<?xml version="1.0" encoding="UTF-8"?>

<!--
Title: Comprehensive Primary Care (CPC+) Plus Sample QRDA-III Report
File Name: Comprehensive Primary Care Plus (CPC+) Sample QRDA-III.xml
Version: 1.0
Revision History:  
    		1) 11/15/17 Created
    		2) Revised 9/28/18
Description:  
    		1) This QRDA-III sample file is valid ONLY for CPC+ and for the Performance Period 2018 (01/01/2018 - 12/31/2018 measurement period) reporting. 
    	   2) This sample file correctly validates against the conformance statements specified in the CMS Implementation Guide for Quality Reporting Document Architecture Category III Eligible Clinicians and Eligible Professionals Programs -->
<ClinicalDocument xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns="urn:hl7-org:v3">
   <realmCode code="US"/>
   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
   <templateId root="2.16.840.1.113883.10.20.27.1.1" extension="2017-06-01"/>
   <templateId root="2.16.840.1.113883.10.20.27.1.2" extension="2018-05-01"/>
   <id root="D5E68223-5760-11E7-1256-09173F13E4C5"/>
   <code code="55184-6"
         codeSystem="2.16.840.1.113883.6.1"
         codeSystemName="LOINC"
         displayName="Quality Reporting Document Architecture Calculated Summary Report"/>
   <title>Comprehensive Primary Care Plus (CPC+) Sample QRDA-III Report</title>
   <effectiveTime value="20190211061231"/>
   <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25"/>
   <languageCode code="en"/>
   <setId root="D5E68223-5760-11E7-1256-09173F13E4C5"/>
   <versionNumber value="1"/>
   <recordTarget>
      <patientRole>
         <id nullFlavor="NA"/>
      </patientRole>
   </recordTarget>
   <!--Device Author Example-->
	  <author>
      <time value="20180211061231"/>
      <assignedAuthor>
         <id root="D5E68225-5760-11E7-1256-09173F13E4C5"/>
         <assignedAuthoringDevice>
            <softwareName>Physician Info</softwareName>
         </assignedAuthoringDevice>
         <representedOrganization>
            <id root="2.16.840.1.113883.19.5" extension="223344"/>
            <name>Happy Practice</name>
         </representedOrganization>
      </assignedAuthor>
   </author>
   <!--Person Author Example-->
	  <author>
      <time value="20180311061231"/>
      <assignedAuthor>
         <id root="2.16.840.1.113883.4.6"
             extension="2567891421"
             assigningAuthorityName="NPI"/>
         <assignedPerson>
            <name>
               <given>Trevor</given>
               <family>Phillips</family>
            </name>
         </assignedPerson>
         <representedOrganization>
            <id root="2.16.840.1.113883.19.5" extension="223344"/>
            <name>Happy Practice</name>
         </representedOrganization>
      </assignedAuthor>
   </author>
   <custodian>
      <assignedCustodian>
         <representedCustodianOrganization>
            <id root="2.16.840.1.113883.19.5" extension="223344"/>
            <name>Happy Practice</name>
         </representedCustodianOrganization>
      </assignedCustodian>
   </custodian>
   <!--Program for which data is being submitted-->
	  <informationRecipient>
      <intendedRecipient>
         <id root="2.16.840.1.113883.3.249.7" extension="CPCPLUS"/>
      </intendedRecipient>
   </informationRecipient>
   <legalAuthenticator>
      <time value="20170312153222"/>
      <signatureCode code="S"/>
      <assignedEntity>
         <id root="D5E68226-5760-11E7-1256-09173F13E4C5"/>
         <representedOrganization>
            <id root="2.16.840.1.113883.19.5" extension="223344"/>
            <name>Happy Practice</name>
         </representedOrganization>
      </assignedEntity>
   </legalAuthenticator>
   <participant typeCode="DEV">
      <associatedEntity classCode="RGPR">
         <id root="2.16.840.1.113883.3.2074.1"
             extension="CMS_EHR_Certification_Identification_Number_Goes_Here"/>
         <code code="129465004"
               displayName="medical record, device"
               codeSystem="2.16.840.1.113883.6.96"
               codeSystemName="SNOMED-CT"/>
      </associatedEntity>
   </participant>
   <!--Practice Site-->
	  <participant typeCode="LOC">
      <associatedEntity classCode="SDLOC">
         <id root="2.16.840.1.113883.3.249.5.1"
            extension="T2OR1234"
             assigningAuthorityName="CMS-CMMI"/>
         <code code="394730007"
               displayName="healthcare related organization"
               codeSystem="2.16.840.1.113883.6.96"
               codeSystemName="SNOMED-CT"/>
         <addr>
            <streetAddressLine>123 Healthcare St</streetAddressLine>
            <city>Norman</city>
            <state>OK</state>
            <postalCode>73019</postalCode>
         </addr>
      </associatedEntity>
   </participant>
   <!--Providers in Practice Site for which data is being submitted-->
	  <documentationOf typeCode="DOC">
      <serviceEvent classCode="PCPR">
         <effectiveTime>
            <low value="20190101"/>
            <high value="20191231"/>
         </effectiveTime>	
         <performer typeCode="PRF">
            <time>
               <low value="20190101"/>
               <high value="20191231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2567891421"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Happy Practice</name>
               </representedOrganization>
            </assignedEntity>
         </performer>	
         <performer typeCode="PRF">
            <time>
               <low value="20190101"/>
               <high value="20191231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2589654740"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Happy Practice</name>
               </representedOrganization>
            </assignedEntity>
         </performer>	
         <performer typeCode="PRF">
            <time>
               <low value="20190101"/>
               <high value="20191231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2345872354"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Happy Practice</name>
               </representedOrganization>
            </assignedEntity>
         </performer>	
         <performer typeCode="PRF">
            <time>
               <low value="20190101"/>
               <high value="20191231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2365987421"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Happy Practice</name>
               </representedOrganization>
            </assignedEntity>
         </performer>	
         <performer typeCode="PRF">
            <time>
               <low value="20190101"/>
               <high value="20191231"/>
            </time>
            <assignedEntity>
               <id root="2.16.840.1.113883.4.6" extension="2357943549"/>
               <representedOrganization>
                  <id root="2.16.840.1.113883.4.2" extension="990000099"/>
                  <name>Happy Practice</name>
               </representedOrganization>
            </assignedEntity>
