Index: /qrda/CCR/M1-QRDA/M1-PAT_100146_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100146_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100146_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,378 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="9c8175e0-e5e7-11df-aca0-93b70eeb415e"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="9c8175e0-e5e7-11df-aca0-93b70eeb415e"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="666000200" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine>Any Street</streetAddressLine>
+            <city>Any Town</city>
+            <state>WV</state>
+            <postalCode/>
+         </addr>
+         <telecom use="" value="tel:+1-222-555-8235"/>
+         <patient>
+            <name>
+               <given>MALE-D</given>
+               <family>MEASURE-TWO</family>
+            </name>
+            <administrativeGenderCode displayName="MALE" code="M" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213)" code="99213" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101004"/>
+                                    <high value="20101004"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (30min)" code="99242" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101014"/>
+                                    <high value="20101014"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.02" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM2" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000183" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>MATTHEW</given>
+                                             <given>M</given>
+                                             <family>KING</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM2" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101004"/>
+                                          <high value="20101004"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus" code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="9c8175e0-e5e7-11df-aca0-93b70eeb415e"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="666000200"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100676_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100676_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100676_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,330 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="bc1d4d3e-e5e7-11df-8095-df6887f9bf98"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="bc1d4d3e-e5e7-11df-8095-df6887f9bf98"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="666000669" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine>Any Street</streetAddressLine>
+            <city>Any Town</city>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>OUTPATIENT</given>
+               <family>SIXTYNINE</family>
+            </name>
+            <administrativeGenderCode displayName="MALE" code="M" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19450309120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213)" code="99213" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20100917"/>
+                                    <high value="20100917"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214)" code="99214" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20100916"/>
+                                    <high value="20100916"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000183" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>MATTHEW</given>
+                                             <given>M</given>
+                                             <family>KING</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20100916"/>
+                                          <high value="20100916"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="bc1d4d3e-e5e7-11df-8095-df6887f9bf98"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="666000669"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100839_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100839_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100839_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,723 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="c9bec8aa-e5e7-11df-ba06-3b3edcef0468"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="c9bec8aa-e5e7-11df-ba06-3b3edcef0468"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="002030004" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>JODY</given>
+               <given>JEAN</given>
+               <family>JONES</family>
+            </name>
+            <administrativeGenderCode displayName="FEMALE" code="F" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19450101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="EXPANDED, HX &amp; EXAM" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20100828"/>
+                                    <high value="20100828"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (15min)" code="99213" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101017"/>
+                                    <high value="20101017"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (15min)" code="99213" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101006"/>
+                                    <high value="20101006"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (15min)" code="99213" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20100904"/>
+                                    <high value="20100904"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="Office/Outpatient Visit of an Established Patient requiring (2 of 3) an Expanded History, an Exam and Medical Decision Making of Low Complexity (CPT-4 99213)" code="99213" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20100731"/>
+                                    <high value="20100731"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="EXTENDED (25min)" code="99214" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101016"/>
+                                    <high value="20101016"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="EXTENDED (25min)" code="99214" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101015"/>
+                                    <high value="20101015"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214)" code="99214" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20100917"/>
+                                    <high value="20100917"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="Office/Outpatient Visit of an Established Patient requiring (2 of 3) a Detailed History, an Exam and Medical Decision Making of Moderate Complexity (CPT-4 99214)" code="99214" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20100705"/>
+                                    <high value="20100705"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000183" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>MATTHEW</given>
+                                             <given>M</given>
+                                             <family>KING</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101016"/>
