General Provenance Example - data extracted from CDA document from XDS

{
  "resourceType" : "Provenance",
  "id" : "example",
  "target" : [{
    "reference" : "Procedure/example/_history/1"
  }],
  "occurredPeriod" : {
    "start" : "2015-06-27",
    "end" : "2015-06-28"
  },
  "recorded" : "2015-06-27T08:39:24+10:00",
  "policy" : ["http://acme.com/fhir/Consent/25"],
  "location" : {
    "reference" : "Location/1"
  },
  "activity" : {
    "coding" : [{
      "system" : "http://snomed.info/sct",
      "code" : "3457005",
      "display" : "Referral"
    }]
  },
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
        "code" : "AUT"
      }]
    },
    "who" : {
      "reference" : "Practitioner/xcda-author"
    }
  },
  {
    "id" : "a1",
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
        "code" : "DEV"
      }]
    },
    "who" : {
      "display" : "Device/software"
    }
  }],
  "entity" : [{
    "role" : "source",
    "what" : {
      "reference" : "DocumentReference/example",
      "display" : "CDA Document in XDS repository"
    }
  }]
}