         </performer>
      </serviceEvent>
   </documentationOf>
   <authorization>
      <consent>
         <id root="D5E68227-5760-11E7-1256-09173F13E4C5"/>
         <code code="425691002"
               displayName="consent given for electronic record sharing"
               codeSystem="2.16.840.1.113883.6.96"
               codeSystemName="SNOMED-CT"/>
         <statusCode code="completed"/>
      </consent>
   </authorization>
   <component>
      <structuredBody>
   <component>
            <section>
               <templateId root="2.16.840.1.113883.10.20.27.2.1" extension="2017-06-01"/>
               <templateId root="2.16.840.1.113883.10.20.24.2.2"/>
               <templateId root="2.16.840.1.113883.10.20.27.2.3" extension="2018-05-01"/>
               <code code="55186-1"
                     codeSystem="2.16.840.1.113883.6.1"
                     displayName="measure document"/>
               <title>Measure Section</title>
            <text>
            <table border="1" width="100%">
                     <thead>
                        <tr>
                           <th>eCQM Title</th>
                           <th>Version neutral identifier</th>
                           <th>Version specific identifier</th>
                        </tr>
                     </thead>
                     <tbody>
                        <tr>
                           <td>CMS154V7 Appropriate Treatment for Children with Upper Respiratery Infection</td>
                           <td>f2986519-5a4e-4149-a8f2-af0a1dc7f6bc</td>
                           <td>40280382-6258-7581-0162-92b0570d1611</td>
                        </tr>
                     </tbody>
                  </table>
                  <list>
                   <item>
                     <content styleCode="Bold">Performance Rate</content>: 0.857143</item>
                   <item>
                     <content styleCode="Bold">Initial Population</content>: 8<list>
                      <item>
                        <content styleCode="Bold">Gender - Female</content>: 7</item>
                      <item>
                        <content styleCode="Bold">Gender - Male</content>: 1</item>
                     <item>
                        <content styleCode="Bold">Ethnicity - Hispanic</content>: 4</item>
                     <item>
                        <content styleCode="Bold">Ethnicity - Nonhisp</content>: 4</item>
                     <item>
                        <content styleCode="Bold">Race - Aindian</content>: 2</item>
                     <item>
                        <content styleCode="Bold">Race - Asian</content>: 1</item>
                     <item>
                        <content styleCode="Bold">Race - Black</content>: 2</item>
                     <item>
                        <content styleCode="Bold">Race - Pacific</content>: 1</item>
                     <item>
                        <content styleCode="Bold">Race - White</content>: 2</item></list>
               </item>
                  <item>
                    <content styleCode="Bold">Denominator</content>: 8<list>
                      <item>
                        <content styleCode="Bold">Gender - Female</content>: 7</item>
                      <item>
                        <content styleCode="Bold">Gender - Male</content>: 1</item>
                     <item>
                        <content styleCode="Bold">Ethnicity - Hispanic</content>: 4</item>
                     <item>
                        <content styleCode="Bold">Ethnicity - Nonhisp</content>: 4</item>
                        <item>
                           <content styleCode="Bold">Race - Aindian</content>: 2</item>
                        <item>
                           <content styleCode="Bold">Race - Asian</content>: 1</item>
                        <item>
                           <content styleCode="Bold">Race - Black</content>: 2</item>
                        <item>
                           <content styleCode="Bold">Race - Pacific</content>: 1</item>
                        <item>
                           <content styleCode="Bold">Race - White</content>: 2</item>
                  </list>
            </item>
                     <item>
                           <content styleCode="Bold">Numerator</content>: 6
                     <list>
                        <item>
                          <content styleCode="Bold">Gender - Female</content>: 5</item>
                        <item>
                          <content styleCode="Bold">Gender - Male</content>: 1</item>
                        <item>
                          <content styleCode="Bold">Ethnicity - Hispanic</content>: 3</item>
                        <item>
                          <content styleCode="Bold">Ethnicity - Nonhisp</content>: 3</item>
                        <item>
                          <content styleCode="Bold">Race - Aindian</content>: 1</item>
                        <item>
                          <content styleCode="Bold">Race - Black</content>: 2</item>
                        <item>
                          <content styleCode="Bold">Race - Pacific</content>: 1</item>
                        <item>
                          <content styleCode="Bold">Race - White</content>: 2</item></list>
            </item>
                     <item>
                           <content styleCode="Bold">Total Denominator Exclusion</content>: 1
                     <list>
                        <item>
                          <content styleCode="Bold">Exclusion Gender - Female</content>: 1</item>
                        <item>
                          <content styleCode="Bold">Exclusion Ethinicity - Hispanic</content>: 1</item>
                        <item>
                          <content styleCode="Bold">Exclusion Race - Aindian</content>: 1</item></list>
            </item>
   </list></text>
                  <entry>
                  <act classCode="ACT" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.17.3.8"/>
                     <id root="D5E68228-5760-11E7-1256-09173F13E4C5"/>
                     <code code="252116004"
                           codeSystem="2.16.840.1.113883.6.96"
                           displayName="Observation Parameters"/>
                     <effectiveTime>
                        <low value="20190101"/>
                        <high value="20191231"/>
                     </effectiveTime>
                  </act>
               </entry>
               <entry>
                     <organizer classCode="CLUSTER" moodCode="EVN">
                     <templateId root="2.16.840.1.113883.10.20.24.3.98"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.1" extension="2016-09-01"/>
                     <templateId root="2.16.840.1.113883.10.20.27.3.17" extension="2018-05-01"/>
                     <id root="D5E68229-5760-11E7-1256-09173F13E4C5"/>
                     <statusCode code="completed"/>
