Data Exchange For Quality Measures Implementation Guide
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This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v5.0.0-ballot: STU5 (v5.0.0) Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. The current version which supersedes this version is 4.0.0. For a full list of available versions, see the Directory of published versions

: Additional Supplemental Data Example - XML Representation

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<MeasureReport xmlns="http://hl7.org/fhir">
  <id value="sde-example"/>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml"><p class="res-header-id"><b>Generated Narrative: MeasureReport sde-example</b></p><a name="sde-example"> </a><a name="hcsde-example"> </a><a name="sde-example-en-US"> </a><p><b>status</b>: Complete</p><p><b>type</b>: Individual</p><p><b>measure</b>: <a href="Bundle-sde-example-artifact-bundle.html">NHSN Glycemic Control, Hypoglycemia Initial Population</a></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>date</b>: 2022-10-24 11:36:58-0600</p><p><b>period</b>: 2022-01-01 00:00:00-0700 --&gt; 2022-01-31 23:59:59-0700</p><blockquote><p><b>group</b></p><blockquote><p><b>population</b></p><blockquote><p><b>id</b></p>initial-population-01</blockquote><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-population initial-population}">Initial Population</span></p><p><b>count</b>: 1</p></blockquote></blockquote><p><b>evaluatedResource</b>: </p><ul><li><a href="Location-nhsn-iip-loc101.html">Location: type = Medical oncology clinic</a></li><li><a href="MedicationRequest-nhsn-iip-add101.html">MedicationRequest: status = completed; intent = original-order; medication[x] = metFORMIN Oral Liquid Product</a></li><li><a href="Encounter-nhsn-iip-en101.html">Encounter: status = finished; class = inpatient encounter (ActCode#IMP); type = Inpatient or observation consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection, 35 minutes must be met or exceeded.; period = 2022-01-01 08:00:00+0000 --&gt; 2022-01-31 08:00:00+0000</a></li><li><a href="MedicationRequest-nhsn-iip-add101-10.html">MedicationRequest: status = active; intent = order; medication[x] = metFORMIN Oral Liquid Product</a></li></ul><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Patient  #nhsn-iip-ip101</b></p><a name="sde-example/nhsn-iip-ip101"> </a><a name="hcsde-example/nhsn-iip-ip101"> </a><a name="sde-example/nhsn-iip-ip101-en-US"> </a><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</p><hr/><table class="grid"><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The ethnicity codes used to represent these concepts are based upon the [CDC ethnicity and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html) which includes over 900 concepts for representing race and ethnicity of which 43 reference ethnicity.  The ethnicity concepts are grouped by and pre-mapped to the 2 OMB ethnicity categories: - Hispanic or Latino - Not Hispanic or Latino.">US Core Ethnicity Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2135-2">CDC Race and Ethnicity</a> 2135-2: Hispanic or Latino</li><li>detailed: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2184-0">CDC Race and Ethnicity</a> 2184-0: Dominican</li><li>detailed: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2148-5">CDC Race and Ethnicity</a> 2148-5: Mexican</li><li>text: Hispanic or Latino</li></ul></td></tr><tr><td style="background-color: #f3f5da" title="Concepts classifying the person into a named category of humans sharing common history, traits, geographical origin or nationality.  The race codes used to represent these concepts are based upon the [CDC Race and Ethnicity Code Set Version 1.0](http://www.cdc.gov/phin/resources/vocabulary/index.html#3) which includes over 900 concepts for representing race and ethnicity of which 921 reference race.  The race concepts are grouped by and pre-mapped to the 5 OMB race categories:

 - American Indian or Alaska Native
 - Asian
 - Black or African American
 - Native Hawaiian or Other Pacific Islander
 - White.">US Core Race Extension:</td><td colspan="3"><ul><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2106-3">CDC Race and Ethnicity</a> 2106-3: White</li><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-1002-5">CDC Race and Ethnicity</a> 1002-5: American Indian or Alaska Native</li><li>ombCategory: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2028-9">CDC Race and Ethnicity</a> 2028-9: Asian</li><li>detailed: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-1586-7">CDC Race and Ethnicity</a> 1586-7: Shoshone</li><li>detailed: <a href="http://terminology.hl7.org/5.5.0/CodeSystem-CDCREC.html#CDCREC-2036-2">CDC Race and Ethnicity</a> 2036-2: Filipino</li><li>text: Mixed</li></ul></td></tr></table></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: MedicationRequest  #nhsn-iip-add101</b></p><a name="sde-example/nhsn-iip-add101"> </a><a name="hcsde-example/nhsn-iip-add101"> </a><a name="sde-example/nhsn-iip-add101-en-US"> </a><p><b>status</b>: Completed</p><p><b>intent</b>: Original Order</p><p><b>medication</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: MedicationRequest  #nhsn-iip-add101-10</b></p><a name="sde-example/nhsn-iip-add101-10"> </a><a name="hcsde-example/nhsn-iip-add101-10"> </a><a