R5: Attests to accuracy of the document (new)

• mode: Legal
• time: 2024-10-08 19:48:54-0700
• party: Ronald Bone, MD

R5: Attests to accuracy of the document (new)

• mode: Personal
• time: 2024-10-08 19:48:54-0700
• party: Amy Shaw

identifier: Uniform Resource Identifier (URI)/urn:oid:2.16.840.1.113883.19.5.99999.1

status: Current

type: Do Not Resuscitate

category: Advance Directives

subject: Amy V. Baxter (no stated gender), DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))

date: 2024-10-08 19:48:54-0700

author: Ronald Bone, MD

content

Attachments

-	ContentType	Data	Title	Creation
*	application/pdf	(base64 data - 60,756 base64 chars)	ADI-DNR	2024-10-04