FHIR IG analytics| Package | hl7.fhir.us.davinci-pdex |
| Resource Type | Bundle |
| Id | Bundle-1000000-3.json |
| FHIR Version | R4 |
No resources found
No resources found
No narrative content found in resource
FHIR
FHIRsmith{
"resourceType": "Bundle",
"id": "1000000-3",
"meta": {
"profile": [
"http://hl7.org/fhir/StructureDefinition/Bundle"
]
},
"type": "transaction-response",
"timestamp": "2021-12-31T20:26:23.217+00:00",
"link": [
{
"relation": "self",
"url": "https://example.com/base/fhir/Patient?ct=W5sidG9rZW4iOiIrUklEOn53MThjQUk5RlVPZ0lEQUFBQUFBQU"
}
],
"entry": [
{
"fullUrl": "https://example.com/base/Patient/1-3",
"resource": {
"resourceType": "Patient",
"id": "1-3",
"meta": {
"lastUpdated": "2021-01-07T13:26:22.0314215+00:00",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient"
]
},
"language": "en-US",
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\" xml:lang=\"en-US\" lang=\"en-US\"><a name=\"Patient_1-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Patient 1-3</b></p><a name=\"1-3\"> </a><a name=\"hc1-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2021-01-07 13:26:22+0000; Language: en-US</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-patient.html\">US Core Patient Profile</a></p></div><p style=\"border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;\">Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)</p><hr/><table class=\"grid\"><tr><td style=\"background-color: #f3f5da\" title=\"Record is active\">Active:</td><td>true</td><td style=\"background-color: #f3f5da\" title=\"Known Marital status of Patient\">Marital Status:</td><td colspan=\"3\"><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-NullFlavor UNK}\">unknown</span></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Other Ids (see the one above)\">Other Ids:</td><td colspan=\"3\"><ul><li>Medical record number/1234-234-1243-12345678901m</li><li>Health Plan Identifier/1234-234-1243-12345678901u</li><li>Patient external identifier/1234-234-1243-12345678901a</li></ul></td></tr><tr><td style=\"background-color: #f3f5da\" title=\"Ways to contact the Patient\">Contact Detail</td><td colspan=\"3\"><ul><li>ph: (443)555-1212</li><li>ph: (410)678-2323</li><li>123 Main Street Pittsburgh PA 12519 </li></ul></td></tr></table></div>"
},
"identifier": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MB"
}
]
},
"system": "https://www.xxxhealthplan.com/fhir/memberidentifier",
"value": "https://www.xxxhealthplan.com/fhir/memberidentifier#1234-234-1243-12345678901"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "MR"
}
]
},
"system": "https://www.xxxhealthplan.com/fhir/medicalrecordnumber",
"value": "1234-234-1243-12345678901m"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "XV"
}
]
},
"system": "https://www.xxxhealthplan.com/fhir/uniquememberidentifier",
"value": "1234-234-1243-12345678901u"
},
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v2-0203",
"code": "PT"
}
]
},
"system": "https://www.xxxhealthplan.com/fhir/patacctnum",
"value": "1234-234-1243-12345678901a"
}
],
"active": true,
"name": [
{
"family": "Appleseed",
"given": [
"Johnny"
]
}
],
"telecom": [
{
"system": "phone",
"value": "(443)555-1212",
"rank": 1
},
{
"system": "phone",
"value": "(410)678-2323",
"rank": 2
}
],
"gender": "male",
"birthDate": "1986-01-01",
"address": [
{
"type": "physical",
"line": [
"123 Main Street"
],
"city": "Pittsburgh",
"state": "PA",
"postalCode": "12519"
}
],
"maritalStatus": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/v3-NullFlavor",
"code": "UNK"
}
]
}
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Encounter/6-1-2-3",
"resource": {
"resourceType": "Encounter",
"id": "6-1-2-3",
"meta": {
"lastUpdated": "2021-01-14T19:26:23.217+00:00",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_6-1-2-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 6-1-2-3</b></p><a name=\"6-1-2-3\"> </a><a name=\"hc6-1-2-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2021-01-14 19:26:23+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (Ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 11429006}\">Consultation</span></p><p><b>subject</b>: <a href=\"Patient-1-2.html\">Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)</a></p></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "Ambulatory"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/731000124108",
