<DocumentManifest xmlns="http://hl7.org/fhir">
    <id value="pdfa-documentmanifest1" />
    <meta>
        <profile value="http://nictiz.nl/fhir/StructureDefinition/IHE.MHD.DocumentManifest" />
    </meta>
    <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>
    <masterIdentifier>
        <system value="urn:ietf:rfc:3986" />
        <value value="urn:oid:1.2.276.0.7230010.3.1.2.1787205428.8024.1526514975.220899" />
    </masterIdentifier>
    <identifier>
        <system value="http://xis.org/fhir/NamingSystem/DocumentManifestID" />
        <value value="789987" />
    </identifier>
    <status value="current" />
    <type>
        <coding>
            <system value="http://loinc.org/" />
            <code value="18842-5" />
            <display value="Discharge summary" />
        </coding>
    </type>
    <subject>
        <reference value="Patient/example-pdfa-kwalificatie2" />
        <display value="Eva XXX_Schulte" />
    </subject>
    <created value="2018" />
    <author>
        <reference value="#p1" />
        <display value="B. Kneder" />
    </author>
    <source value="http://xis.org/example" />
    <content>
        <pReference>
            <reference value="DocumentReference/pdfa-documentreference4" />
            <display value="Allergy and immunology Discharge summary" />
        </pReference>
    </content>
</DocumentManifest>