Id2.16.840.1.113883.3.1937.99.61.27.10.19Effective Date2019‑08‑29 14:54:39
Statusdraft DraftVersion Label2019
NameFLM_SupplyOneRelationShipToSubstanceAdministrationDisplay NameFLM_SupplyOneRelationShipSubstanceAdministration
DescriptionTemplate CDA Supply (prototype, directly derived from POCD_RM000040 MIF)
ContextParent nodes of template element with id 2.16.840.1.113883.3.1937.99.61.27.10.19
ClassificationCDA Entry Level Template
Open/ClosedOpen (other than defined elements are allowed)
Used by / Uses
Used by 0 transactions and 0 templates, Uses 10 templates
Uses as NameVersion
2.16.840.1.113883.3.1937.99.61.27.10.20Containmentdraft FLM_SubstanceAdministrationDYNAMIC
2.16.840.1.113883.10.12.312Containmentactive CDA ManufacturedProductDYNAMIC
2.16.840.1.113883.10.12.318Containmentactive CDA Author (Body)DYNAMIC
2.16.840.1.113883.10.12.319Containmentactive CDA Informant (Body)DYNAMIC
2.16.840.1.113883.10.12.320Containmentactive CDA Subject (Body)DYNAMIC
2.16.840.1.113883.10.12.321Containmentactive CDA Participant (Body)DYNAMIC
2.16.840.1.113883.10.12.322Containmentactive CDA SpecimenDYNAMIC
2.16.840.1.113883.10.12.323Containmentactive CDA Performer (Body)DYNAMIC
2.16.840.1.113883.10.12.324Containmentactive CDA ReferenceDYNAMIC
2.16.840.1.113883.10.12.329Containmentactive CDA PreconditionDYNAMIC
RelationshipSpecialization: template 2.16.840.1.113883.10.12.309 CDA Supply (2005‑09‑07)
ref
ad1bbr-
Example
Example
<hl7:supply classCode="SPLY" moodCode="DEF">
  <hl7:templateId root="2.16.840.1.113883.3.1937.99.61.27.10.19"/>  <hl7:templateId root="2.16.840.1.113883.10.12.309"/>  <hl7:id root="1.2.3.999" extension="--example only--"/>  <hl7:code/>  <hl7:text/>  <hl7:statusCode code="normal"/>  <hl7:effectiveTime/>  <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>  <hl7:repeatNumber/>  <hl7:independentInd value="false"/>  <hl7:quantity value="1"/>  <hl7:expectedUseTime>
    <hl7:low value="20190829150830"/>  </hl7:expectedUseTime>  <hl7:subject typeCode="SBJ" contextControlCode="OP">
    <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>    <hl7:relatedSubject classCode="PAT">
      <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:subject classCode="PSN" determinerCode="INSTANCE">
        <hl7:name>name</hl7:name>        <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>        <hl7:birthTime value="20190829150830"/>      </hl7:subject>    </hl7:relatedSubject>    <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
  </hl7:subject>  <hl7:specimen typeCode="SPC">
    <hl7:specimenRole classCode="SPEC">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
        <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>        <hl7:quantity value="1"/>        <hl7:name>name</hl7:name>        <hl7:desc/>      </hl7:specimenPlayingEntity>    </hl7:specimenRole>    <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
  </hl7:specimen>  <hl7:product typeCode="PRD">
    <hl7:manufacturedProduct classCode="MANU">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <__CHOICE__ min="1" max="1">
        <!--start choice particle-->
        <!-- include template 2.16.840.1.113883.10.12.310 'CDA LabeledDrug' (2005-09-07T00:00:00) -->
        <hl7:manufacturedLabeledDrug classCode="MMAT" determinerCode="KIND">
          <hl7:code/>          <hl7:name>name</hl7:name>        </hl7:manufacturedLabeledDrug>        <!--end choice particle-->
        <!--start choice particle-->
        <!-- include template 2.16.840.1.113883.10.12.311 'CDA Material' (2005-09-07T00:00:00) -->
        <hl7:manufacturedMaterial classCode="MMAT" determinerCode="KIND">
          <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>          <hl7:name>name</hl7:name>          <hl7:lotNumberText>lotNumberText</hl7:lotNumberText>        </hl7:manufacturedMaterial>        <!--end choice particle-->
      </__CHOICE__>      <hl7:manufacturerOrganization classCode="ORG" determinerCode="INSTANCE">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>        <hl7:standardIndustryClassCode/>        <hl7:asOrganizationPartOf classCode="PART">
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:code/>          <hl7:statusCode code="normal"/>          <hl7:effectiveTime>
            <hl7:low value="20190829150830"/>          </hl7:effectiveTime>          <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:name>name</hl7:name>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:addr>addr</hl7:addr>            <hl7:standardIndustryClassCode/>          </hl7:wholeOrganization>        </hl7:asOrganizationPartOf>        <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
      </hl7:manufacturerOrganization>    </hl7:manufacturedProduct>    <!-- template 2.16.840.1.113883.10.12.312 'CDA ManufacturedProduct' (2005-09-07T00:00:00) -->
  </hl7:product>  <hl7:performer typeCode="PRF">
    <hl7:time>
      <hl7:low value="20190829150830"/>    </hl7:time>    <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>    <hl7:assignedEntity>
      <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:code/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
        <hl7:name>name</hl7:name>        <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
      </hl7:assignedPerson>      <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>        <hl7:standardIndustryClassCode/>        <hl7:asOrganizationPartOf classCode="PART">
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:code/>          <hl7:statusCode code="normal"/>          <hl7:effectiveTime>
            <hl7:low value="20190829150830"/>          </hl7:effectiveTime>          <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:name>name</hl7:name>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:addr>addr</hl7:addr>            <hl7:standardIndustryClassCode/>          </hl7:wholeOrganization>        </hl7:asOrganizationPartOf>        <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
      </hl7:representedOrganization>    </hl7:assignedEntity>    <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
  </hl7:performer>  <hl7:author typeCode="AUT" contextControlCode="OP">
    <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>    <hl7:time value="20190829150830"/>    <hl7:assignedAuthor classCode="ASSIGNED">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:code/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <__CHOICE__ min="0" max="1">
