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  <realmCode code="US" />
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  <code code="55184-6" codeSystem="2.16.840.1.113883.6.1" codeSystemName="LOINC" displayName="Quality Reporting Document Architecture Calculated Summary Report" />
  <title>Comprehensive Primary Care Plus (CPC+) Sample QRDA-III Report</title>
  <effectiveTime value="20170311061231" />
  <confidentialityCode code="N" codeSystem="2.16.840.1.113883.5.25" />
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        <softwareName>SOME Data Aggregator Transform Tool AS00016dev</softwareName>
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      <assignedPerson>
        <name>
          <given>Trevor</given>
          <family>Phillips</family>
        </name>
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        <name>Good Health Clinic</name>
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        <name>Good Health Clinic</name>
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  <!--Program for which data is being submitted-->
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      <addr>
        <streetAddressLine>123 Healthcare St</streetAddressLine>
        <city>Norman</city>
        <state>OK</state>
        <postalCode>73019</postalCode>
      </addr>
    </associatedEntity>
  </participant>
  <!--Providers in Practice Site for which data is being submitted-->
  <documentationOf typeCode="DOC">
    <serviceEvent classCode="PCPR">
      <effectiveTime>
        <low value="20170101" />
        <high value="20171231" />
      </effectiveTime>
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        <time>
          <low value="20170101" />
          <high value="20171231" />
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  <component>
      <structuredBody>
          <component>
              <section>
                  <templateId root="2.16.840.1.113883.10.20.24.2.2"/>
                  <templateId extension="2017-06-01" root="2.16.840.1.113883.10.20.27.2.1"/>
                  <templateId extension="2019-05-01" root="2.16.840.1.113883.10.20.27.2.3"/>
                  <code code="55186-1" codeSystem="2.16.840.1.113883.6.1"/>
                  <title>Measure section</title>
                  <text>
                      <content>eMeasure Entries</content>
                      <table border="1" width="100%">
                          <thead>
                              <tr>
                                  <th>Reporting Parameter</th>
                                  <th>Value</th>
                              </tr>
                          </thead>
                          <tbody>
                              <tr>
                                  <td>Reporting period</td>
                                  <td>Jan 1, 2022 - Dec 31, 2022</td>
                              </tr>
                          </tbody>
                      </table>
                      <table border="1" width="100%">
                          <colgroup>
                              <col width="30%"/>
                              <col width="25%"/>
                              <col width="5%"/>
                              <col width="5%"/>
                              <col width="25%"/>
                          </colgroup>
                          <thead>
                              <tr>
                                  <th>eMeasure Title</th>
                                  <th>Version Neutral ID</th>
                                  <th>eMeasure Version Number</th>
                                  <th>NQF Measure Number</th>
                                  <th>Version Specific ID</th>
                              </tr>
                          </thead>
                          <tbody>
                              <tr>
                                  <td>Diabetes: Hemoglobin A1c (HbA1c) Poor Control (&gt; 9%)</td>
                                  <td>f2986519-5a4e-4149-a8f2-af0a1dc7f6bc</td>
                                  <td>10.0.000</td>
                                  <td/>
                                  <td>2c928082-74c2-3313-0174-c60bd07b02a6</td>
                              </tr>
                          </tbody>
                      </table>
                      <content>Member of Measure Set: NONE - eMeasure
                          ID:f2986519-5a4e-4149-a8f2-af0a1dc7f6bc</content>
                      <list>
                          <item>Initial Patient Population:
                                              52890<list><item>Sex<list><item>Female:
                                              27982</item><item>Male:
                                  24770</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 1466</item><item>Not Hispanic or Latino:
                                              50374</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              20800</item><item>Medicaid: 8033</item><item>Private
                                              Health Insurance: 22443</item><item>Other:
                                              1614</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 135</item><item>Asian:
                                              1187</item><item>Black or African American:
                                              10540</item><item>Native Hawaiian or Other Pacific
                                              Islander: 77</item><item>White:
                                              38959</item><item>Other Race:
                                      1201</item></list></item></list></item>
                          <item>Denominator: 52890<list><item>Sex<list><item>Female:
                                              27982</item><item>Male:
                                  24770</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 1466</item><item>Not Hispanic or Latino:
                                              50374</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              20800</item><item>Medicaid: 8033</item><item>Private
                                              Health Insurance: 22443</item><item>Other:
                                              1614</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 135</item><item>Asian:
                                              1187</item><item>Black or African American:
                                              10540</item><item>Native Hawaiian or Other Pacific
                                              Islander: 77</item><item>White:
                                              38959</item><item>Other Race:
                                      1201</item></list></item></list></item>
                          <item>Numerator: 16515<list><item>Sex<list><item>Female:
                                              8959</item><item>Male:
                                  7511</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 512</item><item>Not Hispanic or Latino:
                                              15602</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              5621</item><item>Medicaid: 3471</item><item>Private
                                              Health Insurance: 6808</item><item>Other:
                                          615</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 33</item><item>Asian:
                                              271</item><item>Black or African American:
                                              3610</item><item>Native Hawaiian or Other Pacific
                                              Islander: 35</item><item>White:
                                              11845</item><item>Other Race:
                                      413</item></list></item></list></item>
                          <item>Performance Rate: .336026</item>
                          <item>Denominator Exclusions: 3742<list><item>Sex<list><item>Female:
                                              1926</item><item>Male:
                                  1804</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 36</item><item>Not Hispanic or Latino:
                                              3639</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              3338</item><item>Medicaid: 117</item><item>Private
                                              Health Insurance: 247</item><item>Other:
                                          40</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 8</item><item>Asian:
                                              19</item><item>Black or African American:
                                              669</item><item>Native Hawaiian or Other Pacific
                                              Islander: 2</item><item>White:
                                              2972</item><item>Other Race:
                                  37</item></list></item></list></item>
                      </list>
                      <table border="1" width="100%">
                          <colgroup>
                              <col width="30%"/>
                              <col width="25%"/>
                              <col width="5%"/>
                              <col width="5%"/>
                              <col width="25%"/>
                          </colgroup>
                          <thead>
                              <tr>
                                  <th>eMeasure Title</th>
                                  <th>Version Neutral ID</th>
                                  <th>eMeasure Version Number</th>
                                  <th>NQF Measure Number</th>
                                  <th>Version Specific ID</th>
                              </tr>
                          </thead>
                          <tbody>
                              <tr>
                                  <td>Controlling High Blood Pressure</td>
                                  <td>abdc37cc-bac6-4156-9b91-d1be2c8b7268</td>
                                  <td>10.0.000</td>
                                  <td/>
                                  <td>2c928082-7505-caf9-0175-2382d1bd06b1</td>
                              </tr>
                          </tbody>
                      </table>
                      <content>Member of Measure Set: NONE - eMeasure
                          ID:abdc37cc-bac6-4156-9b91-d1be2c8b7268</content>
                      <list>
                          <item>Initial Patient Population:
                                              137515<list><item>Sex<list><item>Female:
                                              75071</item><item>Male:
                                  62118</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 2322</item><item>Not Hispanic or Latino:
                                              132459</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              63996</item><item>Medicaid:
                                              15536</item><item>Private Health Insurance:
                                              53791</item><item>Other:
                                  4192</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 259</item><item>Asian:
                                              2192</item><item>Black or African American:
                                              24323</item><item>Native Hawaiian or Other Pacific
                                              Islander: 136</item><item>White:
                                              106905</item><item>Other Race:
                                      1963</item></list></item></list></item>
                          <item>Denominator: 137515<list><item>Sex<list><item>Female:
                                              75071</item><item>Male:
                                  62118</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 2322</item><item>Not Hispanic or Latino:
                                              132459</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              63996</item><item>Medicaid:
                                              15536</item><item>Private Health Insurance:
                                              53791</item><item>Other:
                                  4192</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 259</item><item>Asian:
                                              2192</item><item>Black or African American:
                                              24323</item><item>Native Hawaiian or Other Pacific
                                              Islander: 136</item><item>White:
                                              106905</item><item>Other Race:
                                      1963</item></list></item></list></item>
                          <item>Numerator: 79062<list><item>Sex<list><item>Female:
                                              43441</item><item>Male:
                                  35441</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 1373</item><item>Not Hispanic or Latino:
                                              76145</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              32876</item><item>Medicaid: 8805</item><item>Private
                                              Health Insurance: 34866</item><item>Other:
