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-some value set OID for cda not recognized - need to bind them
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-add note on NPI
-update ids for this implementation to phcr-nn
-add DE's and link
-how to add extension is namespace issue
-need document things in usheader vs phcr and visa versa - AMS has docuement should create templates for the additional stuff here - e.g documentationOf, componentOf.
-Custodian is requiree - who is the custodian / Sender (Provider Org) , intermediary (PHCP) or Reciever ( PHA )