        <!--start choice particle-->
        <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
          <hl7:name>name</hl7:name>          <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
        </hl7:assignedPerson>        <!--end choice particle-->
        <!--start choice particle-->
        <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
          <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>          <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>          <hl7:softwareName>softwareName</hl7:softwareName>          <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
        </hl7:assignedAuthoringDevice>        <!--end choice particle-->
      </__CHOICE__>      <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:name>name</hl7:name>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:addr>addr</hl7:addr>        <hl7:standardIndustryClassCode/>        <hl7:asOrganizationPartOf classCode="PART">
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:code/>          <hl7:statusCode code="normal"/>          <hl7:effectiveTime>
            <hl7:low value="20190829150830"/>          </hl7:effectiveTime>          <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:name>name</hl7:name>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:addr>addr</hl7:addr>            <hl7:standardIndustryClassCode/>          </hl7:wholeOrganization>        </hl7:asOrganizationPartOf>        <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
      </hl7:representedOrganization>    </hl7:assignedAuthor>    <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
  </hl7:author>  <hl7:informant typeCode="INF" contextControlCode="OP">
    <__CHOICE__ min="1" max="1">
      <!--start choice particle-->
      <hl7:assignedEntity classCode="ASSIGNED">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:code/>        <hl7:addr>addr</hl7:addr>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
          <hl7:name>name</hl7:name>          <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
        </hl7:assignedPerson>        <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:name>name</hl7:name>          <hl7:telecom value="tel:+1-12345678"/>          <hl7:addr>addr</hl7:addr>          <hl7:standardIndustryClassCode/>          <hl7:asOrganizationPartOf classCode="PART">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:statusCode code="normal"/>            <hl7:effectiveTime>
              <hl7:low value="20190829150830"/>            </hl7:effectiveTime>            <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:name>name</hl7:name>              <hl7:telecom value="tel:+1-12345678"/>              <hl7:addr>addr</hl7:addr>              <hl7:standardIndustryClassCode/>            </hl7:wholeOrganization>          </hl7:asOrganizationPartOf>          <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
        </hl7:representedOrganization>        <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
      </hl7:assignedEntity>      <!--end choice particle-->
      <!--start choice particle-->
      <hl7:relatedEntity classCode="AFFL">
        <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>        <hl7:addr>addr</hl7:addr>        <hl7:telecom value="tel:+1-12345678"/>        <hl7:effectiveTime>
          <hl7:low value="20190829150830"/>        </hl7:effectiveTime>        <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
          <hl7:name>name</hl7:name>          <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
        </hl7:relatedPerson>        <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
      </hl7:relatedEntity>      <!--end choice particle-->
    </__CHOICE__>    <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
  </hl7:informant>  <hl7:participant typeCode="PART" contextControlCode="OP">
    <hl7:time>
      <hl7:low value="20190829150830"/>    </hl7:time>    <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>    <hl7:participantRole classCode="ROL">
      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:code/>      <hl7:addr>addr</hl7:addr>      <hl7:telecom value="tel:+1-12345678"/>      <__CHOICE__ min="0" max="1">
        <!--start choice particle-->
        <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
          <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>          <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>          <hl7:softwareName>softwareName</hl7:softwareName>          <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
        </hl7:playingDevice>        <!--end choice particle-->
        <!--start choice particle-->
        <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
          <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>          <hl7:quantity value="1"/>          <hl7:name>name</hl7:name>          <hl7:desc/>          <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
        </hl7:playingEntity>        <!--end choice particle-->
      </__CHOICE__>      <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>        <hl7:desc/>      </hl7:scopingEntity>    </hl7:participantRole>    <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
  </hl7:participant>  <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
    <hl7:sequenceNumber value="1"/>    <hl7:seperatableInd value="false"/>    <hl7:substanceAdministration classCode="SBADM" moodCode="DEF" negationInd="false">
      <hl7:templateId root="2.16.840.1.113883.3.1937.99.61.27.10.20"/>      <hl7:templateId root="2.16.840.1.113883.10.12.308"/>      <hl7:id root="1.2.3.999" extension="--example only--"/>      <hl7:code code="DRUG" codeSystem="2.16.840.1.113883.5.4" displayName="Drug therapy"/>      <hl7:text/>      <hl7:statusCode code="normal"/>      <hl7:effectiveTime/>      <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>      <hl7:repeatNumber/>      <hl7:routeCode code="SOAK" codeSystem="2.16.840.1.113883.5.112" displayName="Immersion (soak)"/>      <hl7:approachSiteCode/>      <hl7:doseQuantity>
        <hl7:low value="1"/>      </hl7:doseQuantity>      <hl7:rateQuantity>
