Da Vinci Payer Data Exchange
2.0.0-ballot - ballot US

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: ExampleProvenancePayerSource - XML Representation

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<Provenance xmlns="http://hl7.org/fhir">
  <id value="1000005"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-07-12T18:26:23.217+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"><p><b>Generated Narrative</b></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 "1000005" Version "1" Updated "2020-07-12 06:26:23+0000" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-pdex-provenance.html">Provenance</a></p></div><p><b>target</b>: <a href="MedicationDispense-1000001.html">MedicationDispense/1000001</a></p><p><b>recorded</b>: Jul 12, 2020 6:26:23 PM</p><h3>Agents</h3><table class="grid"><tr><td>-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td>*</td><td>Author <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/3.0.0/CodeSystem-provenance-participant-type.html">Provenance participant type</a>#author)</span></td><td><a href="Organization-Payer1.html">Organization/Payer1</a> "Payer 1"</td></tr></table><h3>Entities</h3><table class="grid"><tr><td>-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td>*</td><td></td><td>source</td><td><span>: No reference available</span></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://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
        <code value="author"/>
        <display value="Author"/>
      </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="ncpdp"/>
          <display value="NCPDP Telecommunication"/>
        </coding>
      </valueCodeableConcept>
    </extension>
    <role value="source"/>
    <what>
      <display value="No reference available"/>
    </what>
  </entity>
</Provenance>