Example Provenance - Demographics As Recorded Extension

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Provenance
Provenance.id[0]Example-DataStandardsWales-Provenance-DemographicsAsRecorded
Provenance.meta[0].profile[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Provenance
Provenance.extension[0].extension[0].url[0]identifier
Provenance.extension[0].extension[0].value[0].system[0]https://fhir.abuhb.nhs.wales/Id/pas-identifier
Provenance.extension[0].extension[0].value[0].value[0]10222AB
Provenance.extension[0].extension[1].url[0]name
Provenance.extension[0].extension[1].value[0].family[0]JONES
Provenance.extension[0].extension[1].value[0].given[0]JANE
Provenance.extension[0].extension[1].value[0].prefix[0]Mrs
Provenance.extension[0].extension[2].url[0]gender
Provenance.extension[0].extension[2].value[0]female
Provenance.extension[0].extension[3].url[0]birthDate
Provenance.extension[0].extension[3].value[0]1985-04-21
Provenance.extension[0].extension[4].url[0]address
Provenance.extension[0].extension[4].value[0].line[0]200 Mackintosh Place
Provenance.extension[0].extension[4].value[0].line[1]Cardiff
Provenance.extension[0].extension[4].value[0].postalCode[0]CF1 9LA
Provenance.extension[0].url[0]https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-CDR-demographicsAsRecorded
Provenance.target[0].reference[0]Observation/aa2c3a80-c514-400c-98b0-d65a99c4b0c5
Provenance.target[0].display[0]Test result - Globulin 45 g/L
Provenance.recorded[0]2024-08-08T08:06:07.046012+00:00
Provenance.activity[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle
Provenance.activity[0].coding[0].code[0]verify
Provenance.activity[0].coding[0].display[0]Verify Record Lifecycle Event
Provenance.agent[0].type[0].coding[0].system[0]http://terminology.hl7.org/CodeSystem/provenance-participant-type
Provenance.agent[0].type[0].coding[0].code[0]composer
Provenance.agent[0].type[0].coding[0].display[0]Composer
Provenance.agent[0].who[0].reference[0]Device/Example-DataStandardsWales-Device-WPAS
Provenance.agent[0].who[0].display[0]ABUHB WPAS
<Provenance xmlns="http://hl7.org/fhir">
    <id value="Example-DataStandardsWales-Provenance-DemographicsAsRecorded" />
    <meta>
        <profile value="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Provenance" />
    </meta>
    <extension url="https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-CDR-demographicsAsRecorded">
        <extension url="identifier">
            <valueIdentifier>
                <system value="https://fhir.abuhb.nhs.wales/Id/pas-identifier" />
                <value value="10222AB" />
            </valueIdentifier>
        </extension>
        <extension url="name">
            <valueHumanName>
                <family value="JONES" />
                <given value="JANE" />
                <prefix value="Mrs" />
            </valueHumanName>
        </extension>
        <extension url="gender">
            <valueCode value="female" />
        </extension>
        <extension url="birthDate">
            <valueDate value="1985-04-21" />
        </extension>
        <extension url="address">
            <valueAddress>
                <line value="200 Mackintosh Place" />
                <line value="Cardiff" />
                <postalCode value="CF1 9LA" />
            </valueAddress>
        </extension>
    </extension>
    <target>
        <reference value="Observation/aa2c3a80-c514-400c-98b0-d65a99c4b0c5" />
        <display value="Test result - Globulin 45 g/L" />
    </target>
    <recorded value="2024-08-08T08:06:07.046012Z" />
    <activity>
        <coding>
            <system value="http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle" />
            <code value="verify" />
            <display value="Verify Record Lifecycle Event" />
        </coding>
    </activity>
    <agent>
        <type>
            <coding>
                <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type" />
                <code value="composer" />
                <display value="Composer" />
            </coding>
        </type>
        <who>
            <reference value="Device/Example-DataStandardsWales-Device-WPAS" />
            <display value="ABUHB WPAS" />
        </who>
    </agent>
</Provenance>

{
    "resourceType": "Provenance",
    "id": "Example-DataStandardsWales-Provenance-DemographicsAsRecorded",
    "meta": {
        "profile":  [
            "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-Provenance"
        ]
    },
    "extension":  [
        {
            "extension":  [
                {
                    "url": "identifier",
                    "valueIdentifier": {
                        "system": "https://fhir.abuhb.nhs.wales/Id/pas-identifier",
                        "value": "10222AB"
                    }
                },
                {
                    "url": "name",
                    "valueHumanName": {
                        "family": "JONES",
                        "given":  [
                            "JANE"
                        ],
                        "prefix":  [
                            "Mrs"
                        ]
                    }
                },
                {
                    "url": "gender",
                    "valueCode": "female"
                },
                {
                    "url": "birthDate",
                    "valueDate": "1985-04-21"
                },
                {
                    "url": "address",
                    "valueAddress": {
                        "line":  [
                            "200 Mackintosh Place",
                            "Cardiff"
                        ],
                        "postalCode": "CF1 9LA"
                    }
                }
            ],
            "url": "https://fhir.nhs.wales/StructureDefinition/DataStandardsWales-CDR-demographicsAsRecorded"
        }
    ],
    "target":  [
        {
            "reference": "Observation/aa2c3a80-c514-400c-98b0-d65a99c4b0c5",
            "display": "Test result - Globulin 45 g/L"
        }
    ],
    "recorded": "08/08/2024 08:06:07",
    "activity": {
        "coding":  [
            {
                "system": "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle",
                "code": "verify",
                "display": "Verify Record Lifecycle Event"
            }
        ]
    },
    "agent":  [
        {
            "type": {
                "coding":  [
                    {
                        "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
                        "code": "composer",
                        "display": "Composer"
                    }
                ]
            },
            "who": {
                "reference": "Device/Example-DataStandardsWales-Device-WPAS",
                "display": "ABUHB WPAS"
            }
        }
    ]
}