---
type: "example"
title: "DocumentReference Example: documentreference-example"
resource: "DocumentReference"
example: "documentreference-example"
---
# DocumentReference Example: documentreference-example

## Example XML



```xml
<?xml version="1.0" encoding="UTF-8"?>
<!--
source data from http://wiki.ihe.net/index.php?title=Annotated_ProvideAndRegister.b_Transaction.
  <homeCommunity>1.2.36.1.1001.1.1.1.1</homeCommunity>
-->
<DocumentReference xmlns="http://hl7.org/fhir" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://hl7.org/fhir ../../schema/documentreference.xsd">
	<id value="example"/>
	<!-- Many XDS systems do not trak any id for the author. When systems don't do this, 
    the only option is for the author information to be contained in the Document Reference -->
	<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://hl7.org/fhir/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://hl7.org/fhir/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>
```