        <hl7:low value="1"/>      </hl7:rateQuantity>      <hl7:maxDoseQuantity/>      <hl7:administrationUnitCode code="APPFUL" codeSystem="2.16.840.1.113883.5.85" displayName="Applicatorful"/>      <hl7:subject typeCode="SBJ" contextControlCode="OP">
        <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>        <hl7:relatedSubject classCode="PAT">
          <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>          <hl7:addr>addr</hl7:addr>          <hl7:telecom value="tel:+1-12345678"/>          <hl7:subject classCode="PSN" determinerCode="INSTANCE">
            <hl7:name>name</hl7:name>            <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>            <hl7:birthTime value="20190829150830"/>          </hl7:subject>        </hl7:relatedSubject>        <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
      </hl7:subject>      <hl7:specimen typeCode="SPC">
        <hl7:specimenRole classCode="SPEC">
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
            <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>            <hl7:quantity value="1"/>            <hl7:name>name</hl7:name>            <hl7:desc/>          </hl7:specimenPlayingEntity>        </hl7:specimenRole>        <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
      </hl7:specimen>      <hl7:consumable typeCode="CSM">
        <hl7:manufacturedProduct classCode="MANU">
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <__CHOICE__ min="1" max="1">
            <!--start choice particle-->
            <!-- include template 2.16.840.1.113883.10.12.310 'CDA LabeledDrug' (2005-09-07T00:00:00) -->
            <hl7:manufacturedLabeledDrug classCode="MMAT" determinerCode="KIND">
              <hl7:code/>              <hl7:name>name</hl7:name>            </hl7:manufacturedLabeledDrug>            <!--end choice particle-->
            <!--start choice particle-->
            <!-- include template 2.16.840.1.113883.10.12.311 'CDA Material' (2005-09-07T00:00:00) -->
            <hl7:manufacturedMaterial classCode="MMAT" determinerCode="KIND">
              <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>              <hl7:name>name</hl7:name>              <hl7:lotNumberText>lotNumberText</hl7:lotNumberText>            </hl7:manufacturedMaterial>            <!--end choice particle-->
          </__CHOICE__>          <hl7:manufacturerOrganization classCode="ORG" determinerCode="INSTANCE">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:name>name</hl7:name>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:addr>addr</hl7:addr>            <hl7:standardIndustryClassCode/>            <hl7:asOrganizationPartOf classCode="PART">
              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:code/>              <hl7:statusCode code="normal"/>              <hl7:effectiveTime>
                <hl7:low value="20190829150830"/>              </hl7:effectiveTime>              <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:name>name</hl7:name>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:addr>addr</hl7:addr>                <hl7:standardIndustryClassCode/>              </hl7:wholeOrganization>            </hl7:asOrganizationPartOf>            <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
          </hl7:manufacturerOrganization>        </hl7:manufacturedProduct>        <!-- template 2.16.840.1.113883.10.12.312 'CDA ManufacturedProduct' (2005-09-07T00:00:00) -->
      </hl7:consumable>      <hl7:performer typeCode="PRF">
        <hl7:time>
          <hl7:low value="20190829150830"/>        </hl7:time>        <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>        <hl7:assignedEntity>
          <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:code/>          <hl7:addr>addr</hl7:addr>          <hl7:telecom value="tel:+1-12345678"/>          <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
            <hl7:name>name</hl7:name>            <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
          </hl7:assignedPerson>          <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:name>name</hl7:name>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:addr>addr</hl7:addr>            <hl7:standardIndustryClassCode/>            <hl7:asOrganizationPartOf classCode="PART">
              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:code/>              <hl7:statusCode code="normal"/>              <hl7:effectiveTime>
                <hl7:low value="20190829150830"/>              </hl7:effectiveTime>              <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:name>name</hl7:name>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:addr>addr</hl7:addr>                <hl7:standardIndustryClassCode/>              </hl7:wholeOrganization>            </hl7:asOrganizationPartOf>            <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
          </hl7:representedOrganization>        </hl7:assignedEntity>        <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
      </hl7:performer>      <hl7:author typeCode="AUT" contextControlCode="OP">
        <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>        <hl7:time value="20190829150830"/>        <hl7:assignedAuthor classCode="ASSIGNED">
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:code/>          <hl7:addr>addr</hl7:addr>          <hl7:telecom value="tel:+1-12345678"/>          <__CHOICE__ min="0" max="1">
            <!--start choice particle-->
            <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
              <hl7:name>name</hl7:name>              <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
            </hl7:assignedPerson>            <!--end choice particle-->
            <!--start choice particle-->
            <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
              <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>              <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>              <hl7:softwareName>softwareName</hl7:softwareName>              <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
            </hl7:assignedAuthoringDevice>            <!--end choice particle-->
          </__CHOICE__>          <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:name>name</hl7:name>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:addr>addr</hl7:addr>            <hl7:standardIndustryClassCode/>            <hl7:asOrganizationPartOf classCode="PART">
