{
  "resourceType" : "Provenance",
  "id" : "provenance-001",
  "meta" : {
    "profile" : ["https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-provenance"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p class=\"res-header-id\"><b>Generated Narrative: Provenance provenance-001</b></p><a name=\"provenance-001\"> </a><a name=\"hcprovenance-001\"> </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-340b-provenance.html\">340B Provenance Profile</a></p></div><p>Provenance for <a href=\"ClaimResponse-claimresponse-example-ruleset.html\">ClaimResponse: extension = corr-cb-7721,tx-cb-7721,1.2.0,https://exchange.example.org/manufacturers#mfr-77; identifier = https://exchange.example.org/claimresponse-ids#cr-7721; status = active; type = Pharmacy; use = claim; created = 2026-04-24; outcome = complete</a></p><p>Summary</p><table class=\"grid\"><tr><td>Recorded</td><td>2026-04-24 15:05:00+0000</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 author}\">Author</span></td><td><a href=\"Organization-manufacturer-77.html\">Organization Example Manufacturer 77</a></td></tr></table></div>"
  },
  "extension" : [{
    "url" : "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-exchange-transaction-id",
    "valueString" : "tx-1001"
  },
  {
    "url" : "https://exchange.example.org/fhir/ig/340b-exchange/StructureDefinition/340b-rule-set-version",
    "valueString" : "1.2.0"
  }],
  "target" : [{
    "reference" : "ClaimResponse/claimresponse-example-ruleset"
  }],
  "recorded" : "2026-04-24T15:05:00Z",
  "reason" : [{
    "coding" : [{
      "system" : "https://exchange.example.org/fhir/ig/340b-exchange/CodeSystem/340b-event-type",
      "code" : "chargeback-adjudicated",
      "display" : "Chargeback Adjudicated"
    }]
  }],
  "agent" : [{
    "type" : {
      "coding" : [{
        "system" : "http://terminology.hl7.org/CodeSystem/provenance-participant-type",
        "code" : "author"
      }]
    },
    "who" : {
      "reference" : "Organization/manufacturer-77"
    }
  }]
}