{
  "resourceType": "List",
  "id": "example-xds",
  "contained": [
    {
      "resourceType": "Practitioner",
      "id": "a1",
      "name": [
        {
          "family": "Dopplemeyer",
          "given": [
            "Sherry"
          ]
        }
      ],
      "telecom": [
        {
          "system": "email",
          "value": "john.doe@healthcare.example.org"
        }
      ]
    }
  ],
  "identifier": [
    {
      "type": {
        "coding": [
          {
            "system": "http://ihe.net/fhir/CodeSystem/identifier-type",
            "code": "master"
          }
        ]
      },
      "system": "http://example.org/documents",
      "value": "23425234234-2346"
    },
    {
      "type": {
        "coding": [
          {
            "system": "http://ihe.net/fhir/CodeSystem/identifier-type",
            "code": "set"
          }
        ]
      },
      "system": "http://example.org/documents",
      "value": "23425234234-2347"
    }
  ],
  "status": "current",
  "mode": "working",
  "title": "Physical",
  "code": {
    "text": "History and Physical"
  },
  "subject": [
    {
      "reference": "Patient/xcda"
    }
  ],
  "date": "2004-12-25T23:50:50-05:00",
  "source": {
    "reference": "#a1"
  },
  "entry": [
    {
      "item": {
        "reference": "DocumentReference/example"
      }
    }
  ],
  "meta": {
    "tag": [
      {
        "system": "http://terminology.hl7.org/CodeSystem/v3-ActReason",
        "code": "HTEST",
        "display": "test health data"
      }
    ]
  }
}