              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:code/>              <hl7:statusCode code="normal"/>              <hl7:effectiveTime>
                <hl7:low value="20190829150830"/>              </hl7:effectiveTime>              <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:name>name</hl7:name>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:addr>addr</hl7:addr>                <hl7:standardIndustryClassCode/>              </hl7:wholeOrganization>            </hl7:asOrganizationPartOf>            <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
          </hl7:representedOrganization>        </hl7:assignedAuthor>        <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
      </hl7:author>      <hl7:informant typeCode="INF" contextControlCode="OP">
        <__CHOICE__ min="1" max="1">
          <!--start choice particle-->
          <hl7:assignedEntity classCode="ASSIGNED">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:addr>addr</hl7:addr>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
              <hl7:name>name</hl7:name>              <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
            </hl7:assignedPerson>            <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
              <hl7:id root="1.2.3.999" extension="--example only--"/>              <hl7:name>name</hl7:name>              <hl7:telecom value="tel:+1-12345678"/>              <hl7:addr>addr</hl7:addr>              <hl7:standardIndustryClassCode/>              <hl7:asOrganizationPartOf classCode="PART">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:statusCode code="normal"/>                <hl7:effectiveTime>
                  <hl7:low value="20190829150830"/>                </hl7:effectiveTime>                <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                </hl7:wholeOrganization>              </hl7:asOrganizationPartOf>              <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
            </hl7:representedOrganization>            <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
          </hl7:assignedEntity>          <!--end choice particle-->
          <!--start choice particle-->
          <hl7:relatedEntity classCode="AFFL">
            <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>            <hl7:addr>addr</hl7:addr>            <hl7:telecom value="tel:+1-12345678"/>            <hl7:effectiveTime>
              <hl7:low value="20190829150830"/>            </hl7:effectiveTime>            <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
              <hl7:name>name</hl7:name>              <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
            </hl7:relatedPerson>            <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
          </hl7:relatedEntity>          <!--end choice particle-->
        </__CHOICE__>        <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
      </hl7:informant>      <hl7:participant typeCode="PART" contextControlCode="OP">
        <hl7:time>
          <hl7:low value="20190829150830"/>        </hl7:time>        <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>        <hl7:participantRole classCode="ROL">
          <hl7:id root="1.2.3.999" extension="--example only--"/>          <hl7:code/>          <hl7:addr>addr</hl7:addr>          <hl7:telecom value="tel:+1-12345678"/>          <__CHOICE__ min="0" max="1">
            <!--start choice particle-->
            <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
              <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>              <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>              <hl7:softwareName>softwareName</hl7:softwareName>              <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
            </hl7:playingDevice>            <!--end choice particle-->
            <!--start choice particle-->
            <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
              <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>              <hl7:quantity value="1"/>              <hl7:name>name</hl7:name>              <hl7:desc/>              <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
            </hl7:playingEntity>            <!--end choice particle-->
          </__CHOICE__>          <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>            <hl7:desc/>          </hl7:scopingEntity>        </hl7:participantRole>        <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
      </hl7:participant>      <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
        <hl7:sequenceNumber value="1"/>        <hl7:seperatableInd value="false"/>        <__CHOICE__ min="1" max="1">
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.301 'CDA Act' (2005-09-07T00:00:00) -->
          <hl7:act classCode="ACCM" moodCode="APT" negationInd="false">
            <hl7:templateId root="2.16.840.1.113883.10.12.301"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:text/>            <hl7:statusCode code="normal"/>            <hl7:effectiveTime>
              <hl7:low value="20190829150830"/>            </hl7:effectiveTime>            <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>            <hl7:languageCode/>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:entryRelationship>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>          </hl7:act>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.302 'CDA Encounter' (2005-09-07T00:00:00) -->
          <hl7:encounter classCode="ENC" moodCode="APT">
            <hl7:templateId root="2.16.840.1.113883.10.12.302"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code code="AMB" codeSystem="2.16.840.1.113883.5.4" displayName="ambulatory"/>            <hl7:text/>            <hl7:statusCode code="normal"/>            <hl7:effectiveTime>
              <hl7:low value="20190829150830"/>            </hl7:effectiveTime>            <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:entryRelationship>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>          </hl7:encounter>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.303 'CDA Observation' (2005-09-07T00:00:00) -->
