<?xml version="1.0" encoding="UTF-8"?>

<List xmlns="http://hl7.org/fhir">
  <id value="ARexManifestExample"/>
  <meta>
    <profile value="https://fhir.onyxhealth.io/us/arex/StructureDefinition/arex-manifest"/>
  </meta>
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: List ARexManifestExample</b></p><a name="ARexManifestExample"> </a><a name="hcARexManifestExample"> </a><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px"/><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-arex-manifest.html">ARex Manifest</a></p></div><h2>Supporting documentation for TRN-2026-0810-44913</h2><table class="clstu"><tr><td>Date: 2026-08-10 13:02:11+0000 </td><td>Mode: Snapshot List </td><td>Status: Current </td><td>Code: Attachment Set </td></tr><tr><td>Subject: <a href="Patient-ARexPatientExample.html">Dana Everly  Female, DoB: 1974-03-19 ( http://example.org/payer/member#M10293847)</a></td></tr></table><table class="grid"><tr style="backgound-color: #eeeeee"><td><b>Items</b></td></tr><tr><td><a href="DocumentReference-ARexContentEntryClinicalNoteExample.html">DocumentReference: status = current; type = Progress note; date = 2026-08-10 13:02:11+0000</a></td></tr><tr><td><a href="DocumentReference-ARexContentEntryImagingReportExample.html">DocumentReference: status = current; type = Diagnostic imaging study; date = 2026-08-10 13:02:11+0000</a></td></tr></table></div>
  </text>
  <extension url="https://fhir.onyxhealth.io/us/arex/StructureDefinition/arex-expires">
    <valueInstant value="2026-09-24T13:02:11Z"/>
  </extension>
  <extension url="https://fhir.onyxhealth.io/us/arex/StructureDefinition/arex-requires-access-token">
    <valueBoolean value="true"/>
  </extension>
  <extension url="https://fhir.onyxhealth.io/us/arex/StructureDefinition/arex-transaction-context">
    <extension url="businessIdentifier">
      <valueIdentifier>
        <system value="http://example.org/sid/x12-trn"/>
        <value value="TRN-2026-0810-44913"/>
      </valueIdentifier>
    </extension>
    <extension url="requestingOrganization">
      <valueReference>
        <reference value="Organization/ARexRequestingOrganizationExample"/>
      </valueReference>
    </extension>
    <extension url="businessIdentifier">
      <valueIdentifier>
        <system value="http://example.org/sid/attachment-control-number"/>
        <value value="ACN-88120-7741"/>
      </valueIdentifier>
    </extension>
    <extension url="lineNumber">
      <valueString value="2"/>
    </extension>
  </extension>
  <identifier>
    <system value="http://example.org/sid/arex-manifest"/>
    <value value="MAN-2026-0810-0001"/>
  </identifier>
  <status value="current"/>
  <mode value="snapshot"/>
  <title value="Supporting documentation for TRN-2026-0810-44913"/>
  <code>
    <coding>
      <system value="https://fhir.onyxhealth.io/us/arex/CodeSystem/arex-manifest-type"/>
      <code value="attachment-set"/>
    </coding>
  </code>
  <subject>
    <reference value="Patient/ARexPatientExample"/>
  </subject>
  <date value="2026-08-10T13:02:11Z"/>
  <entry>
    <item>
      <reference value="DocumentReference/ARexContentEntryClinicalNoteExample"/>
    </item>
  </entry>
  <entry>
    <item>
      <reference value="DocumentReference/ARexContentEntryImagingReportExample"/>
    </item>
  </entry>
</List>