{
  "resourceType": "DocumentReference",
  "id": "example-comprehensive",
  "meta": {
    "security": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST"
      }
    ],
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  },
  "contained": [
    {
      "resourceType": "Practitioner",
      "id": "in-author",
      "telecom": [
        {
          "system": "email",
          "value": "JohnMoehrke@gmail.com"
        }
      ]
    },
    {
      "resourceType": "Patient",
      "id": "in-patient"
    }
  ],
  "extension": [
    {
      "url": "http://hl7.org/fhir/StructureDefinition/documentreference-sourcepatient",
      "valueReference": {
        "reference": "#in-patient"
      }
    }
  ],
  "identifier": [
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:oid:1.2.840.113556.1.8000.2554.58783.21864.3474.19410.44358.58254.41281.46340"
    },
    {
      "system": "urn:ietf:rfc:3986",
      "value": "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21"
    }
  ],
  "version": "urn:uuid:0c287d32-01e3-4d87-9953-9fcc9404eb21",
  "status": "current",
  "type": {
    "coding": [
      {
        "system": "http://loinc.org",
        "code": "55107-7"
      }
    ]
  },
  "category": [
    {
      "coding": [
        {
          "system": "http://loinc.org",
          "code": "11369-6"
        }
      ]
    }
  ],
  "subject": {
    "reference": "Patient/xcda"
  },
  "event": [
    {
      "concept": {
        "coding": [
          {
            "system": "http://terminology.hl7.org/CodeSystem/v3-ActCode",
            "code": "ACCTRECEIVABLE"
          }
        ]
      }
    },
    {
      "reference": {
        "identifier": {
          "system": "urn:ietf:rfc:3986",
          "value": "urn:oid:1.2.840.113556.1.8000.2554.17917.46600.21181.17878.33419.62048.57128.2759"
        }
      }
    }
  ],
  "facilityType": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "82242000"
      }
    ]
  },
  "practiceSetting": {
    "coding": [
      {
        "system": "http://snomed.info/sct",
        "code": "408467006"
      }
    ]
  },
  "period": {
    "start": "2020-12-31T23:50:50-05:00",
    "end": "2020-12-31T23:50:50-05:00"
  },
  "date": "2020-12-31T23:50:50-05:00",
  "author": [
    {
      "reference": "#in-author"
    }
  ],
  "attester": [
    {
      "mode": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/composition-attestation-mode",
            "code": "professional"
          }
        ]
      },
      "party": {
        "reference": "#in-author"
      }
    }
  ],
  "relatesTo": [
    {
      "code": {
        "coding": [
          {
            "system": "http://hl7.org/fhir/document-relationship-type",
            "code": "appends"
          }
        ]
      },
      "target": {
        "reference": "DocumentReference/example"
      }
    }
  ],
  "description": "Example of a Comprehensive DocumentReference resource. This is fully filled for all mandatory elements and all optional elements.",
  "securityLabel": [
    {
      "coding": [
        {
          "system": "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
          "code": "N"
        }
      ]
    }
  ],
  "content": [
    {
      "attachment": {
        "contentType": "text/plain",
        "language": "en",
        "url": "http://example.com/nowhere.txt",
        "size": "190",
        "hash": "OGEzOGYyNjMzMDA2ZmQ1MzUxNDljNDRhM2E3M2YzMTI0MzdiMzQ3OA\u003d\u003d",
        "title": "DocumentReference for Comprehensive fully filled metadata",
        "creation": "2020-12-31T23:50:50-05:00"
      },
      "profile": [
        {
          "valueCoding": {
            "system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
            "code": "urn:ihe:iti:xds-sd:text:2008"
          }
        }
      ]
    }
  ]
}