          <hl7:observation classCode="OBS" moodCode="APT" negationInd="false">
            <hl7:templateId root="2.16.840.1.113883.10.12.303"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code code="ARTBLD" codeSystem="2.16.840.1.113883.5.4" displayName="ActSpecObsArtBldCode"/>            <hl7:derivationExpr>derivationExpr</hl7:derivationExpr>            <hl7:text/>            <hl7:statusCode code="normal"/>            <hl7:effectiveTime>
              <hl7:low value="20190829150830"/>            </hl7:effectiveTime>            <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>            <hl7:repeatNumber/>            <hl7:languageCode/>            <hl7:value/>            <hl7:interpretationCode code="CAR" codeSystem="2.16.840.1.113883.5.83" displayName="Carrier"/>            <hl7:methodCode code="0001" codeSystem="2.16.840.1.113883.5.84" displayName="Complement fixation"/>            <hl7:targetSiteCode/>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:entryRelationship>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>            <hl7:referenceRange typeCode="REFV">
              <hl7:observationRange classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>                <hl7:interpretationCode code="CAR" codeSystem="2.16.840.1.113883.5.83" displayName="Carrier"/>              </hl7:observationRange>            </hl7:referenceRange>          </hl7:observation>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.304 'CDA ObservationMedia' (2005-09-07T00:00:00) -->
          <hl7:observationMedia classCode="OBS" moodCode="EVN">
            <hl7:templateId root="2.16.840.1.113883.10.12.304"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:languageCode/>            <hl7:value/>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:entryRelationship>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>          </hl7:observationMedia>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.305 'CDA Organizer' (2005-09-07T00:00:00) -->
          <hl7:organizer classCode="BATTERY" moodCode="EVN">
            <hl7:templateId root="2.16.840.1.113883.10.12.305"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:statusCode code="normal"/>            <hl7:effectiveTime>
              <hl7:low value="20190829150830"/>            </hl7:effectiveTime>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>            <hl7:component typeCode="COMP" contextConductionInd="true">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:component>          </hl7:organizer>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.306 'CDA Procedure' (2005-09-07T00:00:00) -->
          <hl7:procedure classCode="PROC" moodCode="APT" negationInd="false">
            <hl7:templateId root="2.16.840.1.113883.10.12.306"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:text/>            <hl7:statusCode code="normal"/>            <hl7:effectiveTime>
              <hl7:low value="20190829150830"/>            </hl7:effectiveTime>            <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>            <hl7:languageCode/>            <hl7:methodCode/>            <hl7:approachSiteCode/>            <hl7:targetSiteCode/>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:entryRelationship>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>          </hl7:procedure>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.307 'CDA RegionOfInterest' (2005-09-07T00:00:00) -->
          <hl7:regionOfInterest classCode="ROIOVL" moodCode="EVN">
            <hl7:templateId root="2.16.840.1.113883.10.12.307"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code code="CIRCLE"/>            <hl7:value value="1"/>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:entryRelationship>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>          </hl7:regionOfInterest>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.308 'CDA SubstanceAdministration' (2005-09-07T00:00:00) -->
          <hl7:substanceAdministration classCode="SBADM" moodCode="DEF" negationInd="false">
            <hl7:templateId root="2.16.840.1.113883.10.12.308"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code code="DRUG" codeSystem="2.16.840.1.113883.5.4" displayName="Drug therapy"/>            <hl7:text/>            <hl7:statusCode code="normal"/>            <hl7:effectiveTime/>            <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>            <hl7:repeatNumber/>            <hl7:routeCode code="SOAK" codeSystem="2.16.840.1.113883.5.112" displayName="Immersion (soak)"/>            <hl7:approachSiteCode/>            <hl7:doseQuantity>
              <hl7:low value="1"/>            </hl7:doseQuantity>            <hl7:rateQuantity>
              <hl7:low value="1"/>            </hl7:rateQuantity>            <hl7:maxDoseQuantity/>            <hl7:administrationUnitCode code="APPFUL" codeSystem="2.16.840.1.113883.5.85" displayName="Applicatorful"/>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:consumable typeCode="CSM">
              <hl7:manufacturedProduct classCode="MANU">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <__CHOICE__ min="1" max="1">
                  <!--start choice particle-->
                  <!-- include template 2.16.840.1.113883.10.12.310 'CDA LabeledDrug' (2005-09-07T00:00:00) -->
                  <hl7:manufacturedLabeledDrug classCode="MMAT" determinerCode="KIND">
                    <hl7:code/>                    <hl7:name>name</hl7:name>                  </hl7:manufacturedLabeledDrug>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <!-- include template 2.16.840.1.113883.10.12.311 'CDA Material' (2005-09-07T00:00:00) -->
                  <hl7:manufacturedMaterial classCode="MMAT" determinerCode="KIND">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:name>name</hl7:name>                    <hl7:lotNumberText>lotNumberText</hl7:lotNumberText>                  </hl7:manufacturedMaterial>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:manufacturerOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:manufacturerOrganization>              </hl7:manufacturedProduct>              <!-- template 2.16.840.1.113883.10.12.312 'CDA ManufacturedProduct' (2005-09-07T00:00:00) -->
