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Source1

{
  "resourceType": "Provenance",
  "id": "provenance-single-example",
  "meta": {
    "profile": [
      "http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-provenance"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "target": [
    {
      "reference": "Observation/observation-single-example"
    }
  ],
  "occurredDateTime": "2012-09-17T08:30:00+08:00",
  "recorded": "2012-09-17T08:30:15+08:00",
  "reason": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code": "TREAT",
          "display": "treatment"
        }
      ]
    }
  ],
  "activity": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
        "code": "CREATE",
        "display": "create"
      }
    ]
  },
  "agent": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code": "author",
            "display": "Author"
          }
        ]
      },
      "who": {
        "reference": "Practitioner/practitioner-single-example"
      },
      "onBehalfOf": {
        "reference": "Organization/organization-single-example"
      }
    }
  ],
  "signature": [
    {
      "type": [
        {
          "system": "urn:iso-astm:E1762-95:2013",
          "code": "1.2.840.10065.1.12.1.1",
          "display": "Author's Signature"
        }
      ],
      "when": "2012-09-17T08:30:15+08:00",
      "who": {
        "reference": "Practitioner/practitioner-single-example"
      },
      "targetFormat": "xml",
      "sigFormat": "xml",
      "data": "dGhpcyBibG9iIGlzIHNuZWFrZWQ="
    }
  ]
}