"code": "11429006",
"display": "Consultation"
}
]
}
],
"subject": {
"reference": "Patient/1-2"
}
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Encounter/7-1-2-3",
"resource": {
"resourceType": "Encounter",
"id": "7-1-2-3",
"meta": {
"lastUpdated": "2021-01-15T20:26:23.217+00:00",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_7-1-2-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 7-1-2-3</b></p><a name=\"7-1-2-3\"> </a><a name=\"hc7-1-2-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2021-01-15 20:26:23+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (Ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 11429006}\">Consultation</span></p><p><b>subject</b>: <a href=\"Bundle-1000000-3.html#Patient_1-3\">Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)</a></p></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "Ambulatory"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/731000124108",
"code": "11429006",
"display": "Consultation"
}
]
}
],
"subject": {
"reference": "Patient/1-3"
}
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Encounter/8-2-3",
"resource": {
"resourceType": "Encounter",
"id": "8-2-3",
"meta": {
"lastUpdated": "2021-03-15T20:26:23.217+00:00",
"profile": [
"http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Encounter_8-2-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Encounter 8-2-3</b></p><a name=\"8-2-3\"> </a><a name=\"hc8-2-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">Last updated: 2021-03-15 20:26:23+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"http://hl7.org/fhir/us/core/STU7/StructureDefinition-us-core-encounter.html\">US Core Encounter Profile</a></p></div><p><b>status</b>: Finished</p><p><b>class</b>: <a href=\"http://terminology.hl7.org/6.3.0/CodeSystem-v3-ActCode.html#v3-ActCode-AMB\">ActCode: AMB</a> (Ambulatory)</p><p><b>type</b>: <span title=\"Codes:{http://snomed.info/sct 11429006}\">Consultation</span></p><p><b>subject</b>: <a href=\"Bundle-1000000-3.html#Patient_1-3\">Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)</a></p></div>"
},
"status": "finished",
"class": {
"system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
"code": "AMB",
"display": "Ambulatory"
},
"type": [
{
"coding": [
{
"system": "http://snomed.info/sct",
"version": "http://snomed.info/sct/731000124108",
"code": "11429006",
"display": "Consultation"
}
]
}
],
"subject": {
"reference": "Patient/1-3"
}
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Provenance/1000002-1-2-3",
"resource": {
"resourceType": "Provenance",
"id": "1000002-1-2-3",
"meta": {
"versionId": "1",
"lastUpdated": "2021-01-14T19:26:23.217+00:00",
"profile": [
"http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/pdex-provenance"
]
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_1000002-1-2-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance 1000002-1-2-3</b></p><a name=\"1000002-1-2-3\"> </a><a name=\"hc1000002-1-2-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2021-01-14 19:26:23+0000</p><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-pdex-provenance.html\">PDex Provenance</a></p></div><p>Provenance for <a href=\"Bundle-1000000-3.html#https-//example.com/base/Encounter/6-1-2-3\">Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2020-07-10 16:26:23+0000</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"Organization-ProviderOrg1.html\">Organization Provider 1</a></td></tr></table></div>"
},
"target": [
{
"reference": "https://example.com/base/Encounter/6-1-2-3"
}
],
"recorded": "2020-07-10T16:26:23.217+00:00",
"agent": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"
}
]
},
"who": {
"reference": "Organization/ProviderOrg1"
}
}
],
"entity": [
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
"code": "hl7ccda",
"display": "HL7 C-CDA"
}
]
}
}
],
"role": "source",
"what": {
"display": "No reference available"
}
}
]
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Provenance/1000003-1-2-3",
"resource": {
"resourceType": "Provenance",
"id": "1000003-1-2-3",
"meta": {
"versionId": "1",
