The document is an official response to a dubia submitted by Brazilian Bishop Giuseppe Negri of Santo Amaro seeking guidance on the issue. It was propagated by the Vatican's Dicastery for the Doctrine of the Faith and signed by Pope Francis.
However, in a somewhat ambiguous clarification, the guidance specifies that in order for individuals with gender-identity afflictions to be baptized, it must not cause "scandal" or "disorientation."
This same stipulation applied to their eligibility to act as godparents or witness marriages, according to the Vatican.