+                                          <high value="20101016"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="HTN (ICD-9-CM 401.9)" code="401.9" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM2" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000183" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>MATTHEW</given>
+                                             <given>M</given>
+                                             <family>KING</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM2" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101014"/>
+                                          <high value="20101014"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="ANY DEEP VEIN THROMBOSIS" code="453.8" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM3" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_991" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <prefix>Scholar Extraordinaire</prefix>
+                                             <given>EIGHT</given>
+                                             <family>PROVIDER</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM3" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20100904"/>
+                                          <high value="20100904"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM4" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_991" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <prefix>Scholar Extraordinaire</prefix>
+                                             <given>EIGHT</given>
+                                             <family>PROVIDER</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM4" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20100705"/>
+                                          <high value="20100705"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Congestive Heart Failure (ICD-9-CM 428.0)" code="428.0" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM5" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_991" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <prefix>Scholar Extraordinaire</prefix>
+                                             <given>EIGHT</given>
+                                             <family>PROVIDER</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM5" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20100705"/>
+                                          <high value="20100705"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Postmyocardial infarction syndrome (ICD-9-CM 411.0)" code="411.0" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="c9bec8aa-e5e7-11df-ba06-3b3edcef0468"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="002030004"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100846_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100846_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100846_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,377 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="d894b664-e5e7-11df-a39b-df28313564e3"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="d894b664-e5e7-11df-a39b-df28313564e3"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="345982321" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>MALE-A</given>
+               <family>MEASURE-ONE</family>
+            </name>
+            <administrativeGenderCode displayName="MALE" code="M" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="COMPREHENSIVE (45min)" code="99204" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101013"/>
+                                    <high value="20101013"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="LIMITED (10min)" code="99212" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101014"/>
+                                    <high value="20101014"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101014"/>
+                                          <high value="20101014"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes (ICD-9-CM 250.00)" code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM2" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM2" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Nonproliferative Diabetic retinopathy NOS (ICD-9-CM 362.03)" code="362.03" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="d894b664-e5e7-11df-a39b-df28313564e3"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="345982321"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100847_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100847_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100847_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,329 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="e5f03ee6-e5e7-11df-8460-8b63d751a100"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="e5f03ee6-e5e7-11df-8460-8b63d751a100"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="345982398" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>MALE-B</given>
+               <family>MEASURE-ONE</family>
+            </name>
+            <administrativeGenderCode displayName="MALE" code="M" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="EXTENDED (30min)" code="99203" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101013"/>
+                                    <high value="20101013"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="LIMITED (10min)" code="99212" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101014"/>
+                                    <high value="20101014"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes with Hyperosmolarity, type II or unspecified type, not stated as Uncont" code="250.20" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="e5f03ee6-e5e7-11df-8460-8b63d751a100"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="345982398"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100848_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100848_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100848_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,351 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="f263785a-e5e7-11df-a618-dfa9ba05e083"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="f263785a-e5e7-11df-a618-dfa9ba05e083"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="345097898" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>FEMALE-B</given>
+               <family>MEASURE-ONE</family>
+            </name>
+            <administrativeGenderCode displayName="FEMALE" code="F" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (15min)" code="99213" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101005"/>
+                                    <high value="20101005"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_991" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <prefix>Scholar Extraordinaire</prefix>
+                                             <given>EIGHT</given>
+                                             <family>PROVIDER</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM2" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000183" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>MATTHEW</given>
+                                             <given>M</given>
+                                             <family>KING</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM2" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101005"/>
