{
  "resourceType": "ExplanationOfBenefit",
  "id": "example-ExplanationOfBenefit-expenses",
  "contained": [
    {
      "resourceType": "Provenance",
      "id": "1",
      "target": [
        {
          "reference": "#"
        }
      ],
      "occurredDateTime": "2021-11-22T19:52:27.94433+00:00",
      "activity": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
            "code": "CREATE"
          }
        ]
      },
      "agent": [
        {
          "who": {
            "identifier": {
              "system": "https://bpcs.exchange/fhir/NamingSystem/userids",
              "value": "M_MBPCS"
            }
          }
        }
      ]
    },
    {
      "resourceType": "Provenance",
      "id": "2",
      "target": [
        {
          "reference": "#"
        }
      ],
      "occurredDateTime": "2023-09-18T17:07:22.796796+00:00",
      "activity": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-DataOperation",
            "code": "UPDATE"
          }
        ]
      },
      "agent": [
        {
          "who": {
            "identifier": {
              "system": "https://bpcs.exchange/fhir/NamingSystem/userids",
              "value": "M_MBPCS"
            }
          }
        }
      ]
    }
  ],
  "status": "active",
  "type": {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/claim-type",
        "code": "pharmacy"
      }
    ]
  },
  "use": "claim",
  "patient": {
    "reference": "Patient/example-Patient"
  },
  "created": "2023-08-16T17:27:37+00:00",
  "insurer": {
    "reference": "Organization/bpcs"
  },
  "outcome": "complete",
  "total": [
    {
      "category": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/adjudication",
            "code": "eligible"
          }
        ]
      },
      "amount": {
        "value": 123
      }
    }
  ],
  "benefitPeriod": {
    "start": "2022-08-01",
    "end": "2023-07-31"
  }
}