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Source1

{
  "resourceType": "Provenance",
  "id": "ExampleEstablishmentFHIRtoSPLProvenance",
  "meta": {
    "profile": [
      "http://hl7.org/fhir/us/spl/StructureDefinition/DualSubmissionProvenance"
    ]
  },
  "text": {
    "status": "generated",
    "div": "<!-- snip (see above) -->"
  },
  "target": [
    {
      "reference": "DocumentReference/ExampleSPLDocumentReference"
    }
  ],
  "occurredDateTime": "2021-04-21",
  "recorded": "2021-04-21T14:28:00.00+06:00",
  "activity": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
        "code": "CREATE"
      },
      {
        "system": "http://loinc.org",
        "code": "51725-0"
      }
    ]
  },
  "agent": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code": "assembler"
          }
        ]
      },
      "who": {
        "display": "SPL To FHIR Converter Program"
      }
    }
  ],
  "entity": [
    {
      "role": "source",
      "what": {
        "reference": "Organization/ExampleEstablishmentRegistrant"
      }
    },
    {
      "role": "source",
      "what": {
        "reference": "Organization/ExampleEstablishment"
      }
    }
  ]
}