name="sde-example/nhsn-iip-add101-10-en-US"> </a><p><b>status</b>: Active</p><p><b>intent</b>: Order</p><p><b>medication</b>: <span title="Codes:{http://www.nlm.nih.gov/research/umls/rxnorm 1161609}">metFORMIN Oral Liquid Product</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><blockquote><p><b>dosageInstruction</b></p></blockquote></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #791eebdb-ee7d-464f-bd21-12fe2b4c0dd3</b></p><a name="sde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3"> </a><a name="hcsde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3"> </a><a name="sde-example/791eebdb-ee7d-464f-bd21-12fe2b4c0dd3-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.6.238 2148-5}">Mexican</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c</b></p><a name="sde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c"> </a><a name="hcsde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c"> </a><a name="sde-example/0ce0a9f1-f5a3-42ca-81a6-69c08ee9f79c-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.6.238 2135-2}">Hispanic or Latino</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #5d85b278-443a-4a0f-9778-bdac6223f8fd</b></p><a name="sde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd"> </a><a name="hcsde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd"> </a><a name="sde-example/5d85b278-443a-4a0f-9778-bdac6223f8fd-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.6.238 2184-0}">Dominican</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #57f8ba34-88c0-4152-8a8c-74aa2a508353</b></p><a name="sde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353"> </a><a name="hcsde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353"> </a><a name="sde-example/57f8ba34-88c0-4152-8a8c-74aa2a508353-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #16f76e4f-86de-4ff1-b54c-19507069044b</b></p><a name="sde-example/16f76e4f-86de-4ff1-b54c-19507069044b"> </a><a name="hcsde-example/16f76e4f-86de-4ff1-b54c-19507069044b"> </a><a name="sde-example/16f76e4f-86de-4ff1-b54c-19507069044b-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.6.238 1002-5}">American Indian or Alaska Native</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8</b></p><a name="sde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8"> </a><a name="hcsde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8"> </a><a name="sde-example/a6d7e84c-7ae0-41e1-9ba3-bb86cf48c7c8-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.6.238 2036-2}">Filipino</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #bd705f82-80d1-4a50-8dec-686f5f0a02bd</b></p><a name="sde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd"> </a><a name="hcsde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd"> </a><a name="sde-example/bd705f82-80d1-4a50-8dec-686f5f0a02bd-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.6.238 1586-7}">Shoshone</span></p></blockquote><hr/><blockquote><p class="res-header-id"><b>Generated Narrative: Observation  #8c9e0819-2eb4-470b-abbb-ac4fa4b707b1</b></p><a name="sde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1"> </a><a name="hcsde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1"> </a><a name="sde-example/8c9e0819-2eb4-470b-abbb-ac4fa4b707b1-en-US"> </a><p><b>status</b>: Final</p><p><b>code</b>: <span title="Codes:{http://terminology.hl7.org/CodeSystem/measure-data-usage supplemental-data}">Supplemental Data</span></p><p><b>subject</b>: <a href="Patient-nhsn-iip-ip101.html">Anonymous Patient Female, DoB: 1987-02-19 ( urn:oid:2.16.840.1.113883.6.1000#nhsn-iip-ip101)</a></p><p><b>effective</b>: 2022-01-01 09:30:10+0100 --&gt; (ongoing)</p><p><b>performer</b>: <a href="Organization-organization01.html">Organization DaVinciHospital01</a></p><p><b>value</b>: <span title="Codes:{urn:oid:2.16.840.1.113883.6.238 2028-9}">Asian</span></p></blockquote></div>
  </text>
  <contained>
    <Patient>
      <id value="nhsn-iip-ip101"/>
      <text>
        <status value="generated"/>
        <div xmlns="http://www.w3.org/1999/xhtml"><table class="hapiPropertyTable"><tbody><tr><td>Identifier</td><td>nhsn-iip-ip101</td></tr><tr><td>Date of birth</td><td><span>19 February 1987</span></td></tr></tbody></table></div>
      </text>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-race">
        <extension url="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2106-3"/>
            <display value="White"/>
          </valueCoding>
        </extension>
        <extension url="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="1002-5"/>
            <display value="American Indian or Alaska Native"/>
          </valueCoding>
        </extension>
        <extension url="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2028-9"/>
            <display value="Asian"/>
          </valueCoding>
        </extension>
        <extension url="detailed">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="1586-7"/>
            <display value="Shoshone"/>
          </valueCoding>
        </extension>
        <extension url="detailed">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2036-2"/>
            <display value="Filipino"/>
          </valueCoding>
        </extension>
        <extension url="text">
          <valueString value="Mixed"/>
        </extension>
      </extension>
      <extension