+                                          <high value="20101005"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Sprains (ICD-9-CM 848.9)" code="848.9" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="f263785a-e5e7-11df-a618-dfa9ba05e083"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="345097898"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100849_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100849_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100849_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,329 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="fe85aaea-e5e7-11df-9996-2f864edc6b08"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="fe85aaea-e5e7-11df-9996-2f864edc6b08"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="345980099" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>MALE-C</given>
+               <family>MEASURE-ONE</family>
+            </name>
+            <administrativeGenderCode displayName="MALE" code="M" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (20min)" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101014"/>
+                                    <high value="20101014"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (20min)" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101013"/>
+                                    <high value="20101013"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.02" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="fe85aaea-e5e7-11df-9996-2f864edc6b08"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="345980099"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100850_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100850_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100850_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,425 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="0a179fa8-e5e8-11df-b36a-3f86900b04e8"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="0a179fa8-e5e8-11df-b36a-3f86900b04e8"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="098487630" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>FEMALE-D</given>
+               <family>MEASURE-ONE</family>
+            </name>
+            <administrativeGenderCode displayName="FEMALE" code="F" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (20min)" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101014"/>
+                                    <high value="20101014"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (20min)" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101013"/>
+                                    <high value="20101013"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101014"/>
+                                          <high value="20101014"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM2" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM2" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101014"/>
+                                          <high value="20101014"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes (ICD-9-CM 250.00)" code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM3" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM3" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="0a179fa8-e5e8-11df-b36a-3f86900b04e8"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="098487630"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100852_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100852_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100852_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,329 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="1520b600-e5e8-11df-adf2-1f47c35843cf"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="1520b600-e5e8-11df-adf2-1f47c35843cf"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="453209394" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>MALE-E</given>
+               <family>MEASURE-ONE</family>
+            </name>
+            <administrativeGenderCode displayName="MALE" code="M" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="EXTENDED (30min)" code="99203" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101013"/>
+                                    <high value="20101013"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="LIMITED (10min)" code="99212" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101014"/>
+                                    <high value="20101014"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="1520b600-e5e8-11df-adf2-1f47c35843cf"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="453209394"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100855_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100855_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100855_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,425 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="21164d44-e5e8-11df-98ed-cf2671499652"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="21164d44-e5e8-11df-98ed-cf2671499652"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="498212298" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>FEMALE-E</given>
+               <family>MEASURE-ONE</family>
+            </name>
+            <administrativeGenderCode displayName="FEMALE" code="F" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (20min)" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101013"/>
+                                    <high value="20101013"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="LIMITED (10min)" code="99212" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101014"/>
+                                    <high value="20101014"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101014"/>
+                                          <high value="20101014"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM2" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM2" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101014"/>
+                                          <high value="20101014"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes (ICD-9-CM 250.00)" code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM3" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM3" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.00" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="21164d44-e5e8-11df-98ed-cf2671499652"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="498212298"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/CCR/M1-QRDA/M1-PAT_100858_QRDA_V1_0_0Ver2.xml
===================================================================
--- /qrda/CCR/M1-QRDA/M1-PAT_100858_QRDA_V1_0_0Ver2.xml	(revision 1013)
+++ /qrda/CCR/M1-QRDA/M1-PAT_100858_QRDA_V1_0_0Ver2.xml	(revision 1013)
@@ -0,0 +1,329 @@
+<?xml version="1.0" encoding="utf-8"?>
+<ClinicalDocument xmlns="urn:hl7-org:v3" xmlns:voc="urn:hl7-org:v3/voc" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="urn:hl7-org:v3 CDA.xsd">
+   <realmCode code="US"/>
+   <typeId root="2.16.840.1.113883.1.3" extension="POCD_HD000040"/>
+   <templateId root="2.16.840.1.113883.10.20.12"/>
+   <templateId root="2.16.840.1.113883.3.249.11.100.1"/>
