openesb-components/ojc-core/encodersl/encoder-hl7/test/data/hl7_26_xsd/RQA_I08.xml

<?xml version="1.0" encoding="UTF-8"?><RQA_I08 xmlns="urn:hl7-org:v2xml"><MSH><MSH.1>|</MSH.1><MSH.2>^~\&amp;</MSH.2><MSH.3><HD.1>BLAKEMD</HD.1></MSH.3><MSH.4><HD.1>EWHIN</HD.1></MSH.4><MSH.5><HD.1>MSC</HD.1></MSH.5><MSH.6><HD.1>EWHIN</HD.1></MSH.6><MSH.7>19940110105307</MSH.7><MSH.9><MSG.1>RQA</MSG.1><MSG.2>I08</MSG.2></MSH.9><MSH.10>BLAKEM7898</MSH.10><MSH.11><PT.1>P</PT.1></MSH.11><MSH.12><VID.1>2.6</VID.1></MSH.12><MSH.15>AL</MSH.15><MSH.16>AL</MSH.16></MSH><SFT><SFT.1><XON.1>Sun Microsystems, Inc</XON.1></SFT.1><SFT.2>5.1.0</SFT.2><SFT.3>Sun</SFT.3><SFT.4>5.1.0</SFT.4><SFT.5>JCA</SFT.5><SFT.6>12092007</SFT.6></SFT><RQA_I08.PROVIDER><PRD><PRD.1><CWE.1>RP</CWE.1></PRD.1><PRD.2><XPN.1><FN.1>BLAKE</FN.1></XPN.1><XPN.2>BEVERLY</XPN.2><XPN.5>DR</XPN.5><XPN.6>MD</XPN.6></PRD.2><PRD.3><XAD.1><SAD.1>N. 12828 NEWPORT HIGHWAY</SAD.1></XAD.1><XAD.3>MEAD</XAD.3><XAD.4>WA</XAD.4><XAD.5>99021</XAD.5></PRD.3><PRD.4><PL.1> </PL.1><PL.4><HD.1>BLAKEMD</HD.1><HD.2>EWHIN</HD.2></PL.4><PL.9>BLAKE MEDICAL CENTER</PL.9></PRD.4><PRD.5><XTN.2>BLAKEM7899</XTN.2></PRD.5></PRD></RQA_I08.PROVIDER><RQA_I08.PROVIDER><PRD><PRD.1><CWE.1>RT</CWE.1></PRD.1><PRD.2><XPN.1><FN.1>WSIC</FN.1></XPN.1></PRD.2><PRD.4><PL.4><HD.1>MSC</HD.1><HD.2>EWHIN</HD.2></PL.4><PL.9>WASHINGTON STATE INSURANCE COMPANY</PL.9></PRD.4></PRD></RQA_I08.PROVIDER><PID><PID.3><CX.1>402941703</CX.1><CX.2>9</CX.2><CX.3>M10</CX.3></PID.3><PID.5><XPN.1><FN.1>BROWN</FN.1></XPN.1><XPN.2>CARY</XPN.2><XPN.3>JOE</XPN.3></PID.5><PID.7>19600309</PID.7><PID.19>402941703</PID.19></PID><RQA_I08.GUARANTOR_INSURANCE><RQA_I08.INSURANCE><IN1><IN1.1>1</IN1.1><IN1.2><CWE.1>PPO</CWE.1></IN1.2><IN1.3><CX.1>WA02</CX.1></IN1.3><IN1.4><XON.1>WSIC (WA State Code)</XON.1></IN1.4><IN1.5><XAD.1><SAD.1>11223 FOURTH STREET</SAD.1></XAD.1><XAD.3>MEAD</XAD.3><XAD.4>WA</XAD.4><XAD.5>99021</XAD.5><XAD.6>USA</XAD.6></IN1.5><IN1.6><XPN.1><FN.1>ANN MILLER</FN.1></XPN.1></IN1.6><IN1.7><XTN.2>509)333 1234</XTN.2></IN1.7><IN1.8>987654321</IN1.8><IN1.12>19901101</IN1.12><IN1.16><XPN.1><FN.1>BROWN</FN.1></XPN.1><XPN.2>CARY</XPN.2><XPN.3>JOE</XPN.3></IN1.16><IN1.17><CWE.1>1</CWE.1></IN1.17><IN1.18>19600309</IN1.18><IN1.19><XAD.1><SAD.1>N. 12345 SOME STREET</SAD.1></XAD.1><XAD.3>MEAD</XAD.3><XAD.4>WA</XAD.4><XAD.5>99021</XAD.5><XAD.6>USA</XAD.6></IN1.19><IN1.36>402941703</IN1.36><IN1.45>01</IN1.45><IN1.46>M</IN1.46></IN1></RQA_I08.INSURANCE></RQA_I08.GUARANTOR_INSURANCE><DG1><DG1.1>1</DG1.1><DG1.3><CWE.1>I9</CWE.1></DG1.3><DG1.5>569.0</DG1.5><DG1.6>RECTAL POLYP</DG1.6><DG1.7><CNE.1>19940106103500</CNE.1></DG1.7><DG1.8><CNE.1>0</CNE.1></DG1.8></DG1><RQA_I08.PROCEDURE><PR1><PR1.1>1</PR1.1><PR1.3><CNE.1>C4</CNE.1></PR1.3><PR1.5>45378</PR1.5><PR1.6>Colonoscopy</PR1.6><PR1.7>19940110105309</PR1.7><PR1.9>00</PR1.9></PR1></RQA_I08.PROCEDURE></RQA_I08>