{
  "resourceType" : "DocumentReference",
  "id" : "Example-Smith-Johnson-DocRef-Bundle",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/pacio-adi/StructureDefinition/ADI-DocumentReference"]
  },
  "text" : {
    "status" : "generated",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>PACP DocumentReference</p></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/us/pacio-adi/StructureDefinition/adi-jurisdiction-extension",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "urn:iso:std:iso:3166:-2",
        "code" : "US-MI",
        "display" : "Michigan"
      }]
    }
  }],
  "masterIdentifier" : {
    "system" : "http://example.org/GoodHealthClinic/id",
    "value" : "0-87f37989294a408897aacd1fc5d8fd16"
  },
  "identifier" : [{
    "system" : "http://example.org/GoodHealthClinic/id",
    "value" : "0-87f37989294a408897aacd1fc5d8fd16"
  }],
  "status" : "current",
  "docStatus" : "final",
  "type" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "81334-5",
      "display" : "Patient Personal advance care plan"
    }]
  },
  "category" : [{
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "42348-3",
      "display" : "Advance healthcare directives"
    }]
  }],
  "subject" : {
    "reference" : "Patient/Example-Smith-Johnson-Patient1"
  },
  "date" : "2021-03-29T14:25:34.001-05:00",
  "author" : [{
    "reference" : "Patient/Example-Smith-Johnson-Patient1"
  }],
  "authenticator" : {
    "reference" : "Organization/Example-Smith-Johnson-OrganizationCustodian1"
  },
  "custodian" : {
    "reference" : "Organization/Example-Smith-Johnson-OrganizationCustodian1"
  },
  "description" : "Personal Advance Care Plan",
  "securityLabel" : [{
    "coding" : [{
      "system" : "http://terminology.hl7.org/CodeSystem/v3-Confidentiality",
      "code" : "N",
      "display" : "normal"
    }]
  }],
  "content" : [{
    "attachment" : {
      "contentType" : "application/fhir+json",
      "url" : "http://hl7.org/fhir/us/pacio-adi/Bundle/Example-Smith-Johnson-PACP-Bundle1",
      "creation" : "2021-03-29T14:25:34.001-05:00"
    }
  }]
}