---
type: "example"
title: "Provenance Example: provenance-example-import"
resource: "Provenance"
example: "provenance-example-import"
---
# Provenance Example: provenance-example-import

## 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-import"/>
	<target>
		<reference value="Condition/example"/>
	</target>
	<target>
		<reference value="Condition/example2"/>
	</target>
	<target>
		<reference value="Encounter/example"/>
	</target>
	<target>
		<reference value="Immunization/example"/>
	</target>
	<recorded value="2015-06-27T08:39:24+10:00"/>
    <policy value="urn:ihe:pcc:qedm:2017:document-provenance-policy"/>
	<activity>
		<coding>
        <system value="http://hl7.org/fhir/w3c-provenance-activity-type" />
        <code value="Derivation" />
		</coding>
	</activity>
	<patient>
		<reference value="Patient/example"/>
	</patient>
	<agent id="a1">
		<type>
			<coding>
          <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
          <code value="assembler"/>
			</coding>
		</type>
		<who>
			<display  value="Device/software"/>
		</who>
	</agent>
	<!-- information extract from a DICOM document, could be anything (e.g. CDA) -->
	<entity>
		<role value="source"/>
		<what>
			<reference value="DocumentReference/example"/>    
		</what>
	</entity>
</Provenance>
```