html\">Condition-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/12</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Confirmed <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#confirmed)</span></p><p><b>code</b>: Supraventricular tachycardia <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-icd10.html\">ICD-10</a>#I47.1)</span></p><p><b>subject</b>: See on this page: Patient/3466</p><p><b>onset</b>: 2021-10-18</p></div>"
        },
        "extension" : [
          {
            "url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
            "valueReference" : {
              🔗 "reference" : "Provenance/12"
            }
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "confirmed",
              "display" : "Confirmed"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "I47.1",
              "display" : "Supraventricular tachycardia"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/3466"
        },
        "onsetDateTime" : "2021-10-18"
      }
    },
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/Condition/482343",
      "resource" : {
        "resourceType" : "Condition",
        "id" : "482343",
        "meta" : {
          "profile" : [
            🔗 "http://interopehrate.eu/fhir/StructureDefinition/Condition-IEHR"
          ]
        },
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Condition_482343\"> </a><p><b>Generated Narrative: Condition</b><a name=\"482343\"> </a><a name=\"hc482343\"> </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\">Resource Condition &quot;482343&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Condition-IEHR.html\">Condition-IEHR</a></p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/12</p><p><b>clinicalStatus</b>: Active <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-clinical.html\">Condition Clinical Status Codes</a>#active)</span></p><p><b>verificationStatus</b>: Provisional <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-condition-ver-status.html\">ConditionVerificationStatus</a>#provisional)</span></p><p><b>code</b>: Conduction disorder, unspecified <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-icd10.html\">ICD-10</a>#I45.9)</span></p><p><b>subject</b>: See on this page: Patient/3466</p><p><b>onset</b>: 2021-10-18</p></div>"
        },
        "extension" : [
          {
            "url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
            "valueReference" : {
              🔗 "reference" : "Provenance/12"
            }
          }
        ],
        "clinicalStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-clinical",
              "code" : "active",
              "display" : "Active"
            }
          ]
        },
        "verificationStatus" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/condition-ver-status",
              "code" : "provisional",
              "display" : "Provisional"
            }
          ]
        },
        "code" : {
          "coding" : [
            {
              "system" : "http://hl7.org/fhir/sid/icd-10",
              "code" : "I45.9",
              "display" : "Conduction disorder, unspecified"
            }
          ]
        },
        "subject" : {
          🔗 "reference" : "Patient/3466"
        },
        "onsetDateTime" : "2021-10-18"
      }
    },
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/MedicationAdministration/733813",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "733813",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_733813\"> </a><p><b>Generated Narrative: MedicationAdministration</b><a name=\"733813\"> </a><a name=\"hc733813\"> </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\">Resource MedicationAdministration &quot;733813&quot; </p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/12</p><p><b>status</b>: completed</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-medication-admin-category.html\">Medication administration  category  codes</a>#outpatient)</span></p><p><b>medication</b>: <a href=\"Medication-9149.html\">Medication/9149</a></p><p><b>subject</b>: See on this page: Patient/3466</p><p><b>effective</b>: 2021-10-18 13:12:00+0000</p></div>"
        },
        "extension" : [
          {
            "url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
            "valueReference" : {
              🔗 "reference" : "Provenance/12"
            }
          }
        ],
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medication-admin-category",
              "code" : "outpatient",
              "display" : "Outpatient"
            }
          ]
        },
        "medicationReference" : {
          🔗 "reference" : "Medication/9149"
        },
        "subject" : {
          🔗 "reference" : "Patient/3466"
        },
        "effectiveDateTime" : "2021-10-18T13:12:00Z"
      }
    },
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/MedicationAdministration/733864",
      "resource" : {
        "resourceType" : "MedicationAdministration",