                     <!--Measure Reference and Results-->
                     <reference typeCode="REFR">
                        <externalDocument classCode="DOC" moodCode="EVN">
                           <id root="2.16.840.1.113883.4.738"
                              extension="40280382-6258-7581-0162-92b0570d1611"/>
                           <code code="57024-2"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Health Quality Measure Document"/>
                           <text>CMS154V7 Appropriate Treatment for Children with Upper Respiratery Infection</text>
                        </externalDocument>
                     </reference>
                       <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.30" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.14" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.25" extension="2018-05-01"/>
                           <code code="72510-1"
                                 codeSystem="2.16.840.1.113883.6.1"
                                 codeSystemName="LOINC"
                                 displayName="Performance Rate"/>
                           <statusCode code="completed"/>
                           <value xsi:type="REAL" value="0.857143"/>
                           <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B2497764-9F9D-402B-8852-1FB3BAA30B2C"/>
                                 <code code="NUMER"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="Numerator"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                      <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2018-05-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="IPOP"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                            <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="8"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6822B-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="7"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6822A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6822C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="4"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6822C-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Nonhisp"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="4"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6822E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Aindian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="2"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6822E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6822E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="2"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6822E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Pacific"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6822E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="2"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2018-05-01"/>
                                 <id root="D5E68232-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Payer"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                        <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B7D491B3-358C-41A3-94F8-B986E65D99B6"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                      <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2018-05-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENOM"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                        <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="8"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68237-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="7"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68236-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68238-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="4"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68238-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Nonhisp"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="4"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Aindian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="2"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Asian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="2"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Pacific"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E6823A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="2"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2018-05-01"/>
                                 <id root="D5E6823E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Payer"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="D6366A39-0B09-478B-B65A-1044CB22F68F"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>  
                      <component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2018-05-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="NUMER"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/>
                        <entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="6"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68243-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="5"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                            <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E68242-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="M"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Male"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68244-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="3"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E68244-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Nonhisp"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="3"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                        <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68248-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Aindian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                        <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68248-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Black"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="2"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                        <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68248-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Pacific"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                        <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68248-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2028-9"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="White"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="2"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2018-05-01"/>
                                 <id root="D5E6824A-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Payer"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship>
                          <reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="B2497764-9F9D-402B-8852-1FB3BAA30B2C"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component><component>
