---
type: "example"
title: "Provenance Example: provenance-example-create-consent"
resource: "Provenance"
example: "provenance-example-create-consent"
---
# Provenance Example: provenance-example-create-consent

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<Provenance xmlns="http://hl7.org/fhir">
	<id value="example-create-consent"/>

	<target>
		<reference value="Consent/consent-example-basic/_history/1"/>
	</target>
	<recorded value="2021-09-10T07:08:21.722+00:00"/>
	<activity>
		<coding>
			<system value="http://terminology.hl7.org/CodeSystem/v3-DataOperation"/>
			<code value="CREATE"/>
			<display value="create"/>
		</coding>
	</activity>
	<patient>
		<reference value="Patient/example"/>
	</patient>
	<agent>
		<type>
			<coding>
				<system value="http://terminology.hl7.org/CodeSystem/provenance-participant-type"/>
				<code value="assembler"/>
				<display value="Assembler"/>
			</coding>
		</type>
		<who>
			<display value="LEAP Consent Management Service"/>
		</who>
	</agent>
	<entity>
		<role value="source"/>
		<what>
			<reference value="http://example.org/fhir/QuestionnaireResponse/some-questionnaire-response"/>
		</what>
	</entity>
</Provenance>
```