{
  "resourceType" : "Provenance",
  "id" : "ExampleERefProvenanceSignature",
  "meta" : {
    "profile" : ["urn://example.com/ph-ereferral/fhir/StructureDefinition/ereferral-provenance"]
  },
  "language" : "en",
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Provenance ExampleERefProvenanceSignature</b></p><a name=\"ExampleERefProvenanceSignature\"> </a><a name=\"hcExampleERefProvenanceSignature\"> </a><div style=\"display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%\"><p style=\"margin-bottom: 0px\"/><p style=\"margin-bottom: 0px\">Profile: <a href=\"StructureDefinition-ereferral-provenance.html\">EReferral Provenance</a></p></div><p>Provenance for <a href=\"ServiceRequest-ExampleERefServiceRequestMinimal.html\">ServiceRequest Referral to specialist</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2025-03-15 09:30:00+0800</td></tr><tr><td>Activity</td><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/v3-ActCode CREATE}\">create</span></td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td><td><b>On Behalf Of</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type author}\">Author</span></td><td><a href=\"PractitionerRole-ExampleERefPractitionerRoleMinimal.html\">PractitionerRole Medical practitioner</a></td><td><a href=\"Organization-ExampleERefOrganizationMinimal.html\">Organization Rural Health Unit - Barangay Health Center</a></td></tr></table></div>"
  },
  "target" : [{
    "reference" : "ServiceRequest/ExampleERefServiceRequestMinimal"
  }],
  "recorded" : "2025-03-15T09:30:00+08:00",
  "activity" : {
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-ActCode",
      "code" : "CREATE",
      "display" : "create"
    }]
  },
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
        "code" : "author",
        "display" : "Author"
      }]
    },
    "who" : {
      "reference" : "PractitionerRole/ExampleERefPractitionerRoleMinimal"
    },
    "onBehalfOf" : {
      "reference" : "Organization/ExampleERefOrganizationMinimal"
    }
  }],
  "signature" : [{
    "type" : [{
      "system" : "urn:iso-astm:E1762-95:2013",
      "code" : "1.2.840.10065.1.12.1.5",
      "display" : "Signature"
    }],
    "when" : "2025-03-15T09:30:00+08:00",
    "who" : {
      "reference" : "PractitionerRole/ExampleERefPractitionerRoleMinimal"
    },
    "sigFormat" : "application/signature+xml",
    "data" : "dGVzdHNpZ25hdHVyZWJhc2U2NA=="
  }]
}