            </hl7:consumable>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:entryRelationship>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>          </hl7:substanceAdministration>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.309 'CDA Supply' (2005-09-07T00:00:00) -->
          <hl7:supply classCode="SPLY" moodCode="DEF">
            <hl7:templateId root="2.16.840.1.113883.10.12.309"/>            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:text/>            <hl7:statusCode code="normal"/>            <hl7:effectiveTime/>            <hl7:priorityCode code="A" codeSystem="2.16.840.1.113883.5.7" displayName="ASAP"/>            <hl7:repeatNumber/>            <hl7:independentInd value="false"/>            <hl7:quantity value="1"/>            <hl7:expectedUseTime>
              <hl7:low value="20190829150830"/>            </hl7:expectedUseTime>            <hl7:subject typeCode="SBJ" contextControlCode="OP">
              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:relatedSubject classCode="PAT">
                <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:subject classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <hl7:administrativeGenderCode code="F" codeSystem="2.16.840.1.113883.5.1" displayName="Female"/>                  <hl7:birthTime value="20190829150830"/>                </hl7:subject>              </hl7:relatedSubject>              <!-- template 2.16.840.1.113883.10.12.320 'CDA Subject (Body)' (2005-09-07T00:00:00) -->
            </hl7:subject>            <hl7:specimen typeCode="SPC">
              <hl7:specimenRole classCode="SPEC">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:specimenPlayingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:quantity value="1"/>                  <hl7:name>name</hl7:name>                  <hl7:desc/>                </hl7:specimenPlayingEntity>              </hl7:specimenRole>              <!-- template 2.16.840.1.113883.10.12.322 'CDA Specimen' (2005-09-07T00:00:00) -->
            </hl7:specimen>            <hl7:product typeCode="PRD">
              <hl7:manufacturedProduct classCode="MANU">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <__CHOICE__ min="1" max="1">
                  <!--start choice particle-->
                  <!-- include template 2.16.840.1.113883.10.12.310 'CDA LabeledDrug' (2005-09-07T00:00:00) -->
                  <hl7:manufacturedLabeledDrug classCode="MMAT" determinerCode="KIND">
                    <hl7:code/>                    <hl7:name>name</hl7:name>                  </hl7:manufacturedLabeledDrug>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <!-- include template 2.16.840.1.113883.10.12.311 'CDA Material' (2005-09-07T00:00:00) -->
                  <hl7:manufacturedMaterial classCode="MMAT" determinerCode="KIND">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:name>name</hl7:name>                    <hl7:lotNumberText>lotNumberText</hl7:lotNumberText>                  </hl7:manufacturedMaterial>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:manufacturerOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:manufacturerOrganization>              </hl7:manufacturedProduct>              <!-- template 2.16.840.1.113883.10.12.312 'CDA ManufacturedProduct' (2005-09-07T00:00:00) -->
            </hl7:product>            <hl7:performer typeCode="PRF">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:modeCode code="PHYSICAL" codeSystem="2.16.840.1.113883.5.1064" displayName="physical presence"/>              <hl7:assignedEntity>
                <!-- include template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                  <hl7:name>name</hl7:name>                  <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                </hl7:assignedPerson>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedEntity>              <!-- template 2.16.840.1.113883.10.12.323 'CDA Performer (Body)' (2005-09-07T00:00:00) -->
            </hl7:performer>            <hl7:author typeCode="AUT" contextControlCode="OP">
              <hl7:functionCode code="AUCG" codeSystem="2.16.840.1.113883.5.88" displayName="caregiver information receiver"/>              <hl7:time value="20190829150830"/>              <hl7:assignedAuthor classCode="ASSIGNED">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:assignedAuthoringDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:assignedAuthoringDevice>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:name>name</hl7:name>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:standardIndustryClassCode/>                  <hl7:asOrganizationPartOf classCode="PART">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:code/>                    <hl7:statusCode code="normal"/>                    <hl7:effectiveTime>
                      <hl7:low value="20190829150830"/>                    </hl7:effectiveTime>                    <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:name>name</hl7:name>                      <hl7:telecom value="tel:+1-12345678"/>                      <hl7:addr>addr</hl7:addr>                      <hl7:standardIndustryClassCode/>                    </hl7:wholeOrganization>                  </hl7:asOrganizationPartOf>                  <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                </hl7:representedOrganization>              </hl7:assignedAuthor>              <!-- template 2.16.840.1.113883.10.12.318 'CDA Author (Body)' (2005-09-07T00:00:00) -->
            </hl7:author>            <hl7:informant typeCode="INF" contextControlCode="OP">
              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <hl7:assignedEntity classCode="ASSIGNED">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:assignedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:assignedPerson>                  <hl7:representedOrganization classCode="ORG" determinerCode="INSTANCE">
                    <hl7:id root="1.2.3.999" extension="--example only--"/>                    <hl7:name>name</hl7:name>                    <hl7:telecom value="tel:+1-12345678"/>                    <hl7:addr>addr</hl7:addr>                    <hl7:standardIndustryClassCode/>                    <hl7:asOrganizationPartOf classCode="PART">
                      <hl7:id root="1.2.3.999" extension="--example only--"/>                      <hl7:code/>                      <hl7:statusCode code="normal"/>                      <hl7:effectiveTime>
