Consolidated CDA (C-CDA) - Downloaded Version 5.0.0 See the Directory of published versions

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Example Binary: Planned Coverage Example

<act xmlns="urn:hl7-org:v3" moodCode="INT" classCode="ACT">
  <templateId root="2.16.840.1.113883.10.20.22.4.129" extension="2024-05-01"/>
  <id root="03f5e10b-7e79-4610-9626-d2984ff10cc1"/>
  <code displayName="Payment Sources" codeSystemName="LOINC"
        codeSystem="2.16.840.1.113883.6.1" code="52556-8"/>
  <statusCode code="active"/>
  <entryRelationship typeCode="COMP">
    <act moodCode="INT" classCode="ACT">
      <!--  These act/identifiers are unique identifiers 
        for the policy or program providing the coverage.  -->
      <id root="4c9a3be1-5f09-46dd-88e7-14c8ec612e4c"/>
      <code displayName="Medicare PPO"
            codeSystemName="Source of Payment Typology (PHDSC)" codeSystem="2.16.840.1.113883.3.221.5" code="112"/>
      <statusCode code="active"/>
    </act>
  </entryRelationship>
</act>