<DocumentManifest xmlns="http://hl7.org/fhir">
  <id value="pdfa-documentmanifest-01" />
  <meta>
    <profile value="http://nictiz.nl/fhir/StructureDefinition/IHE.MHD.DocumentManifest" />
  </meta>
  <text>
    <status value="extensions" />
    <div xmlns="http://www.w3.org/1999/xhtml">
      <table>
        <caption>DocumentManifest. Subject: Paul XXX_Mesker. Set‑Id: urn:oid:1.2.276.0.7230010.3.1.2.1787205428.8024.1526514975.440899 (urn:ietf:rfc:3986), Id: 7899777 (http://xis.org/fhir/NamingSystem/DocumentManifestID), 17acf409-8fdf-11ec-6275-020000000000 (urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6), Status: vervangen<span style="display: block;">Auteur: B. Kneder</span></caption>
        <tbody>
          <tr>
            <th>Type</th>
            <td>
              <span title="Discharge summary (18842-5 - LOINC)">Discharge summary</span>
            </td>
          </tr>
          <tr>
            <th>Gemaakt</th>
            <td>10 maart 2020</td>
          </tr>
          <tr>
            <th>Bron</th>
            <td>http://xis.org/example</td>
          </tr>
          <tr>
            <th>Content</th>
            <td>DocumentReference/pdfa-documentreference-01</td>
          </tr>
          <tr>
            <th>Content</th>
            <td>DocumentReference/pdfa-documentreference-02</td>
          </tr>
        </tbody>
      </table>
    </div>
  </text>
  <contained>
    <Practitioner>
      <id value="p1" />
      <name>
        <family value="Kneder" />
        <given value="B.">
          <extension url="http://hl7.org/fhir/StructureDefinition/iso21090-EN-qualifier">
            <valueCode value="IN" />
          </extension>
        </given>
      </name>
    </Practitioner>
  </contained>
  <identifier>
    <system value="http://xis.org/fhir/NamingSystem/DocumentManifestID" />
    <value value="7899777" />
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  <identifier>
    <system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.7.6" />
    <value value="17acf409-8fdf-11ec-6275-020000000000" />
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  <masterIdentifier>
    <system value="urn:ietf:rfc:3986" />
    <value value="urn:oid:1.2.276.0.7230010.3.1.2.1787205428.8024.1526514975.440899" />
  </masterIdentifier>
  <status value="superseded" />
  <type>
    <coding>
      <system value="http://loinc.org" />
      <code value="18842-5" />
      <display value="Discharge summary" />
    </coding>
  </type>
  <subject>
    <reference value="Patient/nl-core-patient-02" />
    <display value="Paul XXX_Mesker" />
  </subject>
  <created value="2020-03-10" />
  <author>
    <reference value="#p1" />
    <display value="B. Kneder" />
  </author>
  <source value="http://xis.org/example" />
  <content>
    <pReference>
      <reference value="DocumentReference/pdfa-documentreference-01" />
    </pReference>
  </content>
  <content>
    <pReference>
      <reference value="DocumentReference/pdfa-documentreference-02" />
    </pReference>
  </content>
</DocumentManifest>