<?xml version="1.0" encoding="UTF-8"?><DocumentReference xmlns="http://hl7.org/fhir">
  <id value="example"/>
  <meta>
    <security>
      <system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
      <code value="HTEST"/>
      <display value="test health data"/>
    </security>
  </meta>
  <contained>
    <Practitioner>
      <id value="a2"/>
      <name>
        <family value="Smitty"/>
        <given value="Gerald"/>
      </name>
    </Practitioner>
  </contained>
  <extension url="http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo">
    <valueReference>
      <reference value="Patient/xcda"/>
      <identifier>
        <system value="urn:ietf:rfc:3986"/>
        <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.2345"/>
      </identifier>
    </valueReference>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient">
    <valueReference>
      <reference value="Patient/xcda"/>
    </valueReference>
  </extension>
  <identifier>
    <type>
      <text value="entryUUID"/>
    </type>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7.1234"/>
  </identifier>
  <identifier>
    <type>
      <text value="uniqueId"/>
    </type>
    <system value="urn:ietf:rfc:3986"/>
    <value value="urn:oid:1.3.6.1.4.1.21367.2005.3.7"/>
  </identifier>
  <status value="current"/>
  <docStatus value="preliminary"/>
  <type>
    <coding>
      <system value="http://loinc.org"/>
      <code value="34108-1"/>
      <display value="Outpatient Note"/>
    </coding>
  </type>
  <category>
    <coding>
      <system value="http://ihe.net/xds/connectathon/classCodes"/>
      <code value="History and Physical"/>
      <display value="History and Physical"/>
    </coding>
  </category>
  <subject>
    <reference value="Patient/xcda"/>
  </subject>
  <context>
    <reference value="Encounter/xcda"/>
  </context>
  <event>
    <concept>
      <coding>
        <system value="http://ihe.net/xds/connectathon/eventCodes"/>
        <code value="T-D8200"/>
        <display value="Arm"/>
      </coding>
    </concept>
  </event>
  <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>
  <period>
    <start value="2004-12-23T08:00:00+11:00"/>
    <end value="2004-12-23T08:01:00+11:00"/>
  </period>
  <date value="2005-12-24T09:43:41+11:00"/>
  <author>
    <reference value="Practitioner/xcda1"/>
  </author>
  <author>
    <reference value="#a2"/>
  </author>
  <attester>
    <mode>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/composition-attestation-mode"/>
        <code value="official"/>
      </coding>
    </mode>
    <party>
      <reference value="Organization/f001"/>
    </party>
  </attester>
  <custodian>
    <reference value="Organization/f001"/>
  </custodian>
  <relatesTo>
    <code>
      <coding>
        <system value="http://terminology.hl7.org/CodeSystem/document-relationship-type"/>
        <code value="appends"/>
      </coding>
    </code>
    <target>
      <reference value="DocumentReference/example"/>
    </target>
  </relatesTo>
  <description value="Physical"/>
  <securityLabel>
    <coding>
      <system value="http://terminology.hl7.org/CodeSystem/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="/>
      <title value="Physical"/>
      <creation value="2005-12-24T09:35:00+11:00"/>
    </attachment>
    <profile>
      <valueCoding>
        <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"/>
      </valueCoding>
    </profile>
  </content>
</DocumentReference>