diff --git a/resources/uscore_bundle_patient_client_test.json b/resources/uscore_bundle_patient_client_test.json
index 25cdffa..2923ae0 100644
--- a/resources/uscore_bundle_patient_client_test.json
+++ b/resources/uscore_bundle_patient_client_test.json
@@ -3315,6 +3315,157 @@
         "method": "PUT",
         "url": "Observation/us-core-client-tests-observation-clinical-test"
       }
+    },
+    {
+      "resource": {
+        "resourceType": "DocumentReference",
+        "id": "us-core-client-tests-adi-document-reference",
+        "meta": {
+          "profile": [
+            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-adi-documentreference|8.0.0"
+          ]
+        },
+        "extension": [
+          {
+            "url": "http://hl7.org/fhir/us/core/StructureDefinition/us-core-authentication-time",
+            "valueDateTime": "1941-09-05T01:11:45-04:00"
+          }
+        ],
+        "identifier": [
+          {
+            "system": "https://github.com/inferno-framework/us-core-test-kit",
+            "value": "cf2587fa-6106-45f4-8264-fbe3d38853f5"
+          }
+        ],
+        "status": "current",
+        "type": {
+          "coding": [
+            {
+              "system": "http://loinc.org",
+              "code": "86533-7",
+              "display": "Patient Living will"
+            }
+          ],
+          "text": "Patient Living Will"
+        },
+        "category": [
+          {
+            "coding": [
+              {
+                "system": "http://loinc.org",
+                "code": "42348-3",
+                "display": "Advance healthcare directives"
+              }
+            ],
+            "text": "Advance Directives"
+          }
+        ],
+        "subject": {
+          "reference": "Patient/us-core-client-tests-patient"
+        },
+        "date": "2024-10-08T19:48:54.316108-07:00",
+        "author": [
+          {
+            "reference": "Practitioner/us-core-client-tests-practitioner",
+            "display": "Dr. Patricia625 Kilback373"
+          }
+        ],
+        "authenticator": {
+            "reference": "Practitioner/us-core-client-tests-practitioner",
+            "display": "Dr. Patricia625 Kilback373"
+        },
+        "content": [
+          {
+            "attachment": {
+              "contentType": "application/pdf",
+              "data": "JVBERi0xLjQKJdPr6eEKMSAwIG9iago8PC9UaXRsZSAoRXhhbXBsZSBvZiBhIExpdmluZyBXaWxsKQovQ3JlYXRvciAoTW96aWxsYS81LjAgXChNYWNpbnRvc2g7IEludGVsIE1hYyBPUyBYIDEwXzE1XzdcKSBBcHBsZVdlYktpdC81MzcuMzYgXChLSFRNTCwgbGlrZSBHZWNrb1wpIENocm9tZS8xMjkuMC4wLjAgU2FmYXJpLzUzNy4zNikKL1Byb2R1Y2VyIChTa2lhL1BERiBtMTI5KQovQ3JlYXRpb25EYXRlIChEOjIwMjQxMDA0MTQ0MTUxKzAwJzAwJykKL01vZERhdGUgKEQ6MjAyNDEwMDQxNDQxNTErMDAnMDAnKT4+CmVuZG9iagozIDAgb2JqCjw8L2NhIDEKL0JNIC9Ob3JtYWw=",
+              "title": "Living Will (PDF)",
+              "creation": "1941-10-04"
+            },
+            "format": {
+              "system": "http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode",
+              "code": "urn:ihe:iti:xds-sd:pdf:2008",
+              "display": "ITI XDS-SD PDF"
+            }
+          }
+        ]
+      },
+      "request": {
+        "method": "PUT",
+        "url": "DocumentReference/us-core-client-tests-adi-document-reference"
+      }
+    },
+    {
+      "resource": {
+        "resourceType": "Observation",
+        "id": "us-core-client-tests-observation-adi-documentation",
+        "meta": {
+          "profile": [
+            "http://hl7.org/fhir/us/core/StructureDefinition/us-core-observation-adi-documentation"
+          ]
+        },
+        "extension": [
+          {
+            "url": "http://hl7.org/fhir/StructureDefinition/workflow-supportingInfo",
+            "valueReference": {
+              "reference": "DocumentReference/us-core-client-tests-adi-document-reference",
+              "display": "Living Will"
+            }
+          }
+        ],
+        "identifier": [
+          {
+            "system": "https://github.com/inferno-framework/us-core-test-kit",
+            "value": "23c5bf6a-b411-424a-b466-9dee7f4838df"
+          }
+        ],
+        "status": "final",
+        "category": [
+          {
+            "coding": [
+              {
+                "system": "http://hl7.org/fhir/us/core/CodeSystem/us-core-category",
+                "code": "observation-adi-documentation",
+                "display": "Observation ADI Documentation"
+              }
+            ],
+            "text": "Observation ADI Documentation"
+          }
+        ],
+        "code": {
+          "coding": [
+            {
+              "system": "http://loinc.org",
+              "code": "45473-6"
+            }
+          ]
+        },
+        "subject": {
+          "reference": "Patient/us-core-client-tests-patient"
+        },
+        "effectiveDateTime": "1941-09-05T01:11:45-04:00",
+        "issued": "1941-09-05T01:11:45-04:00",
+        "performer": [
+          {
+            "reference": "Practitioner/us-core-client-tests-practitioner",
+            "display": "Dr. Patricia625 Kilback373"
+          }
+        ],
+        "valueCodeableConcept": {
+          "coding": [
+            {
+              "system": "http://snomed.info/sct",
+              "version": "http://snomed.info/sct/731000124108",
+              "code": "373066001",
+              "display": "Yes (qualifier value)"
+            }
+          ]
+        }
+      },
+      "request": {
+        "method": "PUT",
+        "url": "Observation/us-core-client-tests-observation-adi-documentation"
+      }
     }
   ]
 }
\ No newline at end of file