diff --git a/healthchain/fhir/__init__.py b/healthchain/fhir/__init__.py
index 82e68a2e..312c1edc 100644
--- a/healthchain/fhir/__init__.py
+++ b/healthchain/fhir/__init__.py
@@ -9,6 +9,7 @@
     set_problem_list_item_category,
     read_content_attachment,
     create_document_reference,
+    create_document_reference_content,
     create_single_attachment,
     create_resource_from_dict,
 )
@@ -30,6 +31,7 @@
     "set_problem_list_item_category",
     "read_content_attachment",
     "create_document_reference",
+    "create_document_reference_content",
     "create_single_attachment",
     "create_resource_from_dict",
     # Bundle operations
diff --git a/healthchain/fhir/helpers.py b/healthchain/fhir/helpers.py
index 444a6ea5..d8d9261a 100644
--- a/healthchain/fhir/helpers.py
+++ b/healthchain/fhir/helpers.py
@@ -280,7 +280,6 @@ def create_allergy_intolerance(
     return allergy
 
 
-# TODO: create a function that creates a DocumentReferenceContent to add to the DocumentReference
 def create_document_reference(
     data: Optional[Any] = None,
     url: Optional[str] = None,
@@ -327,6 +326,80 @@ def create_document_reference(
     return document_reference
 
 
+def create_document_reference_content(
+    attachment_data: Optional[str] = None,
+    url: Optional[str] = None,
+    content_type: str = "text/plain",
+    language: Optional[str] = "en-US",
+    title: Optional[str] = None,
+    **kwargs
+) -> Dict[str, Any]:
+    """Create a FHIR DocumentReferenceContent object.
+    
+    Creates a DocumentReferenceContent structure that can be added to a DocumentReference.
+    Either attachment_data or url must be provided. If attachment_data is provided, it will
+    be base64 encoded automatically.
+    
+    Args:
+        attachment_data: The content data (text that will be base64 encoded)
+        url: URL where the content can be accessed
+        content_type: MIME type (e.g., 'text/plain', 'text/html', 'application/pdf') (default: text/plain)
+        language: Language code (default: en-US)
+        title: Optional title for the content (default: "Attachment created by HealthChain")
+        **kwargs: Additional DocumentReferenceContent fields (e.g., format, profile)
+    
+    Returns:
+        Dict[str, Any]: A FHIR DocumentReferenceContent dictionary with attachment and optional language
+        
+    Example:
+        >>> # Create content with inline data
+        >>> content = create_document_reference_content(
+        ...     attachment_data="Patient presents with fever...",
+        ...     content_type="text/plain",
+        ...     title="Clinical Note"
+        ... )
+        >>> 
+        >>> # Create content with URL reference
+        >>> content = create_document_reference_content(
+        ...     url="https://example.com/document.pdf",
+        ...     content_type="application/pdf",
+        ...     title="Lab Report"
+        ... )
+        >>>
+        >>> # Add content to a DocumentReference
+        >>> doc_ref = DocumentReference(
+        ...     id="doc-1",
+        ...     status="current",
+        ...     content=[content]
+        ... )
+    """
+    if not attachment_data and not url:
+        logger.warning(
+            "No attachment_data or url provided for DocumentReferenceContent"
+        )
+    
+    if title is None:
+        title = "Attachment created by HealthChain"
+
+    attachment = create_single_attachment(
+        content_type=content_type,
+        data=attachment_data,
+        url=url,
+        title=title,
+    )
+
+    content: Dict[str, Any] = {
+        "attachment": attachment,
+    }
+    
+    if language:
+        content["language"] = language
+
+    content.update(kwargs)
+    
+    return content
+
+
 def read_content_attachment(
     document_reference: DocumentReference,
     include_data: bool = True,
diff --git a/tests/fhir/test_helpers.py b/tests/fhir/test_helpers.py
index da0fb684..25872981 100644
--- a/tests/fhir/test_helpers.py
+++ b/tests/fhir/test_helpers.py
@@ -5,6 +5,7 @@
 from fhir.resources.codeablereference import CodeableReference
 from fhir.resources.documentreference import DocumentReference
 from fhir.resources.attachment import Attachment
+from fhir.resources.coding import Coding
 from datetime import datetime
 
 
@@ -17,6 +18,7 @@
     set_problem_list_item_category,
     create_single_attachment,
     create_document_reference,
+    create_document_reference_content,
     read_content_attachment,
 )
 
@@ -245,3 +247,52 @@ def test_read_attachment_with_url():
     assert attachments[0]["metadata"]["content_type"] == "application/pdf"
     assert attachments[0]["metadata"]["title"] == "Test URL Doc"
     assert attachments[0]["metadata"]["creation"] is not None
+
+
+def test_create_document_reference_content_with_data():
+    """Test creating DocumentReferenceContent with inline data."""
+    content = create_document_reference_content(
+        attachment_data="Test data",
+        content_type="text/plain",
+        title="Test Document"
+    )
+    
+    assert "attachment" in content
+    assert content["attachment"].contentType == "text/plain"
+    assert content["attachment"].title == "Test Document"
+    assert content["attachment"].data is not None
+    assert content["language"] == "en-US"
+
+
+def test_create_document_reference_content_with_url():
+    """Test creating DocumentReferenceContent with URL."""
+    content = create_document_reference_content(
+        url="https://example.com/doc.pdf",
+        content_type="application/pdf",
+        title="External Document"
+    )
+    
+    assert "attachment" in content
+    assert content["attachment"].url == "https://example.com/doc.pdf"
+    assert content["attachment"].contentType == "application/pdf"
+
+
+def test_create_document_reference_content_custom_language():
+    """Test creating DocumentReferenceContent with custom language."""
+    content = create_document_reference_content(
+        attachment_data="Données de test",
+        language="fr-FR"
+    )
+    
+    assert content["language"] == "fr-FR"
+
+
+def test_create_document_reference_content_with_kwargs():
+    """Test creating DocumentReferenceContent with additional fields."""
+    content = create_document_reference_content(
+        attachment_data="Test",
+        format=Coding(system="http://ihe.net/fhir/ValueSet/IHE.FormatCode.codesystem", 
+                     code="urn:ihe:pcc:handp:2008")
+    )
+    
+    assert "format" in content
\ No newline at end of file