"lastUpdated": "2021-10-01T20:26:23.217+00:00"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_1000003-1-2-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance 1000003-1-2-3</b></p><a name=\"1000003-1-2-3\"> </a><a name=\"hc1000003-1-2-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2021-10-01 20:26:23+0000</p></div><p>Provenance for <a href=\"Bundle-1000000-3.html#Encounter_7-1-2-3\">Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2020-07-10 16:26:23+0000</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"Organization-ProviderOrg1.html\">Organization Provider 1</a></td></tr></table></div>"
},
"target": [
{
"reference": "Encounter/7-1-2-3"
}
],
"recorded": "2020-07-10T16:26:23.217+00:00",
"agent": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"
}
]
},
"who": {
"reference": "Organization/ProviderOrg1"
}
}
],
"entity": [
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
"code": "hl7ccda",
"display": "HL7 C-CDA"
}
]
}
}
],
"role": "source",
"what": {
"display": "No reference available"
}
}
]
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Provenance/1000005-2",
"resource": {
"resourceType": "Provenance",
"id": "1000005-2",
"meta": {
"versionId": "1",
"lastUpdated": "2021-10-01T20:26:23.217+00:00"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_1000005-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance 1000005-2</b></p><a name=\"1000005-2\"> </a><a name=\"hc1000005-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2021-10-01 20:26:23+0000</p></div><p>Provenance for <a href=\"Bundle-1000000-3.html#Encounter_8-2-3\">Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2021-03-10 16:26:23+0000</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"Organization-ProviderOrg1.html\">Organization Provider 1</a></td></tr></table></div>"
},
"target": [
{
"reference": "Encounter/8-2-3"
}
],
"recorded": "2021-03-10T16:26:23.217+00:00",
"agent": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"
}
]
},
"who": {
"reference": "Organization/ProviderOrg1"
}
}
],
"entity": [
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
"code": "hl7ccda",
"display": "HL7 C-CDA"
}
]
}
}
],
"role": "source",
"what": {
"display": "No reference available"
}
}
]
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Provenance/1000004-1-2-3",
"resource": {
"resourceType": "Provenance",
"id": "1000004-1-2-3",
"meta": {
"versionId": "1",
"lastUpdated": "2019-12-31T20:26:23.217+00:00"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_1000004-1-2-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance 1000004-1-2-3</b></p><a name=\"1000004-1-2-3\"> </a><a name=\"hc1000004-1-2-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2019-12-31 20:26:23+0000</p></div><p>Provenance for: </p><ul><li><a href=\"Bundle-1000000-3.html#Patient_1-3\">Johnny Appleseed Male, DoB: 1986-01-01 ( Member Number)</a></li><li><a href=\"Bundle-1000000-3.html#Encounter_6-1-2-3\">Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation</a></li><li><a href=\"Bundle-1000000-3.html#Encounter_7-1-2-3\">Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation</a></li><li><a href=\"Bundle-1000000-3.html#Provenance_1000002-1-2-3\">Provenance for ->Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation </a></li><li><a href=\"Bundle-1000000-3.html#Provenance_1000003-1-2-3\">Provenance for ->Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation </a></li></ul><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2019-12-31 20:26:23+0000</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>Role</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type transmitter}\">Transmitter</span></td><td/><td><a href=\"Organization-Payer1.html\">Organization Payer 1</a></td></tr></table></div>"
},
"target": [
{
"reference": "Patient/1-3"
},
{
"reference": "Encounter/6-1-2-3"
},
{
"reference": "Encounter/7-1-2-3"
},
{
"reference": "Provenance/1000002-1-2-3"
},
{
"reference": "Provenance/1000003-1-2-3"
}
],
"recorded": "2019-12-31T20:26:23.217+00:00",
"agent": [
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
"code": "transmitter",
"display": "Transmitter"
}
]
},
"role": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
"code": "TRANS"
}
]
}
],
"who": {
"reference": "Organization/Payer1"
}
}
]
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Provenance/1000004-2",
"resource": {
"resourceType": "Provenance",
"id": "1000004-2",
"meta": {
"versionId": "1",
