diff --git a/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Bundle/addendum.xml b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Bundle/addendum.xml
new file mode 100644
index 000000000..b17a0a7f8
--- /dev/null
+++ b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Bundle/addendum.xml
@@ -0,0 +1,160 @@
+<Bundle xmlns="http://hl7.org/fhir">
+    <id value="xds"/>
+    <meta>
+        <lastUpdated value="2013-07-01T13:11:33Z"/>
+        <profile value="http://ihe.net/fhir/StructureDefinition/IHE_MHD_Provide_Comprehensive_DocumentBundle"/>
+    </meta>
+    <type value="transaction"/>
+    <entry>
+        <fullUrl value="urn:uuid:1e404af3-077f-4bee-b7a6-a9be97e1ce01"/>
+        <resource>
+            <DocumentReference>
+                <text>
+                    <div xmlns="http://www.w3.org/1999/xhtml">Comment</div>
+                    <status value="empty"/>
+                </text>
+                <contained>
+                    <Patient xmlns="http://hl7.org/fhir">
+                        <id value="sourcePatient"/>
+                        <identifier>
+                            <use value="usual" />
+                            <type>
+                                <coding>
+                                    <system value="urn:ietf:rfc:3986" />
+                                    <code value="urn:ihe:iti:xds:2013:accession" />
+                                </coding>
+                            </type>
+                            <system value="urn:oid:1.2.214" />
+                            <value value="myMRN" />
+                        </identifier>
+                    </Patient>
+                </contained>
+                <status value="current"/>
+                <masterIdentifier>
+                    <system value="urn:ietf:rfc:3986"/>
+                    <value value="urn:oid:1.2.129.6.58.92.88336.4"/>
+                </masterIdentifier>
+                <type>
+                    <coding>
+                        <system value="http://loinc.org"/>
+                        <code value="34895-3"/>
+                        <display value="Education Note"/>
+                    </coding>
+                </type>
+                <category>
+                    <coding>
+                        <system value="urn:oid:1.3.6.1.4.1.19376.1.2.6.1"/>
+                        <code value="REPORTS"/>
+                        <display value="Reports"/>
+                    </coding>
+                </category>
+                <subject>
+                    <reference value="${patientResourceId}"/>
+                </subject>
+                <date value="2015-02-07T13:28:17.239+02:00"/>
+                <securityLabel>
+                    <coding>
+                        <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
+                        <code value="N"/>
+                        <display value="normal"/>
+                    </coding>
+                </securityLabel>
+                <context>
+                    <sourcePatientInfo>
+                        <reference value="#sourcePatient"/>
+                    </sourcePatientInfo>
+                    <practiceSetting>
+                        <coding>
+                            <system value="http://snomed.info/sct"/>
+                            <code value="R-300E3"/>
+                            <display value="Accident and Emergency"/>
+                        </coding>
+                    </practiceSetting>
+                    <facilityType>
+                        <coding>
+                            <system value="http://snomed.info/sct"/>
+                            <code value="264372000"/>
+                            <display value="Pharmacy"/>
+                        </coding>
+                    </facilityType>
+                </context>
+                <relatesTo>
+                    <code value="appends"/>
+                    <target>
+                        <reference value="${original}"/>
+                    </target>
+                </relatesTo>
+                <content>
+                    <attachment>
+                        <contentType value="text/plain"/>
+                        <url value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e03"/>
+                        <language value="en-us"/>
+                    </attachment>
+                    <format>
+                        <system value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
+                        <code value="urn:ihe:pcc:cm:2008"/>
+                        <display value="Care Management (CM)"/>
+                    </format>
+                </content>
+            </DocumentReference>
+        </resource>
+        <request>
+            <method value="POST"/>
+            <url value="urn:uuid:1e404af3-077f-4bee-b7a6-a9be97e1ce01"/>
+        </request>
+    </entry>
+    <entry>
+        <fullUrl value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e02"/>
+        <resource>
+            <DocumentManifest xmlns="http://hl7.org/fhir">
+                <text>
+                    <div xmlns="http://www.w3.org/1999/xhtml">Comment</div>
+                    <status value="empty"/>
+                </text>
+             
+
+                <masterIdentifier>
+                    <system value="urn:ietf:rfc:3986"/>
+                    <value value="urn:oid:1.2.129.6.58.92.88337.4"/>
+                </masterIdentifier>
+                <status value="current"/>
+                <type>
+                    <coding>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="225728007"/>