                        <hl7:low value="20190829150830"/>                      </hl7:effectiveTime>                      <hl7:wholeOrganization classCode="ORG" determinerCode="INSTANCE">
                        <hl7:id root="1.2.3.999" extension="--example only--"/>                        <hl7:name>name</hl7:name>                        <hl7:telecom value="tel:+1-12345678"/>                        <hl7:addr>addr</hl7:addr>                        <hl7:standardIndustryClassCode/>                      </hl7:wholeOrganization>                    </hl7:asOrganizationPartOf>                    <!-- template 2.16.840.1.113883.10.12.151 'CDA Organization' (2005-09-07T00:00:00) -->
                  </hl7:representedOrganization>                  <!-- template 2.16.840.1.113883.10.12.153 'CDA AssignedEntity' (2005-09-07T00:00:00) -->
                </hl7:assignedEntity>                <!--end choice particle-->
                <!--start choice particle-->
                <hl7:relatedEntity classCode="AFFL">
                  <hl7:code code="FAMMEMB" codeSystem="2.16.840.1.113883.5.111" displayName="family member"/>                  <hl7:addr>addr</hl7:addr>                  <hl7:telecom value="tel:+1-12345678"/>                  <hl7:effectiveTime>
                    <hl7:low value="20190829150830"/>                  </hl7:effectiveTime>                  <hl7:relatedPerson classCode="PSN" determinerCode="INSTANCE">
                    <hl7:name>name</hl7:name>                    <!-- template 2.16.840.1.113883.10.12.152 'CDA Person' (2005-09-07T00:00:00) -->
                  </hl7:relatedPerson>                  <!-- template 2.16.840.1.113883.10.12.316 'CDA RelatedEntity' (2005-09-07T00:00:00) -->
                </hl7:relatedEntity>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.319 'CDA Informant (Body)' (2005-09-07T00:00:00) -->
            </hl7:informant>            <hl7:participant typeCode="PART" contextControlCode="OP">
              <hl7:time>
                <hl7:low value="20190829150830"/>              </hl7:time>              <hl7:awarenessCode code="D" codeSystem="2.16.840.1.113883.5.137" displayName="denying"/>              <hl7:participantRole classCode="ROL">
                <hl7:id root="1.2.3.999" extension="--example only--"/>                <hl7:code/>                <hl7:addr>addr</hl7:addr>                <hl7:telecom value="tel:+1-12345678"/>                <__CHOICE__ min="0" max="1">
                  <!--start choice particle-->
                  <hl7:playingDevice classCode="DEV" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:manufacturerModelName>manufacturerModelName</hl7:manufacturerModelName>                    <hl7:softwareName>softwareName</hl7:softwareName>                    <!-- template 2.16.840.1.113883.10.12.315 'CDA Device' (2005-09-07T00:00:00) -->
                  </hl7:playingDevice>                  <!--end choice particle-->
                  <!--start choice particle-->
                  <hl7:playingEntity classCode="ENT" determinerCode="INSTANCE">
                    <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                    <hl7:quantity value="1"/>                    <hl7:name>name</hl7:name>                    <hl7:desc/>                    <!-- template 2.16.840.1.113883.10.12.313 'CDA PlayingEntity' (2005-09-07T00:00:00) -->
                  </hl7:playingEntity>                  <!--end choice particle-->
                </__CHOICE__>                <hl7:scopingEntity classCode="ENT" determinerCode="INSTANCE">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="PKG" codeSystem="2.16.840.1.113883.5.1060" displayName="Package"/>                  <hl7:desc/>                </hl7:scopingEntity>              </hl7:participantRole>              <!-- template 2.16.840.1.113883.10.12.321 'CDA Participant (Body)' (2005-09-07T00:00:00) -->
            </hl7:participant>            <hl7:entryRelationship typeCode="CAUS" contextConductionInd="false" inversionInd="false" negationInd="false">
              <hl7:sequenceNumber value="1"/>              <hl7:seperatableInd value="false"/>              <!--Recursion detected. Template 2.16.840.1.113883.10.12.300 CDA Clinical Statement (2005-09-07T00:00:00) has already been processed-->
              <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
            </hl7:entryRelationship>            <hl7:reference typeCode="ELNK">
              <hl7:seperatableInd value="false"/>              <__CHOICE__ min="1" max="1">
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
                <hl7:externalAct classCode="ACT" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalAct>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
                <hl7:externalObservation classCode="OBS" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalObservation>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
                <hl7:externalProcedure classCode="PROC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code/>                  <hl7:text/>                </hl7:externalProcedure>                <!--end choice particle-->
                <!--start choice particle-->
                <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
                <hl7:externalDocument classCode="DOC" moodCode="EVN">
                  <hl7:id root="1.2.3.999" extension="--example only--"/>                  <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>                  <hl7:text/>                  <hl7:setId root="1.2.3.999" extension="--example only--"/>                  <hl7:versionNumber value="1"/>                </hl7:externalDocument>                <!--end choice particle-->
              </__CHOICE__>              <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
            </hl7:reference>            <hl7:precondition typeCode="PRCN">
              <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
                <hl7:code/>                <hl7:text/>                <hl7:value/>              </hl7:criterion>              <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
            </hl7:precondition>          </hl7:supply>          <!--end choice particle-->
        </__CHOICE__>        <!-- template 2.16.840.1.113883.10.12.300 'CDA Clinical Statement' (2005-09-07T00:00:00) -->
