<?xml version="1.0" encoding="UTF-8"?>

<Provenance xmlns="http://hl7.org/fhir">  
    <id value="C72AYMVSYWJH4FO4"/>  
    <meta> 
        <security> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>  
            <code value="HTEST"/>  
            <display value="test health data"/> 
        </security> 
    </meta>  
    <text> 
        <status value="generated"/>  
        <div xmlns="http://www.w3.org/1999/xhtml">procedure record authored on 27-June 2015 by Harold Hippocrates, MD.</div> 
    </text>  
    <target> 
        <reference value="Procedure/C72AYMSJNM2HRC5X"/> 
    </target>  
    <occurredPeriod> 
        <start value="2021-06-27"/>  
        <end value="2021-06-28"/> 
    </occurredPeriod>  
    <recorded value="2021-06-27T08:39:24+10:00"/>  
    <policy value="http://acme.com/fhir/Consent/25"/>  
    <reason> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>  
            <code value="CAREMGT"/>  
            <display value="care management"/> 
        </coding> 
    </reason>  
    <activity> 
        <coding> 
            <system value="http://terminology.hl7.org/CodeSystem/v3-DocumentCompletion"/>  
            <code value="LA"/>  
            <display value="legally authenticated"/> 
        </coding> 
    </activity>  
    <agent> 
        <type> 
            <coding> 
                <system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>  
                <code value="performer"/> 
            </coding> 
        </type>  
        <who> 
            <reference value="Practitioner/C72AYMOL5LEP5IPM"/> 
        </who>  
        <onBehalfOf> 
            <reference value="Patient/C72AYMMP7XHZTFSN"/> 
        </onBehalfOf> 
    </agent>  
    <entity> 
        <role value="source"/>  
        <what> 
            <reference value="Consent/C72AYMQK6MRW4YOA"/>  
            <display value="Consent granted for procedure"/> 
        </what> 
    </entity> 
</Provenance>