340B FHIR Exchange Implementation Guide
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340B FHIR Exchange Implementation Guide - Local Development build (v0.1.0-ballot) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

: provenance-001 - JSON Representation

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{
  "resourceType" : "Provenance",
  "id" : "provenance-001",
  "meta" : {
    "profile" : [
      🔗 "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-provenance"
    ]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Provenance provenance-001</b></p><a name=\"provenance-001\"> </a><a name=\"hcprovenance-001\"> </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\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-340b-provenance.html\">340B Provenance Profile</a></p></div><p>Provenance for <a href=\"ClaimResponse-claimresponse-example-ruleset.html\">ClaimResponse: extension = corr-cb-7721,tx-cb-7721,1.2.0,https://exchange.example.org/manufacturers#mfr-77; identifier = https://exchange.example.org/claimresponse-ids#cr-7721; status = active; type = Pharmacy; use = claim; created = 2026-04-24; outcome = complete</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2026-04-24 15:05:00+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-manufacturer-77.html\">Organization Example Manufacturer 77</a></td></tr></table></div>"
  },
  "extension" : [
    {
      "url" : "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-exchange-transaction-id",
      "valueString" : "tx-1001"
    },
    {
      "url" : "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-rule-set-version",
      "valueString" : "1.2.0"
    }
  ],
  "target" : [
    {
      🔗 "reference" : "ClaimResponse/claimresponse-example-ruleset"
    }
  ],
  "recorded" : "2026-04-24T15:05:00Z",
  "reason" : [
    {
      "coding" : [
        {
          "system" : "https://exchange.example.org/fhir/ig/340b-exchange/CodeSystem/340b-event-type",
          "code" : "chargeback-adjudicated",
          "display" : "Chargeback Adjudicated"
        }
      ]
    }
  ],
  "agent" : [
    {
      "type" : {
        "coding" : [
          {
            "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code" : "author"
          }
        ]
      },
      "who" : {
        🔗 "reference" : "Organization/manufacturer-77"
      }
    }
  ]
}