<DocumentReference xmlns="http://hl7.org/fhir">
  <masterIdentifier>
    <value value="LDCT_Lung1.FormInstanceVersionURI" />
  </masterIdentifier>
  <!-- ID for this resource appended FormID.FormInstanceVersionURI -->
  <identifier>
    <value value="LDCT_Lung" />
  </identifier>
  <!-- Matches SDC Lineage -->
  <identifier>
    <value value="1.0.0" />
  </identifier>
  <!-- Matches SDC Version -->
  <identifier>
    <value value="LDCT_Lung1" />
  </identifier>
  <!-- Matches SDC FormID; should be unique to this Form -->
  <identifier>
    <value value="FormInstanceURI" />
  </identifier>
  <!-- Matches SDC FormInstanceURI -->
  <status value="current" />
  <docStatus value="final" />
  <!-- Must us FHIR statuses for docStatus -->
  <subject>
    <reference value="Patient/f201" />
    <display value="Roel" />
  </subject>
  <date value="2005-12-24T09:43:41+11:00" />
  <author>
    <reference value="Practitioner/f202" />
    <display value="Luigi Maas" />
  </author>
  <content>
    <attachment>
      <contentType value="application/xml" />
      <language value="en-CA" />
      <url value="http://somehospital.on.ca/LDCT_Lung1.FormInstanceVersionURI" />
    </attachment>
  </content>
  <context>
    <related>
      <reference value="LDCT_Lung1.formInstanceVersionURI.592375972" />
    </related>
    <related>
      <reference value="LDCT_Lung1.formInstanceVersionURI.000046" />
    </related>
    <related>
      <reference value="LDCT_Lung1.formInstanceVersionURI.000048" />
    </related>
  </context>
</DocumentReference>