{
  "resourceType": "Provenance",
  "id": "example-create-consent",
  "target": [
    {
      "reference": "Consent/consent-example-basic/_history/1"
    }
  ],
  "recorded": "2021-09-10T07:08:21.722+00:00",
  "activity": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
        "code": "CREATE",
        "display": "create"
      }
    ]
  },
  "patient": {
    "reference": "Patient/example"
  },
  "agent": [
    {
      "type": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
            "code": "assembler",
            "display": "Assembler"
          }
        ]
      },
      "who": {
        "display": "LEAP Consent Management Service"
      }
    }
  ],
  "entity": [
    {
      "role": "source",
      "what": {
        "reference": "http://example.org/fhir/QuestionnaireResponse/some-questionnaire-response"
      }
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}