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

## Narrative

procedure record authored on 27-June 2015 by Harold Hippocrates, MD Content extracted from XDS managed CDA Referral received 26-June as authorized by a referenced Consent.

## 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"/>
<!--
	<text>
		<status value="additional"/>
		<div xmlns="http://www.w3.org/1999/xhtml">procedure record authored on 27-June 2015 by Harold Hippocrates, MD Content extracted from XDS managed CDA Referral received 26-June as authorized by a referenced Consent.</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="Procedure/example/_history/1"/>
	</target>
	<occurredPeriod>
		<start value="2015-06-27"/>
		<end value="2015-06-28"/>
	</occurredPeriod>
	<recorded value="2015-06-27T08:39:24+10:00"/>
	<!-- reference to a patient consent to share inforamtion -->
	<policy value="http://acme.com/fhir/Consent/25"/>
	<location>
		<reference value="Location/1"/>
	</location>
	<activity>
		<coding>
			<system value="http://snomed.info/sct"/>
			<code value="3457005"/>
			<display value="Referral"/>
		</coding>
	</activity>

	<!-- author = Harold Hippocrates -->
	<agent>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
				<code value="AUT"/>
			</coding>
		</type>
		<who>
			<reference value="Practitioner/xcda-author"/>
		</who>
		<!-- reference to other agent defined within -->
		<!--   removed as unclear how to do this now     <onBehalfOf value="#a1"/>    -->
<!--
		<onBehalfOf>
			<reference value="Practitioner/xcda-author"/>
		</onBehalfOf>>
	-->
	</agent>
	<!-- device = software Harold used -->
	<agent id="a1">
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/>
				<code value="DEV"/>
			</coding>
		</type>
		<who>
			<display  value="Device/software"/>
		</who>
	</agent>
	<!-- information extract from a CCDA referral document -->
	<entity>
		<role value="source"/>
		<!-- 
      the document is in an XDS repository. 
      as a source, we're going to give an MHD 
      reference. (easier than XDS.b call with parameters!)
	  Given the reference is to a FHIR DocumentReference, that resource describes the kind of content
    -->
		<what>
			<reference value="DocumentReference/example"/>    
			<display value="CDA Document in XDS repository"/>
		</what>
	</entity>
</Provenance>
```