{
  "resourceType": "Provenance",
  "id": "example1",
  "target": [
    {
      "extension": [
        {
          "url": "http://hl7.org/fhir/StructureDefinition/targetElement",
          "valueUri": "n1"
        }
      ],
      "reference": "Patient/pat3/_history/1"
    }
  ],
  "recorded": "2021-12-07T12:23:45+11:00",
  "agent": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code": "INF"
          }
        ]
      },
      "who": {
        "reference": "Patient/pat3"
      }
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}