{
  "resourceType" : "Provenance",
  "id" : "1000005",
  "meta" : {
    "versionId" : "1",
    "lastUpdated" : "2020-07-12T18:26:23.217+00:00",
    "profile" : ["http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p><b>Generated Narrative: Provenance</b><a name=\"1000005\"> </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;1000005&quot; Version &quot;1&quot; Updated &quot;2020-07-12 18:26:23+0000&quot; </p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pdex-provenance.html\">PDex 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 style=\"display: none\">-</td><td><b>Type</b></td><td><b>Who</b></td></tr><tr><td style=\"display: none\">*</td><td>Author <span style=\"background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki\"> (<a href=\"http://terminology.hl7.org/5.0.0/CodeSystem-provenance-participant-type.html\">Provenance participant type</a>#author)</span></td><td><a href=\"Organization-Payer1.html\">Organization/Payer1</a> &quot;Payer 1&quot;</td></tr></table><h3>Entities</h3><table class=\"grid\"><tr><td style=\"display: none\">-</td><td><b>Extension</b></td><td><b>Role</b></td><td><b>What</b></td></tr><tr><td style=\"display: none\">*</td><td/><td>source</td><td><span>: No reference available</span></td></tr></table></div>"
  },
  "target" : [{
    "reference" : "MedicationDispense/1000001"
  }],
  "recorded" : "2020-07-12T18:26:23.217+00:00",
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
        "code" : "author",
        "display" : "Author"
      }]
    },
    "who" : {
      "reference" : "Organization/Payer1"
    }
  }],
  "entity" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom",
      "valueCodeableConcept" : {
        "coding" : [{
          "system" : "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
          "code" : "ncpdp",
          "display" : "NCPDP Telecommunication"
        }]
      }
    }],
    "role" : "source",
    "what" : {
      "display" : "No reference available"
    }
  }]
}