+                        <display value="Accident and Emergency department"/>
+                    </coding>
+                </type>
+                <subject>
+                    <reference value="${patientResourceId}"/>
+                </subject>
+                <created value="2004-12-25T23:50:50-05:00"/>
+                <source value="urn:oid:1.3.6.1.4.1.21367.2009.1.2.1"/>
+                <description value="Physical"/>
+                <content>
+                    <reference value="urn:uuid:1e404af3-077f-4bee-b7a6-a9be97e1ce01"/>
+                </content>
+            </DocumentManifest>
+        </resource>
+        <request>
+            <method value="POST"/>
+            <url value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e02"/>
+        </request>
+    </entry>
+    <entry>
+        <fullUrl value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e03"/>
+        <resource>
+            <Binary>
+                <meta>
+                    <lastUpdated value="2013-07-01T13:11:33Z"/>
+                </meta>
+                <contentType value="text/plain"/>
+                <data value="Zm9vYmFyLWFwcGVuZHMNCg=="/>
+            </Binary>
+        </resource>
+        <request>
+            <method value="POST"/>
+            <url value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e02"/>
+        </request>
+    </entry>
+</Bundle>
diff --git a/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Bundle/original.xml b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Bundle/original.xml
new file mode 100644
index 000000000..be4bed2a1
--- /dev/null
+++ b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Bundle/original.xml
@@ -0,0 +1,150 @@
+<Bundle xmlns="http://hl7.org/fhir">
+    <id value="xds"/>
+    <meta>
+        <lastUpdated value="2013-07-01T13:11:33Z"/>
+        <profile value="http://ihe.net/fhir/StructureDefinition/IHE_MHD_Provide_Comprehensive_DocumentBundle"/>
+    </meta>
+    <type value="transaction"/>
+    <entry>
+        <fullUrl value="urn:uuid:1e404af3-077f-4bee-b7a6-a9be97e1ce01"/>
+        <resource>
+            <DocumentReference>
+                <contained>
+                    <Patient xmlns="http://hl7.org/fhir">
+                        <id value="sourcePatient"/>
+                        <identifier>
+                            <use value="usual" />
+                            <type>
+                                <coding>
+                                    <system value="urn:ietf:rfc:3986" />
+                                    <code value="urn:ihe:iti:xds:2013:accession" />
+                                </coding>
+                            </type>
+                            <system value="urn:oid:1.2.214" />
+                            <value value="myMRN" />
+                        </identifier>
+                    </Patient>
+                </contained>
+                <status value="current"/>
+                <masterIdentifier>
+                    <system value="urn:ietf:rfc:3986"/>
+                    <value value="urn:oid:1.2.129.6.58.92.88336.4"/>
+                </masterIdentifier>
+                <type>
+                    <coding>
+                        <system value="http://loinc.org"/>
+                        <code value="34895-3"/>
+                        <display value="Education Note"/>
+                    </coding>
+                </type>
+                <category>
+                    <coding>
+                        <system value="urn:oid:1.3.6.1.4.1.19376.1.2.6.1"/>
+                        <code value="REPORTS"/>
+                        <display value="Reports"/>
+                    </coding>
+                </category>
+                <subject>
+                    <reference value="${patientResourceId}"/>
+                </subject>
+                <date value="2015-02-07T13:28:17.239+02:00"/>
+                <securityLabel>
+                    <coding>
+                        <system value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
+                        <code value="N"/>
+                        <display value="normal"/>
+                    </coding>
+                </securityLabel>
+                <context>
+                    <sourcePatientInfo>
+                        <reference value="#sourcePatient"/>
+                    </sourcePatientInfo>
+                    <practiceSetting>
+                        <coding>
+                            <system value="http://snomed.info/sct"/>
+                            <code value="R-300E3"/>
+                            <display value="Accident and Emergency"/>
+                        </coding>
+                    </practiceSetting>
+                    <facilityType>
+                        <coding>
+                            <system value="http://snomed.info/sct"/>
+                            <code value="264372000"/>
+                            <display value="Pharmacy"/>
+                        </coding>
+                    </facilityType>
+                </context>
+                <content>
+                    <attachment>
+                        <contentType value="text/plain"/>
+                        <url value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e03"/>
+                        <language value="en-us"/>
+                    </attachment>
+                    <format>
+                        <system value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
+                        <code value="urn:ihe:pcc:cm:2008"/>
+                        <display value="Care Management (CM)"/>
+                    </format>
+                </content>