+   <id root="2.16.840.1.113883.3.543" extension="2bfc3fca-e5e8-11df-9dac-8712c8b80c9a"/>
+   <code code="55182-0" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Measure Report"/>
+   <title>QRDA Incidence Report</title>
+   <effectiveTime value="20100703"/>
+   <confidentialityCode codeSystem="2.16.840.1.113883.5.25" code="N"/>
+   <languageCode code="en-US"/>
+   <setId root="2.16.840.1.113883.3.543" extension="2bfc3fca-e5e8-11df-9dac-8712c8b80c9a"/>
+   <versionNumber value="1"/>
+   <recordTarget>
+      <patientRole>
+         <id extension="498993376" root="2.16.840.1.113883.4.1"/>
+         <addr use="H">
+            <streetAddressLine/>
+            <city/>
+            <state/>
+            <postalCode/>
+         </addr>
+         <telecom/>
+         <patient>
+            <name>
+               <given>MALE-D</given>
+               <family>MEASURE-ONE</family>
+            </name>
+            <administrativeGenderCode displayName="MALE" code="M" codeSystemName="HL7 AdministrativeGender" codeSystem="2.16.840.1.113883.5.1"/>
+            <birthTime value="19600101120000"/>
+<raceCode code="2076-8" codeSystem="2.16.840.1.113883.5.104"/>
+<ethnicGroupCode code="2186-5" codeSystem="2.16.840.1.113883.5.50"/>
+</patient>
+  <providerOrganization>
+<!-- NPI for the provider and this is a real number-->
+   <id root="2.16.840.1.113883.4.6" extension="1558574525" /> 
+       <name>WorldVistA Test Clinic</name>
+        <!--WVV Address of organization is optional except for the STATE-->
+       <addr>
+          <state>MD</state>
+          <postalCode>20877</postalCode>
+          
+       </addr>
+      <!--WVP required asOrganizationPartOf added to sample-->
+       <asOrganizationPartOf>
+          <wholeOrganization>
+	<!-- Tax ID is the extension and this is a dummy numbers-->
+            <id root="2.16.840.1.113883.4.2" extension="226864459"/>
+          </wholeOrganization> 
+        </asOrganizationPartOf>
+      </providerOrganization>
+
+      </patientRole>
+   </recordTarget>
+   <author>
+      <time value="20100703"/>
+      <assignedAuthor>
+         <id root="2.16.840.1.113883.3.249.6" extension="100001"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedAuthor>
+   </author>
+   <informant>
+      <assignedEntity>
+         <id nullFlavor="NA"/>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>World VistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </informant>
+   <custodian>
+      <assignedCustodian>
+         <representedCustodianOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedCustodianOrganization>
+      </assignedCustodian>
+   </custodian>
+   <legalAuthenticator>
+      <time value="20100703"/>
+      <signatureCode code="S"/>
+      <assignedEntity>
+         <id root="2.16.840.1.113883.3.543" extension="111111"/>
+         <assignedPerson>
+            <name>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+               <suffix>MD</suffix>
+            </name>
+         </assignedPerson>
+         <representedOrganization>
+            <id root="2.16.840.1.113883.3.543" extension="1558574526"/>
+            <name>WorldVistA Test Clinic</name>
+         </representedOrganization>
+      </assignedEntity>
+   </legalAuthenticator>
+   <participant typeCode="PRF">
+      <functionCode code="PCP" codeSystem="2.16.840.1.113883.5.88"/>
+      <associatedEntity classCode="PROV">
+         <id root="2.16.840.1.113883.3.249.6" extension="111111"/>
+         <associatedPerson>
+            <name>
+               <prefix>Dr.</prefix>
+               <given>Nancy</given>
+               <family>Anthracite</family>
+            </name>
+         </associatedPerson>
+      </associatedEntity>
+   </participant>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="INTERMEDIATE (20min)" code="99202" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101014"/>
+                                    <high value="20101014"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<documentationOf>
+<serviceEvent>
+                                 <code displayName="EXTENDED (30min)" code="99203" codeSystemName="CPT-4" codeSystem="2.16.840.1.113883.6.12"/>
+                                 <effectiveTime>
+                                    <low value="20101013"/>
+                                    <high value="20101013"/>
+                                 </effectiveTime>
+<performer typeCode="PRF">
+        <assignedEntity>
+        <id root="2.16.840.1.113883.4.6" extension="1558574525"/>
+          <code code="62247001" codeSystem="2.16.840.1.113883.6.69" codeSystemName="SNM CT" displayName="Internal Medician Specialist"/>
+          <addr>
+            <streetAddressLine>123 Maple Ave</streetAddressLine>
+            <city>Gaithersburg</city>
+            <state>MD</state>
+            <postalCode>20877</postalCode>
+          </addr>
+          <assignedPerson>
+            <name>
+              <given>Nancy</given>
+              <family>Anthracite</family>
+              <suffix>MD</suffix>
+            </name>
+          </assignedPerson>
+        </assignedEntity>
+      </performer>
+    </serviceEvent>
+  </documentationOf>
+<component>
+      <structuredBody>
+         <component>
+            <section>
+               <templateId root="2.16.840.1.113883.3.249.11.50"/>
+               <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"/>
+               <title>Measure set: CMS EHR Measure Set</title>
+               <text>2010 Measures Set Measures</text>
+               <component>
+                  <section>
+                     <templateId root="2.16.840.1.113883.3.249.11.2"/>
+                     <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
+                     <title>Measure Section</title>
+                     <text>
+                        <list>
+                           <item>CMS Measure #1: Diabetes Mellitus: Hemoglobin A1c Poor Control in Diabetes Mellitus</item>
+                        </list>
+                     </text>
+                     <entry typeCode="DRIV">
+                        <act classCode="ACT" moodCode="DEF">
+                           <id root="2.16.840.1.113883.3.249.11.2"/>
+                           <code code="PQRI-1" codeSystem="2.16.840.1.113883.3.249.12" displayName="Hemoglobin A1c Poor Control in Diabetes Mellitus"/>
+                           <text>Percentage of patients 18 through 75 years with diabetes mellitus who had most recent hemoglobin A1C greater than 9.0%</text>
+                           <statusCode code="completed"/>
+                        </act>
+                     </entry>
+                     <component>
+                        <section>
+                           <code code="55187-9" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Reporting Parameters</title>
+                           <text>
+                              <list>
+                                 <item>Reporting Period Jan 1, 2010 to Dec 31, 2010</item>
+                              </list>
+                           </text>
+                           <entry>
+                              <act classCode="ACT" moodCode="EVN">
+                                 <code code="252116004" codeSystem="2.16.840.1.113883.6.96" displayName="Observation Parameters"/>