                        <observation classCode="OBS" moodCode="EVN">
                           <templateId root="2.16.840.1.113883.10.20.27.3.5" extension="2016-09-01"/>
                           <templateId root="2.16.840.1.113883.10.20.27.3.16" extension="2018-05-01"/>
                           <code code="ASSERTION"
                                 codeSystem="2.16.840.1.113883.5.4"
                                 codeSystemName="ActCode"
                                 displayName="Assertion"/>
                           <statusCode code="completed"/>
                           <value xsi:type="CD"
                                  code="DENEX"
                                  codeSystem="2.16.840.1.113883.5.4"
                                  codeSystemName="ActCode"/><entryRelationship typeCode="SUBJ" inversionInd="true">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                 <code code="MSRAGG"
                                       codeSystem="2.16.840.1.113883.5.4"
                                       codeSystemName="ActCode"
                                       displayName="rate aggregation"/>
                                 <statusCode code="completed"/>
                                 <value xsi:type="INT" value="1"/>
                                 <methodCode code="COUNT"
                                             codeSystem="2.16.840.1.113883.5.84"
                                             codeSystemName="ObservationMethod"
                                             displayName="Count"/>
                              </observation>
                           </entryRelationship><entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.6" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.21" extension="2016-11-01"/>
                                 <id root="D5E6848E-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="76689-9"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Sex assigned at birth"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="F"
                                        codeSystem="2.16.840.1.113883.5.1"
                                        codeSystemName="AdministrativeGenderCode"
                                        displayName="Female"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship><entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.7" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.22" extension="2016-11-01"/>
                                 <id root="D5E6848F-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="69490-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Ethnicity"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2186-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Hispanic"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship><entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.8" extension="2016-09-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.19" extension="2016-11-01"/>
                                 <id root="D5E68491-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="72826-1"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Race"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD"
                                        code="2054-5"
                                        codeSystem="2.16.840.1.113883.6.238"
                                        codeSystemName="Race &amp; Ethnicity - CDC"
                                        displayName="Aindian"/>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="1"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship><entryRelationship typeCode="COMP">
                              <observation classCode="OBS" moodCode="EVN">
                                 <templateId root="2.16.840.1.113883.10.20.27.3.9" extension="2016-02-01"/>
                                 <templateId root="2.16.840.1.113883.10.20.24.3.55"/>
                                 <templateId root="2.16.840.1.113883.10.20.27.3.18" extension="2018-05-01"/>
                                 <id root="D5E68495-5760-11E7-1256-09173F13E4C5"/>
                                 <code code="48768-6"
                                       codeSystem="2.16.840.1.113883.6.1"
                                       codeSystemName="LOINC"
                                       displayName="Payment Source"/>
                                 <statusCode code="completed"/>
                                 <effectiveTime>
                                    <low value="20190101"/>
                                    <high value="20191231"/>
                                 </effectiveTime>
                                 <value xsi:type="CD" nullFlavor="OTH">
                                    <translation code="A"
                                                 codeSystem="2.16.840.1.113883.3.249.12"
                                                 codeSystemName="CMS Clinical Codes"
                                                 displayName="Payer"/>
                                 </value>
                                 <!-- Count-->
                                 <entryRelationship typeCode="SUBJ" inversionInd="true">
                                    <observation classCode="OBS" moodCode="EVN">
                                       <templateId root="2.16.840.1.113883.10.20.27.3.3"/>
                                       <templateId root="2.16.840.1.113883.10.20.27.3.24"/>
                                       <code code="MSRAGG"
                                             codeSystem="2.16.840.1.113883.5.4"
                                             codeSystemName="ActCode"
                                             displayName="rate aggregation"/>
                                       <statusCode code="completed"/>
                                       <value xsi:type="INT" value="0"/>
                                       <methodCode code="COUNT"
                                                   codeSystem="2.16.840.1.113883.5.84"
                                                   codeSystemName="ObservationMethod"
                                                   displayName="Count"/>
                                    </observation>
                                 </entryRelationship>
                              </observation>
                           </entryRelationship><reference typeCode="REFR">
                              <externalObservation classCode="OBS" moodCode="EVN">
                                 <id root="2E60E186-DB12-4810-A6B6-BAEBFF71A78E"/>
                              </externalObservation>
                           </reference>
                        </observation>
                     </component>
                  </organizer>
               </entry>
   
   </section>
   </component>
      </structuredBody>
   </component>
</ClinicalDocument>