{
  "resourceType" : "Provenance",
  "id" : "prov-005",
  "meta" : {
    "profile" : ["http://fhir.tiro.health/StructureDefinition/form-provenance"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Provenance prov-005</b></p><a name=\"prov-005\"> </a><a name=\"hcprov-005\"> </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-form-provenance.html\">Form Provenance</a></p></div><p>Provenance for <a href=\"QuestionnaireResponse-qr-123.html\">Response to Questionnaire 'http://fhir.tiro.health/Questionnaire/example' about 'Unspecified Subject'</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2025-10-29 10:35:00+0000</td></tr><tr><td>Activity</td><td><span title=\"Codes:{http://fhir.tiro.health/CodeSystem/form-activity preset}, {http://fhir.tiro.health/CodeSystem/form-activity static}, {http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle originate}\">Preset</span></td></tr></table><p><b>Agents</b></p><table class=\"grid\"><tr><td><b>Type</b></td><td><b>who</b></td></tr><tr><td><span title=\"Codes:{http://terminology.hl7.org/CodeSystem/provenance-participant-type assembler}\">Assembler</span></td><td><a href=\"Device-atticus-preset-engine.html\">Device: displayName = Atticus Preset Engine</a></td></tr></table></div>"
  },
  "target" : [{
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/targetElement",
      "valueUri" : "item-555"
    }],
    "reference" : "QuestionnaireResponse/qr-123"
  }],
  "recorded" : "2025-10-29T10:35:00Z",
  "activity" : {
    "coding" : [{
      "system" : "http://fhir.tiro.health/CodeSystem/form-activity",
      "code" : "preset",
      "display" : "Preset"
    },
    {
      "system" : "http://fhir.tiro.health/CodeSystem/form-activity",
      "code" : "static",
      "display" : "Static value"
    },
    {
      "system" : "http://terminology.hl7.org/CodeSystem/iso-21089-lifecycle",
      "code" : "originate",
      "display" : "Originate/Retain Record Lifecycle Event"
    }]
  },
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
        "code" : "assembler",
        "display" : "Assembler"
      }]
    },
    "who" : {
      "reference" : "Device/atticus-preset-engine"
    }
  }],
  "entity" : [{
    "role" : "source",
    "what" : {
      "reference" : "Basic/preset-mri-protocol",
      "display" : "MRI Protocol Preset"
    }
  }]
}