{
  "resourceType" : "DocumentReference",
  "id" : "documentreference-add-reporting-needs-pdf",
  "meta" : {
    "profile" : ["http://hl7.org/fhir/us/ecr/StructureDefinition/rr-documentreference"]
  },
  "text" : {
    "extension" : [{
      "url" : "http://hl7.org/fhir/StructureDefinition/data-absent-reason",
      "valueCode" : "masked"
    }],
    "status" : "empty",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\"><p>MASKED</p></div>"
  },
  "extension" : [{
    "url" : "http://hl7.org/fhir/us/ecr/StructureDefinition/rr-priority-extension",
    "valueCodeableConcept" : {
      "coding" : [{
        "system" : "urn:oid:2.16.840.1.114222.4.5.274",
        "code" : "RRVS16",
        "display" : "Action requested"
      }]
    }
  }],
  "status" : "current",
  "type" : {
    "coding" : [{
      "system" : "http://loinc.org",
      "code" : "83910-0",
      "display" : "Public health Note"
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    "text" : "Public health information"
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  "category" : [{
    "coding" : [{
      "system" : "urn:oid:2.16.840.1.114222.4.5.274",
      "code" : "RRVS8",
      "display" : "Additional reporting needs"
    }],
    "text" : "Additional reporting needs"
  }],
  "subject" : {
    "reference" : "Patient/patient-anon"
  },
  "description" : "Additional information for the required reporting of Zika must be submitted to State Department of Health immediately. This additional information can be submitted here.",
  "content" : [{
    "attachment" : {
      "contentType" : "application/pdf",
      "url" : "http://statedepartmentofhealth.gov/epi/disease/zika/Supplemental_data_form.pdf"
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  }]
}