                                              2515</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 143</item><item>Asian:
                                              1442</item><item>Black or African American:
                                              12388</item><item>Native Hawaiian or Other Pacific
                                              Islander: 79</item><item>White:
                                              62938</item><item>Other Race:
                                      1102</item></list></item></list></item>
                          <item>Performance Rate: .663806</item>
                          <item>Denominator Exclusions: 18411<list><item>Sex<list><item>Female:
                                              10945</item><item>Male:
                                  7418</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 229</item><item>Not Hispanic or Latino:
                                              17848</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              15125</item><item>Medicaid: 1362</item><item>Private
                                              Health Insurance: 1728</item><item>Other:
                                          196</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 38</item><item>Asian:
                                              177</item><item>Black or African American:
                                              3322</item><item>Native Hawaiian or Other Pacific
                                              Islander: 9</item><item>White:
                                              14499</item><item>Other Race:
                                      194</item></list></item></list></item>
                      </list>
                      <table border="1" width="100%">
                          <colgroup>
                              <col width="30%"/>
                              <col width="25%"/>
                              <col width="5%"/>
                              <col width="5%"/>
                              <col width="25%"/>
                          </colgroup>
                          <thead>
                              <tr>
                                  <th>eMeasure Title</th>
                                  <th>Version Neutral ID</th>
                                  <th>eMeasure Version Number</th>
                                  <th>NQF Measure Number</th>
                                  <th>Version Specific ID</th>
                              </tr>
                          </thead>
                          <tbody>
                              <tr>
                                  <td>Preventive Care and Screening: Screening for Depression and
                                      Follow-Up Plan</td>
                                  <td>9a031e24-3d9b-11e1-8634-00237d5bf174</td>
                                  <td>11.0.000</td>
                                  <td/>
                                  <td>2c928082-7505-caf9-0175-1e6f57410551</td>
                              </tr>
                          </tbody>
                      </table>
                      <content>Member of Measure Set: PREVENTIVE CARE AND SCREENING - eMeasure
                          ID:9a031e24-3d9b-11e1-8634-00237d5bf174</content>
                      <list>
                          <item>Initial Patient Population:
                                              470376<list><item>Sex<list><item>Female:
                                              287905</item><item>Male:
                                  181639</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 14065</item><item>Not Hispanic or Latino:
                                              446425</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              114944</item><item>Medicaid:
                                              82205</item><item>Private Health Insurance:
                                              253927</item><item>Other:
                                  19298</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 822</item><item>Asian:
                                              11314</item><item>Black or African American:
                                              71638</item><item>Native Hawaiian or Other Pacific
                                              Islander: 610</item><item>White:
                                              364169</item><item>Other Race:
                                      13343</item></list></item></list></item>
                          <item>Denominator: 470376<list><item>Sex<list><item>Female:
                                              287905</item><item>Male:
                                  181639</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 14065</item><item>Not Hispanic or Latino:
                                              446425</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              114944</item><item>Medicaid:
                                              82205</item><item>Private Health Insurance:
                                              253927</item><item>Other:
                                  19298</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 822</item><item>Asian:
                                              11314</item><item>Black or African American:
                                              71638</item><item>Native Hawaiian or Other Pacific
                                              Islander: 610</item><item>White:
                                              364169</item><item>Other Race:
                                      13343</item></list></item></list></item>
                          <item>Numerator: 54746<list><item>Sex<list><item>Female:
                                              27933</item><item>Male:
                                  26716</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 1354</item><item>Not Hispanic or Latino:
                                              52341</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              21893</item><item>Medicaid: 4526</item><item>Private
                                              Health Insurance: 26530</item><item>Other:
                                              1797</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 94</item><item>Asian:
                                              2252</item><item>Black or African American:
                                              8405</item><item>Native Hawaiian or Other Pacific
                                              Islander: 76</item><item>White:
                                              41717</item><item>Other Race:
