---
type: "example"
title: "Provenance Example: provenance-example-bundle-allergyintolerance"
resource: "Provenance"
example: "provenance-example-bundle-allergyintolerance"
---
# Provenance Example: provenance-example-bundle-allergyintolerance

## Example XML



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

<Bundle xmlns="http://hl7.org/fhir">
  <id value="example-bundle-allergyintolerance"/>
  <type value="searchset"/>
  <total value="1"/>
  <link>
    <relation value="self"/>
    <url value="http://example.org/fhir/AllergyIntolerance?_id=79613&amp;_revinclude=Provenance:target"/>
  </link>
  <entry>
    <fullUrl value="http://example.org/fhir/AllergyIntolerance/79613"/>
    <resource>
      <AllergyIntolerance>
        <id value="79613"/>
        <meta>
          <versionId value="1"/>
          <lastUpdated value="2019-07-09T15:26:23.217+00:00"/>
        </meta>
        <clinicalStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
            <code value="active"/>
            <display value="Active"/>
          </coding>
        </clinicalStatus>
        <verificationStatus>
          <coding>
            <system value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
            <code value="confirmed"/>
            <display value="Confirmed"/>
          </coding>
        </verificationStatus>
        <category value="medication"/>
        <criticality value="high"/>
        <code>
          <coding>
            <system value="http://snomed.info/sct"/>
            <version value="http://snomed.info/sct/731000124108"/>
            <code value="762952008"/>
            <display value="Peanuts"/>
          </coding>
          <text value="Peanuts"/>
        </code>
        <patient>
          <reference value="Patient/example"/>
        </patient>
        <onsetDateTime value="2017-06-09"/>
        <reaction>
          <manifestation>
          <concept>
            <coding>
              <system value="http://snomed.info/sct"/>
              <version value="http://snomed.info/sct/731000124108"/>
              <code value="247472004"/>
              <display value="Hives"/>
            </coding>
          </concept>
          </manifestation>
          <onset value="2017-06-09"/>
        </reaction>
      </AllergyIntolerance>
    </resource>
    <search>
      <mode value="match"/>
    </search>
  </entry>
  <entry>
    <fullUrl value="http://example.org/fhir/Provenance/79614"/>
    <resource>
      <Provenance>
        <id value="79614"/>
        <target>
          <reference value="AllergyIntolerance/79613/_history/1"/>
        </target>
        <recorded value="2019-07-09T15:26:23.217+00:00"/>
        <agent>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
              <code value="custodian"/>
              <display value="Custodian"/>
            </coding>
          </type>
          <who>
            <reference value="Organization/example"/>
          </who>
        </agent>
        <agent>
          <type>
            <coding>
              <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
              <code value="author"/>
              <display value="Author"/>
            </coding>
          </type>
          <who>
            <reference value="Practitioner/f004"/>
          </who>
          <onBehalfOf>
            <reference value="Organization/example"/>
          </onBehalfOf>
        </agent>
      </Provenance>
    </resource>
    <search>
      <mode value="include"/>
    </search>
  </entry>
</Bundle>
```