{

"resourceType": "DocumentReference",
"id": "example",
"contained": [
  {
    "resourceType": "Practitioner",
    "id": "a2",
    "name": [
      {
        "family": "Smitty",
        "given": [
          "Gerald"
        ]
      }
    ]
  }
],
"masterIdentifier": {
  "system": "urn:ietf:rfc:3986",
  "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7"
},
"identifier": [
  {
    "system": "urn:ietf:rfc:3986",
    "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"
  }
],
"status": "current",
"docStatus": "preliminary",
"type": {
  "coding": [
    {
      "system": "http://loinc.org",
      "code": "34108-1",
      "display": "Outpatient Note"
    }
  ]
},
"category": [
  {
    "coding": [
      {
        "system": "http://ihe.net/xds/connectathon/classCodes",
        "code": "History and Physical",
        "display": "History and Physical"
      }
    ]
  }
],
"subject": {
  "reference": "Patient/xcda"
},
"date": "2005-12-24T09:43:41+11:00",
"author": [
  {
    "reference": "Practitioner/xcda1"
  },
  {
    "reference": "#a2"
  }
],
"authenticator": {
  "reference": "Organization/f001"
},
"custodian": {
  "reference": "Organization/f001"
},
"relatesTo": [
  {
    "code": "appends",
    "target": {
      "reference": "DocumentReference/example"
    }
  }
],
"description": "Physical",
"securityLabel": [
  {
    "coding": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
        "code": "V",
        "display": "very restricted"
      }
    ]
  }
],
"content": [
  {
    "attachment": {
      "contentType": "application/hl7-v3+xml",
      "language": "en-US",
      "url": "http://example.org/xds/mhd/Binary/07a6483f-732b-461e-86b6-edb665c45510",
      "size": 3654,
      "hash": "2jmj7l5rSw0yVb/vlWAYkK/YBwk=",
      "title": "Physical",
      "creation": "2005-12-24T09:35:00+11:00"
    },
    "format": {
      "system": "urn:oid:1.3.6.1.4.1.19376.1.2.3",
      "code": "urn:ihe:pcc:handp:2008",
      "display": "History and Physical Specification"
    }
  }
],
"context": {
  "encounter": [
    {
      "reference": "Encounter/xcda"
    }
  ],
  "event": [
    {
      "coding": [
        {
          "system": "http://ihe.net/xds/connectathon/eventCodes",
          "code": "T-D8200",
          "display": "Arm"
        }
      ]
    }
  ],
  "period": {
    "start": "2004-12-23T08:00:00+11:00",
    "end": "2004-12-23T08:01:00+11:00"
  },
  "facilityType": {
    "coding": [
      {
        "system": "http://www.ihe.net/xds/connectathon/healthcareFacilityTypeCodes",
        "code": "Outpatient",
        "display": "Outpatient"
      }
    ]
  },
  "practiceSetting": {
    "coding": [
      {
        "system": "http://www.ihe.net/xds/connectathon/practiceSettingCodes",
        "code": "General Medicine",
        "display": "General Medicine"
      }
    ]
  },
  "sourcePatientInfo": {
    "reference": "Patient/xcda"
  },
  "related": [
    {
      "reference": "Patient/xcda",
      "identifier": {
        "system": "urn:ietf:rfc:3986",
        "value": "urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345"
      }
    }
  ]
},
"meta": {
  "tag": [
    {
      "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
      "code": "HTEST",
      "display": "test health data"
    }
  ]
}

}