"lastUpdated": "2020-06-15T20:26:23.217+00:00"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_1000004-2\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance 1000004-2</b></p><a name=\"1000004-2\"> </a><a name=\"hc1000004-2\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2020-06-15 20:26:23+0000</p></div><p>Provenance for: </p><ul><li><a href=\"Bundle-1000000-3.html#Encounter_8-2-3\">Encounter: status = finished; class = Ambulatory (ActCode#AMB); type = Consultation</a></li><li><a href=\"Bundle-1000000-2.html#Provenance_1000005-2\">Provenance for ->Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000 </a></li></ul><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2020-06-15 20:26:23+0000</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"Organization-ProviderOrg1.html\">Organization Provider 1</a></td></tr></table></div>"
},
"target": [
{
"reference": "Encounter/8-2-3"
},
{
"reference": "Provenance/1000005-2"
}
],
"recorded": "2020-06-15T20:26:23.217+00:00",
"agent": [
{
"type": {
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
"code": "author",
"display": "Author"
}
]
},
"who": {
"reference": "Organization/ProviderOrg1"
}
}
],
"entity": [
{
"extension": [
{
"url": "http://hl7.org/fhir/us/davinci-pdex/StructureDefinition/ProvenanceSourceFrom",
"valueCodeableConcept": {
"coding": [
{
"system": "http://hl7.org/fhir/us/davinci-pdex/CodeSystem/ProvenancePayerDataSource",
"code": "hl7ccda",
"display": "HL7 C-CDA"
}
]
}
}
],
"role": "source",
"what": {
"display": "No reference available"
}
}
]
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Provenance/1000005-2-3",
"resource": {
"resourceType": "Provenance",
"id": "1000005-2-3",
"meta": {
"versionId": "1",
"lastUpdated": "2020-12-31T20:26:23.217+00:00"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_1000005-2-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance 1000005-2-3</b></p><a name=\"1000005-2-3\"> </a><a name=\"hc1000005-2-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2020-12-31 20:26:23+0000</p></div><p>Provenance for <a href=\"Bundle-1000000-2.html\">Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2019-12-31 20:26:23+0000</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>Role</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type transmitter}\">Transmitter</span></td><td/><td><a href=\"Organization-Payer1.html\">Organization Payer 1</a></td></tr></table></div>"
},
"target": [
{
"reference": "Bundle/1000000-2"
}
],
"recorded": "2019-12-31T20:26:23.217+00:00",
"agent": [
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
"code": "transmitter",
"display": "Transmitter"
}
]
},
"role": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
"code": "TRANS"
}
]
}
],
"who": {
"reference": "Organization/Payer1"
}
}
]
},
"response": {
"status": "200"
}
},
{
"fullUrl": "https://example.com/base/Provenance/1000006-3",
"resource": {
"resourceType": "Provenance",
"id": "1000006-3",
"meta": {
"versionId": "1",
"lastUpdated": "2020-12-31T20:26:23.217+00:00"
},
"text": {
"status": "generated",
"div": "<div xmlns=\"http://www.w3.org/1999/xhtml\"><a name=\"Provenance_1000006-3\"> </a><p class=\"res-header-id\"><b>Generated Narrative: Provenance 1000006-3</b></p><a name=\"1000006-3\"> </a><a name=\"hc1000006-3\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\">version: 1; Last updated: 2020-12-31 20:26:23+0000</p></div><p>Provenance for <a href=\"Bundle-1000000-2.html\">Bundle: type = transaction-response; timestamp = 2019-12-31 20:26:23+0000</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2019-12-31 20:26:23+0000</td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>Role</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type transmitter}\">Transmitter</span></td><td/><td><a href=\"Organization-Payer1.html\">Organization Payer 1</a></td></tr></table></div>"
},
"target": [
{
"reference": "Bundle/1000000-2"
}
],
"recorded": "2019-12-31T20:26:23.217+00:00",
"agent": [
{
"type": {
"coding": [
{
"system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-provenance-participant-type",
"code": "transmitter",
"display": "Transmitter"
}
]
},
"role": [
{
"coding": [
{
"system": "http://terminology.hl7.org/CodeSystem/contractsignertypecodes",
"code": "TRANS"
}
]
}
],
"who": {
"reference": "Organization/Payer1"
}
}
]
},
"response": {
"status": "200"
}
}
]
}