                                      1323</item></list></item></list></item>
                          <item>Performance Rate: .17507</item>
                          <item>Denominator Exclusions: 157128<list><item>Sex<list><item>Female:
                                              114970</item><item>Male:
                                  41822</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 3781</item><item>Not Hispanic or Latino:
                                              150919</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              43328</item><item>Medicaid:
                                              33374</item><item>Private Health Insurance:
                                              74673</item><item>Other:
                                  5752</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 282</item><item>Asian:
                                              1360</item><item>Black or African American:
                                              20705</item><item>Native Hawaiian or Other Pacific
                                              Islander: 131</item><item>White:
                                              129643</item><item>Other Race:
                                      3340</item></list></item></list></item>
                          <item>Denominator Exceptions: 538<list><item>Sex<list><item>Female:
                                              402</item><item>Male:
                                  135</item></list></item></list><list><item>Ethnicity<list><item>Hispanic
                                              or Latino: 20</item><item>Not Hispanic or Latino:
                                              499</item></list></item></list><list><item>Payer<list><item>Medicare:
                                              152</item><item>Medicaid: 58</item><item>Private
                                              Health Insurance: 303</item><item>Other:
                                          25</item></list></item></list><list><item>Race<list><item>American
                                              Indian or Alaska Native: 0</item><item>Asian:
                                              26</item><item>Black or African American:
                                              97</item><item>Native Hawaiian or Other Pacific
                                              Islander: 0</item><item>White: 377</item><item>Other
                                              Race: 18</item></list></item></list></item>
                      </list>
                  </text>
                  <entry>
                      <organizer classCode="CLUSTER" moodCode="EVN">
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                          <templateId extension="2016-09-01" root="2.16.840.1.113883.10.20.27.3.1"/>
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                          <statusCode code="completed"/>
                          <reference typeCode="REFR">
                              <externalDocument classCode="DOC" moodCode="EVN">
                                  <id extension="2c928082-74c2-3313-0174-c60bd07b02a6"
                                      root="2.16.840.1.113883.4.738"/>
                                  <code code="57024-2" codeSystem="2.16.840.1.113883.6.1"
                                      displayName="Health Quality Measure Document"
                                      codeSystemName="LOINC"/>
                                  <text>Diabetes: Hemoglobin A1c (HbA1c) Poor Control (&gt;
                                      9%)</text>
                                  <setId root="f2986519-5a4e-4149-a8f2-af0a1dc7f6bc"/>
                              </externalDocument>
                          </reference>
                          <reference typeCode="REFR">
                              <externalObservation>
                                  <id root="f2986519-5a4e-4149-a8f2-af0a1dc7f6bc"/>
                                  <code code="55185-3" codeSystem="2.16.840.1.113883.6.1"
                                      displayName="Measure Set" codeSystemName="LOINC"/>
                                  <text>NONE</text>
                              </externalObservation>
                          </reference>
                          <component>
                              <observation classCode="OBS" moodCode="EVN">
                                  <templateId extension="2016-09-01"
                                      root="2.16.840.1.113883.10.20.27.3.30"/>
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                                  <code code="72510-1" codeSystem="2.16.840.1.113883.6.1"
                                      displayName="Performance Rate" codeSystemName="LOINC"/>
                                  <statusCode code="completed"/>
                                  <value xsi:type="REAL" value=".336026"
                                      xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"/>
                                  <reference typeCode="REFR">
                                      <externalObservation classCode="OBS" moodCode="EVN">
                                          <id root="0E994FD7-399A-46AE-84F3-D4286EB35AD8"/>
                                          <code code="NUMER" codeSystem="2.16.840.1.113883.5.4"
                                              displayName="Numerator"
                                              codeSystemName="ObservationValue"/>
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                              </observation>
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                          <component>
                              <observation classCode="OBS" moodCode="EVN">
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                                  <templateId extension="2019-05-01"
                                      root="2.16.840.1.113883.10.20.27.3.16"/>
                                  <code code="ASSERTION" codeSystem="2.16.840.1.113883.5.4"/>
                                  <statusCode code="completed"/>
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                  <title>Measure section</title>
                  <text>
                      <content>Improvement Activity Entries</content>
                      <table border="1" width="100%">
                          <thead>
                              <tr>
                                  <th>Reporting Parameter</th>
                                  <th>Value</th>
                              </tr>
                          </thead>
                          <tbody>
