---
type: "example"
title: "Provenance Example: provenance-example-diagnosticreport-sig"
resource: "Provenance"
example: "provenance-example-diagnosticreport-sig"
---
# Provenance Example: provenance-example-diagnosticreport-sig

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<Provenance xmlns="http://hl7.org/fhir"
            xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
            xsi:schemaLocation="http://hl7.org/fhir ../../schema/provenance.xsd">
	<id value="example-diagnosticreport-sig"/>
	<!-- 
    an example Provenance of a verification without changing the content, electronic signature
  -->
	<target>
		<reference value="DiagnosticReport/101"/>
	</target>
	<recorded value="2011-03-04T08:30:00+11:00"/>
	<policy value="http://example.org/policy/Reviewed"/>
	<activity>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle"/>
			<code value="verify"/>
		</coding>
	</activity>
	<patient>
		<reference value="Patient/pat2"/>
	</patient>
	<agent>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
				<code value="verifier"/>
				<display value="Verifier"/>
			</coding>
		</type>
		<who>
			<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
		</who>
	</agent>
	<signature>
		<!-- verification signature -->
		<type>
			<system value="http://uri.etsi.org/01903/v1.2.2"/>
			<code value="ProofOfapproval"/>
			<display value="Proof of approval"/>
		</type>
		<when value="2011-03-04T08:30:00+11:00"/>
		<who>
			<reference value="Organization/1832473e-2fe0-452d-abe9-3cdb9879522f"/>
		</who>
	</signature>
</Provenance>
```