+            </DocumentReference>
+        </resource>
+        <request>
+            <method value="POST"/>
+            <url value="urn:uuid:1e404af3-077f-4bee-b7a6-a9be97e1ce01"/>
+        </request>
+    </entry>
+    <entry>
+        <fullUrl value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e02"/>
+        <resource>
+            <DocumentManifest xmlns="http://hl7.org/fhir">
+                <text>
+                    <div xmlns="http://www.w3.org/1999/xhtml">Comment</div>
+                    <status value="empty"/>
+                </text>
+               
+
+                <masterIdentifier>
+                    <system value="urn:ietf:rfc:3986"/>
+                    <value value="urn:oid:1.2.129.6.58.92.88337.4"/>
+                </masterIdentifier>
+                <status value="current"/>
+                <type>
+                    <coding>
+                        <system value="http://snomed.info/sct"/>
+                        <code value="225728007"/>
+                        <display value="Accident and Emergency department"/>
+                    </coding>
+                </type>
+                <subject>
+                    <reference value="${patientResourceId}"/>
+                </subject>
+                <created value="2004-12-25T23:50:50-05:00"/>
+                <source value="urn:oid:1.3.6.1.4.1.21367.2009.1.2.1"/>
+                <description value="Physical"/>
+                <content>
+                    <reference value="urn:uuid:1e404af3-077f-4bee-b7a6-a9be97e1ce01"/>
+                </content>
+            </DocumentManifest>
+        </resource>
+        <request>
+            <method value="POST"/>
+            <url value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e02"/>
+        </request>
+    </entry>
+    <entry>
+        <fullUrl value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e03"/>
+        <resource>
+            <Binary>
+                <meta>
+                    <lastUpdated value="2013-07-01T13:11:33Z"/>
+                </meta>
+                <contentType value="text/plain"/>
+                <data value="Zm9vYmFy"/>
+            </Binary>
+        </resource>
+        <request>
+            <method value="POST"/>
+            <url value="urn:uuid:3fdc72f4-a11d-4a9d-9260-a9f745779e02"/>
+        </request>
+    </entry>
+</Bundle>
diff --git a/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Patient/patient-example.xml b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Patient/patient-example.xml
new file mode 100644
index 000000000..83a86a77b
--- /dev/null
+++ b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/Patient/patient-example.xml
@@ -0,0 +1,20 @@
+<Patient xmlns="http://hl7.org/fhir">
+    <meta>
+        <security>
+            <system value="http://hl7.org/fhir/v3/ActReason"/>
+            <code value="HTEST"/>
+            <display value="test health data"/>
+        </security>
+    </meta>
+    <identifier>
+        <use value="usual" />
+        <type>
+            <coding>
+                <system value="urn:ietf:rfc:3986" />
+                <code value="urn:ihe:iti:xds:2013:accession" />
+            </coding>
+        </type>
+        <system value="urn:oid:1.2.214" />
+        <value value="myMRN" />
+    </identifier>
+</Patient>
diff --git a/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/TestScript.xml b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/TestScript.xml
new file mode 100644
index 000000000..7882083ef
--- /dev/null
+++ b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/TestScript.xml
@@ -0,0 +1,172 @@
+<TestScript xmlns="http://hl7.org/fhir">
+    <fixture id="original-bundle">
+        <autocreate value="false"/>
+        <autodelete value="false"/>
+        <resource>
+            <reference value="Bundle/original.xml"/>
+        </resource>
+    </fixture>
+    <fixture id="addendum-bundle">
+        <autocreate value="false"/>
+        <autodelete value="false"/>
+        <resource>
+            <reference value="Bundle/addendum.xml"/>
+        </resource>
+    </fixture>
+    <fixture id="patient_bundle">
+        <!--
+           This patient comes out of the test Patient cache
+        -->
+        <autocreate value="false"/>
+        <autodelete value="false"/>
+        <resource>
+            <reference value="Patient/Alex_Alder"/>
+        </resource>
+    </fixture>
+    <variable>
+        <name value="DocRefUrl"/>
+        <expression value="Bundle.entry[0].response.location"/>
+        <sourceId value="original-response"/>
+    </variable>
+    <variable>
+        <name value="DocRefUrlAddendum"/>
+        <expression value="Bundle.entry[0].response.location"/>
+        <sourceId value="addendum-response"/>
+    </variable>
+    <variable>  <!-- referenced in pdb -->
+        <name value="requestPatientRef"/>
+        <expression value="Bundle.entry.fullUrl"/>
+        <sourceId value="patient_bundle"/>
+    </variable>
+    <variable>
+    	<name value="patientResourceId"/>
+    	<expression value="Bundle.entry.fullUrl"/>
+        <sourceId value="patient_bundle"/>
+    </variable>
+<!--    <variable>-->
+<!--        <name value="readbackPatientId"/>-->
+<!--        <expression value="Patient.identifier.value"/>-->
+<!--        <sourceId value="read-back"/>-->
+<!--    </variable>-->
+    <variable>
+        <name value="requestEntryCount"/>
+        <expression value="Bundle.entry.count()"/>
+        <sourceId value="original-bundle"/>
+    </variable>
+    <variable>
+        <name value="original"/>
+        <expression value="Bundle.entry[0].response.location"/>
