<Provenance xmlns="http://hl7.org/fhir"><id value="consent-signature"/><target><reference value="Consent/consent-example-basic/_history/1"/></target><recorded value="2016-05-26T00:41:10-04:00"/><activity><coding><system value="http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion"/><code value="AU"/><display value="authenticated"/></coding></activity><patient><reference value="Patient/example"/></patient><agent><role><coding><system value="http://terminology.hl7.org/CodeSystem/v3-ParticipationType"/><code value="AUT"/></coding></role><who><reference value="Patient/72"/></who></agent><signature><type><system value="urn:iso-astm:E1762-95:2013"/><code value="1.2.840.10065.1.12.1.1"/><display value="Author's Signature"/></type><when value="2016-05-26T00:41:10-04:00"/><who><reference value="Patient/72"/></who><targetFormat value="application/fhir+xml"/><sigFormat value="application/signature+xml"/><data value="dGhpcyBibG9iIGlzIHNuaXBwZWQ="/></signature></Provenance>