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Source1

{
  "resourceType": "Provenance",
  "id": "Provenance-NonWGSTestOrderFormCancellation-Example",
  "target": [
    {
      "reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderForm-MarkInErrorUpdated-Example"
    }
  ],
  "recorded": "2023-08-08T15:43:00Z",
  "reason": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
          "code": "NOREQ",
          "display": "no longer required for treatment"
        }
      ]
    }
  ],
  "activity": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
        "code": "CANCEL",
        "display": "cancel"
      }
    ]
  },
  "agent": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code": "author",
            "display": "Author"
          }
        ]
      },
      "who": {
        "reference": "PractitionerRole/PractitionerRole-GeneSmithENT-Example",
        "identifier": {
          "system": "https://fhir.nhs.uk/Id/sds-user-id",
          "value": "9999999997"
        }
      }
    }
  ],
  "entity": [
    {
      "role": "source",
      "what": {
        "reference": "ServiceRequest/ServiceRequest-NonWGSTestOrderFormUpdated-Cancellation-Example"
      }
    }
  ],
  "signature": [
    {
      "type": [
        {
          "system": "urn:iso-astm:E1762-95:2013",
          "code": "1.2.840.10065.1.12.1.15",
          "display": "Addendum Signature"
        }
      ],
      "when": "2023-08-08T15:43:00Z",
      "who": {
        "reference": "PractitionerRole/PractitionerRole-GeneSmithENT-Example",
        "identifier": {
          "system": "https://fhir.nhs.uk/Id/sds-user-id",
          "value": "9999999997"
        }
      },
      "data": "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"
    }
  ]
}