1 | <xsl:if test="a:ContinuityOfCareRecord/a:Body/a:Payers">
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2 | <component>
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3 | <section>
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4 | <templateId root="2.16.840.1.113883.10.20.1.9"/>
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5 | <code code="48768-6" codeSystem="2.16.840.1.113883.6.1"/>
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6 | <title>Insurance</title>
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7 | <text>
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8 | <table>
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9 | <tbody>
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10 | <tr>
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11 | <th>Type</th>
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12 | <th>Date</th>
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13 | <th>Identification Numbers</th>
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14 | <th>Payment Provider</th>
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15 | <th>Subscriber</th>
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16 | <th>Source</th>
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17 | </tr>
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18 | <xsl:for-each select="/a:ContinuityOfCareRecord/a:Body/a:Payers/a:Payer">
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19 | <tr>
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20 | <td>
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21 | <xsl:value-of select="a:Type/a:Text"/>
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22 | </td>
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23 | <td>
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24 | <xsl:call-template name="date:format-date">
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25 | <xsl:with-param name="date-time" select="a:DateTime/a:ExactDateTime"/>
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26 | </xsl:call-template>
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27 | </td>
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28 | <td>
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29 | <xsl:for-each select="a:IDs">
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30 | <xsl:value-of select="a:Type/a:Text"/>:<xsl:text xml:space="preserve"> </xsl:text><xsl:value-of select="a:ID"/><br/>
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31 | </xsl:for-each>
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32 | </td>
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33 | <td>
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34 | <xsl:call-template name="actorName">
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35 | <xsl:with-param name="objID" select="a:PaymentProvider/a:ActorID"/>
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36 | </xsl:call-template>
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37 | </td>
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38 | <td>
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39 | <xsl:call-template name="actorName">
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40 | <xsl:with-param name="objID" select="a:Subscriber/a:ActorID"/>
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41 | </xsl:call-template>
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42 | </td>
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43 | <td>
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44 | <xsl:call-template name="actorName">
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45 | <xsl:with-param name="objID" select="a:Source/a:Actor/a:ActorID"/>
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46 | </xsl:call-template>
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47 | </td>
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48 | </tr>
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49 | </xsl:for-each>
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50 | </tbody>
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51 | </table>
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52 | </text>
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53 | <xsl:for-each select="/a:ContinuityOfCareRecord/a:Body/a:Payers/a:Payer">
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54 | <entry typeCode="DRIV">
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55 | <act classCode="ACT" moodCode="DEF">
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56 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.17" assigningAuthorityName="IHE PCC"/>
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57 | <templateId root="2.16.840.1.113883.10.20.1.20" assigningAuthorityName="CCD"/>
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58 | <!-- Coverage entry template -->
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59 | <!-- <id> -->
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60 | <xsl:call-template name="ccdID">
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61 | <xsl:with-param name="ccrObjectID" select="a:CCRDataObjectID"/>
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62 | </xsl:call-template>
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63 | <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment sources"/>
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64 | <statusCode code="completed"/>
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65 | <entryRelationship typeCode="COMP">
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66 | <act classCode="ACT" moodCode="EVN">
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67 | <templateId root="2.16.840.1.113883.3.88.11.83.5" assigningAuthorityName="HITSP C83"/>
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68 | <templateId root="2.16.840.1.113883.10.20.1.26" assigningAuthorityName="CCD"/>
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69 | <templateId root="1.3.6.1.4.1.19376.1.5.3.1.4.18" assigningAuthorityName="IHE PCC"/>
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70 | <!--Insurance provider template -->
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71 | <id>
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72 | <xsl:attribute name="root">
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73 | <xsl:value-of select="a:IDs[1]/a:ID"/>
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74 | </xsl:attribute>
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75 | <xsl:attribute name="extension">
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76 | <xsl:value-of select="a:IDs[1]/a:Type/a:Text"/>
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77 | </xsl:attribute>
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78 | </id>
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79 |
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80 | <!-- <code> -->
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81 | <xsl:call-template name="ccdCodedValue">
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82 | <xsl:with-param name="ccrCodedDescription" select="a:Description"/>
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83 | <xsl:with-param name="nodeName" select="'code'"/>
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84 | </xsl:call-template>
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85 |
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86 | <statusCode code="completed"/>
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87 |
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88 | <xsl:call-template name="ccdPerformer">
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89 | <xsl:with-param name="ccrActorReference" select="a:PaymentProvider"/>
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90 | </xsl:call-template>
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91 |
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92 | <participant typeCode="HLD">
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93 | <xsl:call-template name="ccdParticipantRoleActor">
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94 | <xsl:with-param name="ccrActorReference" select="a:Subscriber"/>
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95 | </xsl:call-template>
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96 | </participant>
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97 | </act>
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98 | </entryRelationship>
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99 | </act>
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100 | </entry>
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101 | </xsl:for-each>
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102 | </section>
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103 | </component>
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104 | </xsl:if>
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