<DocumentReference xmlns="http://hl7.org/fhir">
    <id value="core-examples-DocumentReference-example" />
    <meta>
        <versionId value="1" />
        <lastUpdated value="2016-09-08T11:58:21.35+00:00" />
    </meta>
    <text>
        <status value="generated" />
        --- We have skipped the narrative for better readability of the resource ---
    </text>
    <contained>
        <Practitioner>
            <id value="a2" />
            <name>
                <family value="Smitty" />
                <given value="Gerald" />
            </name>
            <practitionerRole>
                <managingOrganization>
                    <display value="Cleveland Clinic" />
                </managingOrganization>
                <role>
                    <text value="Attending" />
                </role>
                <specialty>
                    <text value="Orthopedic" />
                </specialty>
            </practitionerRole>
        </Practitioner>
    </contained>
    <masterIdentifier>
        <system value="urn:ietf:rfc:3986" />
        <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7" />
    </masterIdentifier>
    <identifier>
        <system value="urn:ietf:rfc:3986" />
        <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234" />
    </identifier>
    <subject>
        <reference value="Patient/xcda" />
    </subject>
    <type>
        <coding>
            <system value="http://loinc.org/" />
            <code value="34108-1" />
            <display value="Outpatient Note" />
        </coding>
    </type>
    <class>
        <coding>
            <system value="http://ihe.net/xds/connectathon/classCodes" />
            <code value="History and Physical" />
            <display value="History and Physical" />
        </coding>
    </class>
    <author>
        <reference value="Practitioner/xcda1" />
    </author>
    <author>
        <reference value="#a2" />
    </author>
    <custodian>
        <reference value="Organization/organization-example" />
    </custodian>
    <authenticator>
        <reference value="Organization/organization-example" />
    </authenticator>
    <created value="2005-12-24T09:35:00+11:00" />
    <indexed value="2005-12-24T09:43:41+11:00" />
    <status value="current" />
    <docStatus>
        <coding>
            <system value="http://hl7.org/fhir/composition-status" />
            <code value="preliminary" />
            <display value="preliminary" />
        </coding>
    </docStatus>
    <relatesTo>
        <code value="appends" />
        <target>
            <reference value="DocumentReference/example" />
        </target>
    </relatesTo>
    <description value="Physical" />
    <securityLabel>
        <coding>
            <system value="http://hl7.org/fhir/v3/Confidentiality" />
            <code value="V" />
            <display value="very restricted" />
        </coding>
    </securityLabel>
    <content>
        <attachment>
            <contentType value="application/hl7-v3+xml" />
            <language value="en-US" />
            <url value="http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510" />
            <size value="3654" />
            <hash value="2jmj7l5rSw0yVb/vlWAYkK/YBwk=" />
        </attachment>
        <format>
            <system value="urn:oid:1.3.6.1.4.1.19376.1.2.3" />
            <code value="urn:ihe:pcc:handp:2008" />
            <display value="History and Physical Specification" />
        </format>
    </content>
    <context>
        <encounter>
            <reference value="Encounter/xcda" />
        </encounter>
        <event>
            <coding>
                <system value="http://ihe.net/xds/connectathon/eventCodes" />
                <code value="T-D8200" />
                <display value="Arm" />
            </coding>
        </event>
        <period>
            <start value="2004-12-23T08:00:00+11:00" />
            <end value="2004-12-23T08:01:00+11:00" />
        </period>
        <facilityType>
            <coding>
                <system value="http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes" />
                <code value="Outpatient" />
                <display value="Outpatient" />
            </coding>
        </facilityType>
        <practiceSetting>
            <coding>
                <system value="http://www.ihe.net/xds/connectathon/practiceSettingCodes" />
                <code value="General Medicine" />
                <display value="General Medicine" />
            </coding>
        </practiceSetting>
        <sourcePatientInfo>
            <reference value="Patient/xcda" />
        </sourcePatientInfo>
        <related>
            <identifier>
                <system value="urn:ietf:rfc:3986" />
                <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345" />
            </identifier>
            <ref>
                <reference value="Patient/xcda" />
            </ref>
        </related>
    </context>
</DocumentReference>