{

"resourceType": "Provenance",
"id": "consent-signature",
"target": [
  {
    "reference": "Consent/consent-example-signature"
  }
],
"recorded": "2016-05-26T00:41:10-04:00",
"agent": [
  {
    "role": [
      {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ParticipationType",
            "code": "AUT"
          }
        ]
      }
    ],
    "who": {
      "reference": "Patient/72"
    }
  }
],
"signature": [
  {
    "type": [
      {
        "system": "urn:iso-astm:E1762-95:2013",
        "code": "1.2.840.10065.1.12.1.1",
        "display": "Author's Signature"
      }
    ],
    "when": "2016-05-26T00:41:10-04:00",
    "who": {
      "reference": "Patient/72"
    },
    "targetFormat": "application/fhir+xml",
    "sigFormat": "application/signature+xml",
    "data": "dGhpcyBibG9iIGlzIHNuaXBwZWQ="
  }
],
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}