+        <sourceId value="original-response"/>
+    </variable>
+    <setup>
+        <action>
+            <operation>
+                <description value="send PDB."/>
+                <label value="create"/>
+                <type>
+                    <system value="https://github.com/usnistgov/asbestos/wiki/Testscript-Operation-Codes"/>
+                    <code value="mhd-pdb-transaction"/>
+                </type>
+                <sourceId value="original-bundle"/>
+                <responseId value="original-response"/>
+            </operation>
+        </action>
+    </setup>
+    <test>
+        <description value="Send Addendum DocumentReference."/>
+        <action>
+            <operation>
+                <description value="Submit."/>
+                <modifierExtension url="https://github.com/usnistgov/asbestos/wiki/TestScript-Import">
+                    <extension url="component">
+                        <valueString value="../../Library/SendPDB.xml"/>
+                    </extension>
+                    <extension url="urn:fixture-in">
+                        <valueString  value="addendum-bundle"/>
+                    </extension>
+                    <extension url="urn:variable-in-no-translation">
+                        <valueString value="patientResourceId"/>
+                    </extension>
+                    <extension url="urn:variable-in-no-translation">
+                        <valueString value="original"/>
+                    </extension>
+                    <extension url="urn:fixture-out">
+                        <valueString value="addendum-response"/>
+                    </extension>
+                </modifierExtension>
+            </operation>
+        </action>
+    </test>
+    <test>
+      <modifierExtension url="urn:noErrors"/>
+        <description value="Read back addendum."/>
+        <action>
+            <operation>
+                <description value="Addendum DocumentReference."/>
+                <label value="read-back"/>
+                <type>
+                    <code value="read"/>
+                </type>
+                <url value="${DocRefUrlAddendum}"/>
+                <responseId value="readBackResponse"/>
+            </operation>
+        </action>
+        <action>
+            <assert>
+                <description value="... was successful."/>
+                <response value="okay"/>
+                <warningOnly value="false"/>
+            </assert>
+        </action>
+        <action>
+            <assert>
+                <description value="... returned a DocumentReference."/>
+                <resource value="DocumentReference"/>
+                <warningOnly value="false"/>
+            </assert>
+        </action>
+        <action>
+            <assert>
+                <description value="... status is current."/>
+                <expression value="DocumentReference.status = 'current'"/>
+                <warningOnly value="false"/>
+            </assert>
+        </action>
+    </test>
+    <test>
+      <modifierExtension url="urn:noErrors"/>
+        <description value="Read back original and verify it has status current."/>
+        <action>
+            <operation>
+                <description value="Original DocumentReference."/>
+                <label value="read-back"/>
+                <type>
+                    <code value="read"/>
+                </type>
+                <url value="${DocRefUrl}"/>
+                <responseId value="rereadBackResponse"/>
+            </operation>
+        </action>
+        <action>
+            <assert>
+                <description value="... was successful."/>
+                <response value="okay"/>
+                <warningOnly value="false"/>
+            </assert>
+        </action>
+        <action>
+            <assert>
+                <description value="... returned a DocumentReference."/>
+                <resource value="DocumentReference"/>
+                <warningOnly value="false"/>
+            </assert>
+        </action>
+        <action>
+            <assert>
+                <description value="... status is current."/>
+                <expression value="DocumentReference.status = 'current'"/>
+                <warningOnly value="false"/>
+            </assert>
+        </action>
+    </test>
+</TestScript>
diff --git a/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/description.md b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/description.md
new file mode 100644
index 000000000..057baa63b
--- /dev/null
+++ b/asbestos-war/src/main/webapp/data/TestCollections/MHD_DocumentRecipient_comprehensive/Document_Addendum/description.md
@@ -0,0 +1,17 @@
+**Setup**: Submit a Provide Document Bundle transaction [ITI-65] containing Comprehensive Metadata to a Document Recipient
+actor. It contains a single DocumentReference, a DocumentManifest, and a Binary.
+
+**Send Addendum**: Submit a Provide Document Bundle transaction [ITI-65] containing Comprehensive Metadata to a Document Recipient
+actor. It contains a single DocumentReference, a DocumentManifest, and a Binary. The DocumentReference is
+linked to the original DocumentReference (from setup) as its addendum.
+
+**Read back addendum**: Read the DocumentReference submitted as an addendum and verify that its status
+is current.
+
+**Read back original**: Read the DocumentReference submitted as the original and verify that its status
+has not changed (status should still be current). 
+
+**Reference(s)**: 
+IHE MHD http://hl7.org/fhir/R4/valueset-document-relationship-type.html
+IHE XDS ITI TF 3:4.2.2.2.1 APND.
+