                              <tr>
                                  <td>Reporting period</td>
                                  <td>Sep 27, 2022 - Dec 25, 2022</td>
                              </tr>
                          </tbody>
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                      <table border="1" width="100%">
                          <thead>
                              <tr>
                                  <th>Improvement Activity Title</th>
                                  <th>Improvement Activity ID</th>
                                  <th>Details</th>
                              </tr>
                          </thead>
                          <tbody>
                              <tr>
                                  <td>Engagement of patients through implementation of
                                      improvements in patient portal</td>
                                  <td>IA_BE_4</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Engagement of patients, family and caregivers in developing
                                      a plan of care</td>
                                  <td>IA_BE_15</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Implementation of improvements that contribute to more
                                      timely communication of test results</td>
                                  <td>IA_CC_2</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Practice improvements for bilateral exchange of patient
                                      information</td>
                                  <td>IA_CC_13</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Provide 24/7 Access to MIPS Eligible Clinicians or Groups
                                      Who Have Real-Time Access to Patient's Medical Record</td>
                                  <td>IA_EPA_1</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                          </tbody>
                      </table>
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                              displayName="Observation Parameters"/>
                          <effectiveTime>
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                  <title>Measure section</title>
                  <text>
                      <content>Promoting Interoperability Entries</content>
                      <table border="1" width="100%">
                          <thead>
                              <tr>
                                  <th>Reporting Parameter</th>
                                  <th>Value</th>
                              </tr>
                          </thead>
                          <tbody>
                              <tr>
                                  <td>Reporting period</td>
                                  <td>Sep 27, 2022 - Dec 25, 2022</td>
                              </tr>
                          </tbody>
                      </table>
                      <table border="1" width="100%">
                          <thead>
                              <tr>
                                  <th>Promoting Interoperability Measure Title</th>
                                  <th>Promoting Interoperability Measure ID</th>
                                  <th>Details</th>
                              </tr>
                          </thead>
                          <tbody>
                              <tr>
                                  <td>E-Prescribing</td>
                                  <td>PI_EP_1</td>
                                  <td>
                                      <list>
                                          <item>Performance Rate: .987514</item>
                                          <item>Numerator: 752879</item>
                                          <item>Denominator: 762398</item>
                                      </list>
                                  </td>
                              </tr>
                              <tr>
                                  <td>Patient Electronic Access (Provided Within 4 Business
                                      Days)</td>
                                  <td>PI_PEA_1</td>
                                  <td>
                                      <list>
                                          <item>Performance Rate: .97764</item>
                                          <item>Numerator: 277373</item>
                                          <item>Denominator: 283717</item>
                                      </list>
                                  </td>
                              </tr>
                              <tr>
                                  <td>Protect Patient Health Information</td>
                                  <td>PI_PPHI_1</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Query of Prescription Drug Monitoring Program</td>
                                  <td>PI_EP_2</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Health Information Exchange (HIE) Bi-Directional
                                      Exchange</td>
                                  <td>PI_HIE_5</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Safety Assurance Factors for EHR Resilience Guides</td>
                                  <td>PI_PPHI_2</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Immunization Registry Reporting</td>
                                  <td>PI_PHCDRR_1</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Case Reporting</td>
                                  <td>PI_PHCDRR_3</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Public Health Registry Reporting</td>
                                  <td>PI_PHCDRR_4</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>Clinical Data Registry Reporting</td>
                                  <td>PI_PHCDRR_5</td>
                                  <td>Measure Performed: No</td>
                              </tr>
                              <tr>
                                  <td>Prevention of Information Blocking Attestation</td>
                                  <td>PI_INFBLO_1</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>ONC-ACB Surveillance Attestation</td>
                                  <td>PI_ONCACB_1</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                              <tr>
                                  <td>ONC Direct Review Attestation</td>
                                  <td>PI_ONCDIR_1</td>
                                  <td>Measure Performed: Yes</td>
                              </tr>
                          </tbody>
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