+                                 <effectiveTime>
+                                    <low value="20100101"/>
+                                    <high value="20101231"/>
+                                 </effectiveTime>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <code code="55188-7" codeSystem="2.16.840.1.113883.6.1"/>
+                           <title>Patient Data</title>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.3.88.11.83.103" assigningAuthorityName="HITSP/C83"/>
+                           <templateId root="1.3.6.1.4.1.19376.1.5.3.1.3.6" assigningAuthorityName="IHE PCC"/>
+                           <templateId root="2.16.840.1.113883.10.20.1.11" assigningAuthorityName="HL7 CCD"/>
+                           <code code="11450-4" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Problem list"/>
+                           <title>Problems</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="EVN">
+                                 <templateId root="2.16.840.1.113883.10.20.1.27"/>
+                                 <id root="PROBLEM1" extension="CCRObjectID"/>
+                                 <code nullFlavor="NA"/>
+                                 <performer typeCode="PRF">
+                                    <assignedEntity>
+                                       <id extension="ACTORPROVIDER_10000000020" root="CCRActorID"/>
+                                       <addr use="WP">
+                                          <streetAddressLine>VA MEDICAL CENTER</streetAddressLine>
+                                          <city>ALBANY</city>
+                                          <state>NY</state>
+                                          <postalCode>12180</postalCode>
+                                       </addr>
+                                       <telecom/>
+                                       <assignedPerson>
+                                          <name>
+                                             <given>NANCY</given>
+                                             <family>ANTHRACITE</family>
+                                          </name>
+                                       </assignedPerson>
+                                    </assignedEntity>
+                                 </performer>
+                                 <entryRelationship typeCode="SUBJ">
+                                    <observation classCode="OBS" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.28" assigningAuthorityName="CCD"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.8"/>
+                                       <id root="PROBLEM1" extension="CCRObjectID"/>
+                                       <code code="55607006" displayName="Problem" codeSystem="2.16.840.1.113883.6.96" codeSystemName="SNM"/>
+                                       <statusCode code="completed"/>
+                                       <effectiveTime>
+                                          <low value="20101013"/>
+                                          <high value="20101013"/>
+                                       </effectiveTime>
+                                       <value xsi:type="CD" displayName="Diabetes Mellitus without mention of Complication, type II or unspecified type," code="250.02" codeSystemName="I9" codeSystem="2.16.840.1.113883.6.103"/>
+                                       <entryRelationship typeCode="REFR">
+                                          <observation classCode="OBS" moodCode="EVN">
+                                             <templateId root="2.16.840.1.113883.10.20.1.50"/>
+<templateId root="2.16.840.1.113883.3.249.11.100.12"/>
+                                             <code code="33999-4" codeSystem="2.16.840.1.113883.6.1" displayName="Status"/>
+                                             <statusCode code="completed"/>
+<value xsi:type="CE" code="55561003" codeSystem="2.16.840.1.113883.6.96" displayName="Active" codeSystemName="SNM" />
+                                          </observation>
+                                       </entryRelationship>
+                                    </observation>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                     <component>
+                        <section>
+                           <templateId root="2.16.840.1.113883.10.20.1.9"/>
+                           <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Payment Sources"/>
+                           <title>Payers</title>
+                           <text/>
+                           <entry typeCode="DRIV">
+                              <act classCode="ACT" moodCode="DEF">
+                                 <templateId root="2.16.840.1.113883.10.20.1.20"/>
+                                 <id root="2.16.840.1.113883.3.543" extension="2bfc3fca-e5e8-11df-9dac-8712c8b80c9a"/>
+                                 <code code="48768-6" codeSystem="2.16.840.1.113883.6.1" displayName="Payment sources"/>
+                                 <statusCode code="completed"/>
+                                 <entryRelationship typeCode="COMP">
+                                    <act classCode="ACT" moodCode="EVN">
+                                       <templateId root="2.16.840.1.113883.10.20.1.26"/>
+                                       <templateId root="2.16.840.1.113883.3.249.11.100.7"/>
+                                       <id root="dbbb6311-8a4d-11df-a4ee-0800200c9c66"/>
+                                       <code code="PUBLICPOL" codeSystem="2.16.840.1.113883.5.4" displayName="Public Healthcare"/>
+                                       <statusCode code="completed"/>
+                                       <performer typeCode="PRF">
+                                          <assignedEntity>
+                                             <id root="2.16.840.1.113883.12.86" extension="MC"/>
+                                          </assignedEntity>
+                                       </performer>
+                                       <participant typeCode="COV">
+                                          <participantRole>
+                                             <id root="2.16.840.1.113883.4.1" extension="498993376"/>
+                                             <code code="SELF" codeSystem="2.16.840.1.113883.5.111" displayName="Self"/>
+                                          </participantRole>
+                                       </participant>
+                                    </act>
+                                 </entryRelationship>
+                              </act>
+                           </entry>
+                        </section>
+                     </component>
+                  </section>
+               </component>
+            </section>
+         </component>
+      </structuredBody>
+   </component>
+</ClinicalDocument>
Index: /qrda/qds/raw-encounter-codes.txt
===================================================================
--- /qrda/qds/raw-encounter-codes.txt	(revision 1013)
+++ /qrda/qds/raw-encounter-codes.txt	(revision 1013)
@@ -0,0 +1,2663 @@
+
+code
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