        "id" : "733864",
        "text" : {
          "status" : "extensions",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"MedicationAdministration_733864\"> </a><p><b>Generated Narrative: MedicationAdministration</b><a name=\"733864\"> </a><a name=\"hc733864\"> </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\">Resource MedicationAdministration &quot;733864&quot; </p></div><p><b>ProvenanceExtension-IEHR</b>: See on this page: Provenance/12</p><p><b>status</b>: completed</p><p><b>category</b>: Outpatient <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://hl7.org/fhir/R4/codesystem-medication-admin-category.html\">Medication administration  category  codes</a>#outpatient)</span></p><p><b>medication</b>: <a href=\"Medication-9165.html\">Medication/9165</a></p><p><b>subject</b>: See on this page: Patient/3466</p><p><b>effective</b>: 2021-10-18 13:14:00+0000</p></div>"
        },
        "extension" : [
          {
            "url" : "http://interopehrate.eu/fhir/StructureDefinition/ProvenanceExtension-IEHR",
            "valueReference" : {
              🔗 "reference" : "Provenance/12"
            }
          }
        ],
        "status" : "completed",
        "category" : {
          "coding" : [
            {
              "system" : "http://terminology.hl7.org/CodeSystem/medication-admin-category",
              "code" : "outpatient",
              "display" : "Outpatient"
            }
          ]
        },
        "medicationReference" : {
          🔗 "reference" : "Medication/9165"
        },
        "subject" : {
          🔗 "reference" : "Patient/3466"
        },
        "effectiveDateTime" : "2021-10-18T13:14:00Z"
      }
    },
    {
      "fullUrl" : "http://interopEHRate.eu/fhir-resource/Provenance/12",
      "resource" : {
        "resourceType" : "Provenance",
        "id" : "12",
        "meta" : {
          "profile" : [
            🔗 "http://interopehrate.eu/fhir/StructureDefinition/Provenance-IEHR"
          ]
        },
        "text" : {
          "status" : "generated",
          "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_12\"> </a><p><b>Generated Narrative: Provenance</b><a name=\"12\"> </a><a name=\"hc12\"> </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\">Resource Provenance &quot;12&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-Provenance-IEHR.html\">Provenance-IEHR</a></p></div><p><b>target</b>: See on this page: Composition/3970941</p><p><b>recorded</b>: Nov 17, 2021, 11:00:00\u202fPM</p><blockquote><p><b>agent</b></p><p><b>type</b>: Author <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#author)</span></p><p><b>who</b>: <a href=\"Practitioner-21.html\">Practitioner/21</a> &quot; ANTONIO&quot;</p></blockquote><blockquote><p><b>agent</b></p><p><b>type</b>: Custodian <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.3.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#custodian)</span></p><p><b>who</b>: <a href=\"Practitioner-21.html\">Practitioner/21</a> &quot; ANTONIO&quot;</p></blockquote><blockquote><p><b>signature</b></p><blockquote><p><b>id</b></p>Signature/04012022</blockquote><p><b>type</b>: Verification Signature (Details: urn:iso-astm:E1762-95:2013 code 1.2.840.10065.1.12.1.5 = 'Verification Signature', stated as 'Verification Signature')</p><p><b>when</b>: May 16, 2022, 2:24:43\u202fPM</p><p><b>who</b>: <a href=\"Practitioner-21.html\">Practitioner/21</a> &quot; ANTONIO&quot;</p><p><b>targetFormat</b>: json</p><p><b>sigFormat</b>: application/jose</p><p><b>data</b>: (base64 data - 5 bytes)</p></blockquote></div>"
        },
        "target" : [
          {
            🔗 "reference" : "Composition/3970941"
          }
        ],
        "recorded" : "2021-11-18T00:00:00.000+01:00",
        "agent" : [
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "author",
                  "display" : "Author"
                }
              ]
            },
            "who" : {
              🔗 "reference" : "Practitioner/21"
            }
          },
          {
            "type" : {
              "coding" : [
                {
                  "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                  "code" : "custodian",
                  "display" : "Custodian"
                }
              ]
            },
            "who" : {
              🔗 "reference" : "Practitioner/21"
            }
          }
        ],
        "signature" : [
          {
            "id" : "Signature/04012022",
            "type" : [
              {
                "system" : "urn:iso-astm:E1762-95:2013",
                "code" : "1.2.840.10065.1.12.1.5",
                "display" : "Verification Signature"
              }
            ],
            "when" : "2022-05-16T16:24:43.969+02:00",
            "who" : {
              🔗 "reference" : "Practitioner/21"
            },
            "targetFormat" : "json",
            "sigFormat" : "application/jose",
            "data" : "ZW1wdHk="
          }
        ]
      }
    }
  ]
}