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

## Narrative

procedure record authored on 27-June 2015 by Harold Hippocrates, MD Content extracted from Referral received 26-June

## 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="signature"/>
<!--
	<text>
		<status value="extensions"/>
		<div xmlns="http://www.w3.org/1999/xhtml">procedure record authored on 27-June 2015 by Harold Hippocrates, MD Content extracted from Referral received 26-June</div>
	</text>
-->
	<!-- 
    where possible, provenance targets SHOULD be version specific,
    so that there is no ambiguity about which version of the 
    record this relates to
  -->
	<target>
		<reference value="DocumentReference/example/_history/4"/>    
	</target>
	<recorded value="2015-08-27T08:39:24+10:00"/>
	<authorization>
	  <concept>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
			<code value="TREAT"/>
			<display value="treatment"/>
		</coding>
      </concept>
	</authorization>
	<activity>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion"/>
			<code value="AU"/>
			<display value="authenticated"/>
		</coding>
	</activity>

	<!-- signer = Harold Hippocrates -->
	<agent>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/contractsignertypecodes"/>
				<code value="VERF"/>
			</coding>
		</type>

		<!-- very often, the user won't have a known system - these aren't available 
      for security system log ons. But where you can define it, you SHOULD.
      Most of the time the userId is fully qualfied such as an email address	  -->
		<who>
			<identifier>
				<system value="urn:ietf:rfc:3986"/>
				<value value="mailto://hhd@ssa.gov"/>
			</identifier>
		</who>
	</agent>
	<signature>
		<!-- verification signature -->
		<type>
			<system value="urn:iso-astm:E1762-95:2013"/>
			<code value="1.2.840.10065.1.12.1.5"/>
			<display value="Verification Signature"/>
		</type>
		<when value="2015-08-27T08:39:24+10:00"/>
		<who>
			<reference value="Practitioner/xcda-author"/>
		</who>	
		<targetFormat value="application/fhir+xml"/>
		<sigFormat value="application/signature+xml"/>
		<data value="Li4u"/>
	</signature>
</Provenance>
```