<?xml version=“1.0” encoding=“UTF-8”?><Provenance xmlns=“hl7.org/fhir”>

<id value="example"/>
<text>
  <status value="generated"/>
  <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="Procedure/example/_history/1"/>
</target>
<period>
  <start value="2015-06-27"/>
</period>
<recorded value="2015-06-27T08:39:24+10:00"/>
<reason>
  <coding>
    <system value="http://snomed.info/sct"/>
    <code value="3457005"/>
    <display value="Referral"/>
  </coding>
  <text value="Accepting a referral"/>
</reason>
<location>
  <reference value="Location/1"/>
</location>
<!--  reference to a patient consent to share inforamtion  -->
<policy value="http://acme.com/fhir/Consent/25"/>

<!--  author = Harold Hippocrates  -->
<agent>
  <role>
    <system value="http://hl7.org/fhir/provenance-participant-role"/>
    <code value="author"/>
  </role>
  <actor>
    <reference value="Practitioner/xcda-author"/>
  </actor>
  <!--  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  -->
  <userId>
    <system value="http://acme.com/fhir/users/sso"/>      
    <value value="hhd"/>
  </userId>
  <relatedAgent>
    <type>
      <text value="used"/>
    </type>
    <target value="#a1"/>
  </relatedAgent>
</agent>
<!--  device = software Harold used  -->
<agent id="a1">
  <role>
    <system value="http://hl7.org/fhir/v3/ParticipationType"/>
    <code value="DEV"/>
  </role>
  <actor>
    <reference value="Device/software"/>
  </actor>
</agent>
<!--  information extract from a CCDA referral document  -->
<entity>
  <role value="source"/>
  <!--  this code is extracted from the CDA source document  -->
  <type>
    <system value="http://loinc.org"/>
    <code value="57133-1"/>
    <display value="Referral note"/>      
  </type>
  <!--  
    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!)

    Note that though this is a URI, so that you can reference
    outside FHIR, you can also put a standard FHIR reference 
    here as well
   -->
  <reference value="DocumentReference/90f55916-9d15-4b8f-87a9-2d7ade8670c8"/>    
  <display value="CDA Document in XDS repository"/>
</entity>

</Provenance>