                 url="http://hl7.org/fhir/us/core/StructureDefinition/us-core-ethnicity">
        <extension url="ombCategory">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2135-2"/>
            <display value="Hispanic or Latino"/>
          </valueCoding>
        </extension>
        <extension url="detailed">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2184-0"/>
            <display value="Dominican"/>
          </valueCoding>
        </extension>
        <extension url="detailed">
          <valueCoding>
            <system value="urn:oid:2.16.840.1.113883.6.238"/>
            <code value="2148-5"/>
            <display value="Mexican"/>
          </valueCoding>
        </extension>
        <extension url="text">
          <valueString value="Hispanic or Latino"/>
        </extension>
      </extension>
      <identifier>
        <system value="urn:oid:2.16.840.1.113883.6.1000"/>
        <value value="nhsn-iip-ip101"/>
      </identifier>
      <gender value="female"/>
      <birthDate value="1987-02-19"/>
    </Patient>
  </contained>
  <contained>
    <MedicationRequest>
      <id value="nhsn-iip-add101"/>
      <status value="completed"/>
      <intent value="original-order"/>
      <medicationCodeableConcept>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="1161609"/>
          <display value="metFORMIN Oral Liquid Product"/>
        </coding>
        <text value="metFORMIN Oral Liquid Product"/>
      </medicationCodeableConcept>
      <subject>🔗 
        <reference value="Patient/nhsn-iip-ip101"/>
      </subject>
    </MedicationRequest>
  </contained>
  <contained>
    <MedicationRequest>
      <id value="nhsn-iip-add101-10"/>
      <status value="active"/>
      <intent value="order"/>
      <medicationCodeableConcept>
        <coding>
          <system value="http://www.nlm.nih.gov/research/umls/rxnorm"/>
          <code value="1161609"/>
          <display value="metFORMIN Oral Liquid Product"/>
        </coding>
        <text value="metFORMIN Oral Liquid Product"/>
      </medicationCodeableConcept>
      <subject>🔗 
        <reference value="Patient/nhsn-iip-ip101"/>
      </subject>
      <dosageInstruction>
        <timing>
          <repeat>
            <boundsPeriod>
              <start value="2021-02-15T16:43:55Z"/>
              <end value="2021-02-22T21:32:24Z"/>
            </boundsPeriod>
            <frequency value="1"/>
            <period value="1"/>
            <periodUnit value="d"/>
          </repeat>
          <code>
            <text value="PRN"/>
          </code>
        </timing>
        <asNeededBoolean value="true"/>
        <route>
          <coding>
            <system value="http://snomed.info/sct"/>
            <code value="78421000"/>
            <display value="Intramuscular use"/>
          </coding>
          <text value="Intramuscular use"/>
        </route>
        <doseAndRate>
          <type>
            <coding>
              <system value="http://example.org/CodeSystem/dose-rate-type"/>
              <code value="calculated"/>
              <display value="calculated"/>
            </coding>
            <text value="calculated"/>
          </type>
          <doseQuantity>
            <value value="1"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </doseQuantity>
        </doseAndRate>
        <doseAndRate>
          <type>
            <coding>
              <system value="http://example.org/CodeSystem/dose-rate-type"/>
              <code value="admin-amount"/>
              <display value="admin-amount"/>
            </coding>
            <text value="admin-amount"/>
          </type>
          <doseQuantity>
            <value value="1"/>
            <unit value="mL"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mL"/>
          </doseQuantity>
        </doseAndRate>
        <doseAndRate>
          <type>
            <coding>
              <system value="http://example.org/CodeSystem/dose-rate-type"/>
              <code value="ordered"/>
              <display value="ordered"/>
            </coding>
            <text value="ordered"/>
          </type>
          <doseQuantity>
            <value value="1"/>
            <unit value="mg"/>
            <system value="http://unitsofmeasure.org"/>
            <code value="mg"/>
          </doseQuantity>
        </doseAndRate>
      </dosageInstruction>
    </MedicationRequest>
  </contained>
  <contained>
    <Observation>
      <id value="791eebdb-ee7d-464f-bd21-12fe2b4c0dd3"/>
      <extension
                 url="http://hl7.org/fhir/StructureDefinition/cqf-measureInfo">
        <extension url="measure">
          <valueCanonical
                          value="http://nhsnlink.org/fhir/Measure/NHSNGlycemicControlHypoglycemicInitialPopulation"/>
        </extension>
      </extension>
      <status value="final"/>
      <code>
        <coding>
          <system
                  value="http://terminology.hl7.org/CodeSystem/measure-data-usage"/>
          <code value="supplemental-data"/>
        </coding>
      </code>
      <subject>🔗 
        <reference value="Patient/nhsn-iip-ip101"/>
      </subject>
      <effectivePeriod>
        <start value="2022-01-01T09:30:10+01:00"/>
      </effectivePeriod>
      <performer>🔗 
        <reference value="Organization/organization01"/>
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