<entry>
<!-- Patient Characteristic Payer --> <observation classCode="OBS" moodCode="EVN"> <templateId root="2.16.840.1.113883.10.20.24.3.55"/> <id root="{{random_id}}"/> <code code="48768-6" codeSystemName="LOINC" codeSystem="2.16.840.1.113883.6.1" displayName="Payment source"/> <statusCode code="completed"/> {{#relevantPeriod}} <!-- QDM Attribute: Relevant Period --> {{{relevant_period}}} {{/relevantPeriod}} {{> qrda_templates/template_partials/_data_element_codes_as_values}} </observation>
</entry>