      </hl7:entryRelationship>      <hl7:reference typeCode="ELNK">
        <hl7:seperatableInd value="false"/>        <__CHOICE__ min="1" max="1">
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
          <hl7:externalAct classCode="ACT" moodCode="EVN">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:text/>          </hl7:externalAct>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
          <hl7:externalObservation classCode="OBS" moodCode="EVN">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:text/>          </hl7:externalObservation>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
          <hl7:externalProcedure classCode="PROC" moodCode="EVN">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code/>            <hl7:text/>          </hl7:externalProcedure>          <!--end choice particle-->
          <!--start choice particle-->
          <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
          <hl7:externalDocument classCode="DOC" moodCode="EVN">
            <hl7:id root="1.2.3.999" extension="--example only--"/>            <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>            <hl7:text/>            <hl7:setId root="1.2.3.999" extension="--example only--"/>            <hl7:versionNumber value="1"/>          </hl7:externalDocument>          <!--end choice particle-->
        </__CHOICE__>        <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
      </hl7:reference>      <hl7:precondition typeCode="PRCN">
        <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
          <hl7:code/>          <hl7:text/>          <hl7:value/>        </hl7:criterion>        <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
      </hl7:precondition>    </hl7:substanceAdministration>    <!-- template 2.16.840.1.113883.3.1937.99.61.27.10.20 'FML_SubstanceAdministration' (2019-08-29T15:03:30) -->
  </hl7:entryRelationship>  <hl7:reference typeCode="ELNK">
    <hl7:seperatableInd value="false"/>    <__CHOICE__ min="1" max="1">
      <!--start choice particle-->
      <!-- include template 2.16.840.1.113883.10.12.325 'CDA ExternalAct' (2005-09-07T00:00:00) -->
      <hl7:externalAct classCode="ACT" moodCode="EVN">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:code/>        <hl7:text/>      </hl7:externalAct>      <!--end choice particle-->
      <!--start choice particle-->
      <!-- include template 2.16.840.1.113883.10.12.326 'CDA ExternalObservation' (2005-09-07T00:00:00) -->
      <hl7:externalObservation classCode="OBS" moodCode="EVN">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:code/>        <hl7:text/>      </hl7:externalObservation>      <!--end choice particle-->
      <!--start choice particle-->
      <!-- include template 2.16.840.1.113883.10.12.327 'CDA ExternalProcedure' (2005-09-07T00:00:00) -->
      <hl7:externalProcedure classCode="PROC" moodCode="EVN">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:code/>        <hl7:text/>      </hl7:externalProcedure>      <!--end choice particle-->
      <!--start choice particle-->
      <!-- include template 2.16.840.1.113883.10.12.328 'CDA ExternalDocument' (2005-09-07T00:00:00) -->
      <hl7:externalDocument classCode="DOC" moodCode="EVN">
        <hl7:id root="1.2.3.999" extension="--example only--"/>        <hl7:code code="--code--" codeSystem="2.16.840.1.113883.6.1"/>        <hl7:text/>        <hl7:setId root="1.2.3.999" extension="--example only--"/>        <hl7:versionNumber value="1"/>      </hl7:externalDocument>      <!--end choice particle-->
    </__CHOICE__>    <!-- template 2.16.840.1.113883.10.12.324 'CDA Reference' (2005-09-07T00:00:00) -->
  </hl7:reference>  <hl7:precondition typeCode="PRCN">
    <hl7:criterion classCode="OBS" moodCode="EVN.CRT">
      <hl7:code/>      <hl7:text/>      <hl7:value/>    </hl7:criterion>    <!-- template 2.16.840.1.113883.10.12.329 'CDA Precondition' (2005-09-07T00:00:00) -->
  </hl7:precondition></hl7:supply>
ItemDTCardConfDescriptionLabel
hl7:supply
FLM_dotstion
@classCode
cs1 … 1FSPLY
@moodCode
cs1 … 1R
 CONF
The value of @moodCode shall be drawn from value set 2.16.840.1.113883.1.11.19461 x_DocumentSubstanceMood (DYNAMIC)
hl7:templateId
II1 … 1MFLM_dotstion
@root
uid1 … 1F2.16.840.1.113883.3.1937.99.61.27.10.19
hl7:templateId
II1 … 1RFLM_dotstion
@root
uid1 … 1F2.16.840.1.113883.10.12.309
hl7:id
II0 … *FLM_dotstion
hl7:code
CD0 … 1FLM_dotstion
 CONF
shall be drawn from concept domain "ActCode"
hl7:text
ED0 … 1FLM_dotstion
hl7:statusCode
CS0 … 1FLM_dotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.15933 ActStatus (DYNAMIC)
hl7:effectiveTime
SXCM_TS0 … 1FLM_dotstion
hl7:priorityCode
CE0 … *FLM_dotstion
 CONF
The value of @code shall be drawn from value set 2.16.840.1.113883.1.11.16866 ActPriority (DYNAMIC)
hl7:repeatNumber
IVL_INT0 … 1FLM_dotstion
hl7:independentInd
BL0 … 1FLM_dotstion
hl7:quantity
PQ0 … 1FLM_dotstion
hl7:expectedUseTime
IVL_TS0 … 1FLM_dotstion
hl7:subject
0 … 1Contains 2.16.840.1.113883.10.12.320 CDA Subject (Body) (DYNAMIC)FLM_dotstion
hl7:specimen
0 … *Contains 2.16.840.1.113883.10.12.322 CDA Specimen (DYNAMIC)FLM_dotstion
hl7:product
0 … 1RContains 2.16.840.1.113883.10.12.312 CDA ManufacturedProduct (DYNAMIC)FLM_dotstion
@typeCode
cs0 … 1FPRD
hl7:performer
0 … *Contains 2.16.840.1.113883.10.12.323 CDA Performer (Body) (DYNAMIC)FLM_dotstion
hl7:author
0 … *Contains 2.16.840.1.113883.10.12.318 CDA Author (Body) (DYNAMIC)FLM_dotstion
hl7:informant
0 … *Contains 2.16.840.1.113883.10.12.319 CDA Informant (Body) (DYNAMIC)FLM_dotstion
hl7:participant
0 … *Contains 2.16.840.1.113883.10.12.321 CDA Participant (Body) (DYNAMIC)FLM_dotstion
hl7:entryRelationship
1 … 1RContains 2.16.840.1.113883.3.1937.99.61.27.10.20 FLM_SubstanceAdministration (DYNAMIC)FLM_dotstion
@typeCode
cs1 … 1R
 CONF
The value of @typeCode shall be drawn from value set 2.16.840.1.113883.1.11.19447 x_ActRelationshipEntryRelationship (DYNAMIC)
@contextConductionInd
bl0 … 1 
@inversionInd
bl0 … 1 
@negationInd
bl0 … 1 
hl7:sequenceNumber
INT0 … 1FLM_dotstion
hl7:seperatableInd
BL0 … 1FLM_dotstion
hl7:reference
0 … *Contains 2.16.840.1.113883.10.12.324 CDA Reference (DYNAMIC)FLM_dotstion
hl7:precondition
0 … *Contains 2.16.840.1.113883.10.12.329 CDA Precondition (DYNAMIC)FLM_dotstion