<?xml version=“1.0” encoding=“utf-8”?> <ClinicalDocument xmlns:xsi=“www.w3.org/2001/XMLSchema-instance” xmlns=“urn:hl7-org:v3” xmlns:voc=“urn:hl7-org:v3/voc” xmlns:sdtc=“urn:hl7-org:sdtc”>

{{> _header}}

<component>

<structuredBody>
  {{> _measure_section}}
  {{> _reporting_period}}
  <component>
      <section>
        <!-- This is the templateId for Patient Data section -->
        <templateId root="2.16.840.1.113883.10.20.17.2.4"/>
        <!-- This is the templateId for Patient Data QDM section -->
        <templateId extension="2019-12-01" root="2.16.840.1.113883.10.20.24.2.1"/>
        <templateId extension="2020-02-01" root="2.16.840.1.113883.10.20.24.2.1.1"/>
        <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
        <title>Patient Data</title>
        <text/>

        {{#adverse_event}}
          {{> qrda_templates/adverse_event}}
        {{/adverse_event}}

        {{#allergy_intolerance}}
          {{> qrda_templates/allergy_intolerance}}
        {{/allergy_intolerance}}

        {{#assessment_order}}
          {{> qrda_templates/assessment_order}}
        {{/assessment_order}}

        {{#assessment_performed}}
          {{> qrda_templates/assessment_performed}}
        {{/assessment_performed}}

        {{#assessment_recommended}}
          {{> qrda_templates/assessment_recommended}}
        {{/assessment_recommended}}

        {{#communication_performed}}
          {{> qrda_templates/communication_performed}}
        {{/communication_performed}}

        {{#diagnosis}}
          {{> qrda_templates/diagnosis}}
        {{/diagnosis}}

        {{#device_applied}}
          {{> qrda_templates/device_applied}}
        {{/device_applied}}

        {{#device_order}}
          {{> qrda_templates/device_order}}
        {{/device_order}}

        {{#device_recommended}}
          {{> qrda_templates/device_recommended}}
        {{/device_recommended}}

        {{#diagnostic_study_order}}
          {{> qrda_templates/diagnostic_study_order}}
        {{/diagnostic_study_order}}

        {{#diagnostic_study_performed}}
          {{> qrda_templates/diagnostic_study_performed}}
        {{/diagnostic_study_performed}}

        {{#diagnostic_study_recommended}}
          {{> qrda_templates/diagnostic_study_recommended}}
        {{/diagnostic_study_recommended}}

        {{#encounter_order}}
          {{> qrda_templates/encounter_order}}
        {{/encounter_order}}

        {{#encounter_performed}}
          {{> qrda_templates/encounter_performed}}
        {{/encounter_performed}}

        {{#encounter_recommended}}
          {{> qrda_templates/encounter_recommended}}
        {{/encounter_recommended}}

        {{#family_history}}
          {{> qrda_templates/family_history}}
        {{/family_history}}

        {{#immunization_administered}}
          {{> qrda_templates/immunization_administered}}
        {{/immunization_administered}}

        {{#immunization_order}}
          {{> qrda_templates/immunization_order}}
        {{/immunization_order}}

        {{#intervention_order}}
          {{> qrda_templates/intervention_order}}
        {{/intervention_order}}

        {{#intervention_performed}}
          {{> qrda_templates/intervention_performed}}
        {{/intervention_performed}}

        {{#intervention_recommended}}
          {{> qrda_templates/intervention_recommended}}
        {{/intervention_recommended}}

        {{#laboratory_test_order}}
          {{> qrda_templates/laboratory_test_order}}
        {{/laboratory_test_order}}

        {{#laboratory_test_performed}}
          {{> qrda_templates/laboratory_test_performed}}
        {{/laboratory_test_performed}}

        {{#laboratory_test_recommended}}
          {{> qrda_templates/laboratory_test_recommended}}
        {{/laboratory_test_recommended}}

        {{#medication_active}}
          {{> qrda_templates/medication_active}}
        {{/medication_active}}

        {{#medication_administered}}
          {{> qrda_templates/medication_administered}}
        {{/medication_administered}}

        {{#medication_discharge}}
          {{> qrda_templates/medication_discharge}}
        {{/medication_discharge}}

        {{#medication_dispensed}}
          {{> qrda_templates/medication_dispensed}}
        {{/medication_dispensed}}

        {{#medication_order}}
          {{> qrda_templates/medication_order}}
        {{/medication_order}}

        {{#patient_care_experience}}
          {{> qrda_templates/patient_care_experience}}
        {{/patient_care_experience}}

        {{#patient_characteristic_clinical_trial_participant}}
          {{> qrda_templates/patient_characteristic_clinical_trial_participant}}
        {{/patient_characteristic_clinical_trial_participant}}

        {{#patient_characteristic_expired}}
          {{> qrda_templates/patient_characteristic_expired}}
        {{/patient_characteristic_expired}}

        {{#physical_exam_order}}
          {{> qrda_templates/physical_exam_order}}
        {{/physical_exam_order}}

        {{#physical_exam_performed}}
          {{> qrda_templates/physical_exam_performed}}
        {{/physical_exam_performed}}

        {{#physical_exam_recommended}}
          {{> qrda_templates/physical_exam_recommended}}
        {{/physical_exam_recommended}}

        {{#procedure_order}}
          {{> qrda_templates/procedure_order}}
        {{/procedure_order}}

        {{#procedure_performed}}
          {{> qrda_templates/procedure_performed}}
        {{/procedure_performed}}

        {{#procedure_recommended}}
          {{> qrda_templates/procedure_recommended}}
        {{/procedure_recommended}}

        {{#program_participation}}
          {{> qrda_templates/program_participation}}
        {{/program_participation}}

        {{#provider_care_experience}}
          {{> qrda_templates/provider_care_experience}}
        {{/provider_care_experience}}

        {{#related_person}}
          {{> qrda_templates/related_person}}
        {{/related_person}}

        {{#substance_administered}}
          {{> qrda_templates/medication_administered}}
        {{/substance_administered}}

        {{#substance_order}}
          {{> qrda_templates/medication_order}}
        {{/substance_order}}

        {{#substance_recommended}}
          {{> qrda_templates/substance_recommended}}
        {{/substance_recommended}}

        {{#symptom}}
          {{> qrda_templates/symptom}}
        {{/symptom}}

        {{#patient_characteristic_payer}}
          {{> qrda_templates/patient_characteristic_payer}}
        {{/patient_characteristic_payer}}

      </section>
    </component>
  </structuredBody>
</component>

</ClinicalDocument>